DR. RICHARD CHRISTOPHER MUCKERMAN II (NPI# 1649219569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649219569 |
| Entity Type | Individual |
| Full Name | DR. RICHARD CHRISTOPHER MUCKERMAN II |
| Credential | MD |
| Practice Address |
16216 Baxter Rd Suite 100 Chesterfield MO 63017-4770 |
| Practice Telephone | 6364494700 |
| Practice Fax Number | 6364492596 |
| Mailing Telephone | 6364494700 |
| Mailing Fax Number | 6364492596 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2007-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
R8639 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| D E A NUMBER | AM8351443 | 01 | |
| MO | B N D D NUMBER | 20799 | 01 |
| A B O G | 23394 | 01 | |
| MO | MEDICAL LICENSE, PHY&SURG | R8639 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568667178 | Richard G Muckerman | Registered Nurse | Va Maryland Healthcare System, 10 North Greene Street, Baltimore, MD 21201-1524 | 2007-06-15 |
| Street Address |
16216 BAXTER RD SUITE 100 |
| City | CHESTERFIELD |
| State | MO |
| Zip Code | 63017-4770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326034489 | Mark Charles Kory | Dermatology | 16216 Baxter Rd, Suite 200, Chesterfield, MO 63017-4770 | 2005-09-23 |
| 1477041168 | Sophia Elizabeth Wilhelmina Strydom | Behavioral Analyst | 16216 Baxter Rd, Chesterfield, MO 63017-4770 | 2018-04-27 |
| 1336674258 | Smartage LLC | Licensed Practical Nurse | 16216 Baxter Rd, Suite 100, Chesterfield, MO 63017-4770 | 2017-04-28 |
| 1629517297 | Kelsey Sack | Speech-Language Pathologist | 16216 Baxter Rd, Chesterfield, MO 63017-4770 | 2017-02-15 |
| 1225587447 | Jesica Campbell | Nurse Practitioner | 16216 Baxter Rd, Suite 100, Chesterfield, MO 63017-4770 | 2016-09-29 |
| 1154779072 | Joseph L. Hollingsworth | Chiropractor | 16216 Baxter Rd, Ste 190, Chesterfield, MO 63017-4770 | 2016-06-01 |
| 1114394616 | Monica Uthlaut | Counselor | 16216 Baxter Rd, Ste. 205, Chesterfield, MO 63017-4770 | 2015-08-31 |
| 1568843001 | Danielle Ridolfi | Psychologist | 16216 Baxter Rd, Suite 205, Chesterfield, MO 63017-4770 | 2015-06-10 |
| 1457743734 | Chelsea Jacobs | Chiropractor | 16216 Baxter Rd, Suite 190, Chesterfield, MO 63017-4770 | 2015-02-24 |
| 1134522881 | Chesterfield Spine & Sports Medicine Center LLC | Physical Medicine & Rehabilitation | 16216 Baxter Rd, Suite 190, Chesterfield, MO 63017-4770 | 2014-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549193 | Kathryn E Bos | Student in an Organized Health Care Education/Training Program | 873 Apt N Foxsprings Dr, Chesterfield, MO 63017 | 2020-05-12 |
| 1700415171 | Charles H. Edwards | Physical Therapist | 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 | 2020-04-07 |
| 1003454562 | Stephanie Henningsen | Physical Therapy Assistant | 307 S Woods Rd, Chesterfield, MO 63017 | 2019-12-16 |
| 1831746296 | Star Lynn Sutton | Occupational Therapy Assistant | 15207 Olive Boulevard, Chesterfield, MO 63017 | 2019-08-21 |
| 1639738438 | Van Amburg & Busiek Md's, LLC | Pharmacy | 232 S Woodsmill Road, Suite 330 East, Chesterfield, MO 63017 | 2019-06-06 |
| 1306306865 | Margaret Mary Wynn | Nurse Practitioner | 15740 South Outer Road, Chesterfield, MO 63017 | 2019-03-21 |
| 1205393089 | Kimberly Danielle | Nurse Practitioner | 744 Forest Trace Dr, Chesterfield, MO 63017 | 2019-02-27 |
| 1457823965 | Allison Joy Mcgrail | Dietitian, Registered | 45740 S Outer Forty Rd, Chesterfield, MO 63017 | 2018-12-21 |
| 1316418080 | Julie Lefere | Social Worker | Mercy Virtual Care Center, 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2018-12-06 |
| 1336629641 | Catherine Dolphin Smith | Nurse Practitioner | 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 | 2018-08-16 |
| Find all providers in zip 63017 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649833088 | Blooms Birth Center | Obstetrics & Gynecology | 5523 N Farmer Branch Rd, Ozark, MO 65721-5315 | 2019-04-22 |
| 1780149336 | Holistic Family Medicine and Obstetrics LLC | Obstetrics & Gynecology | 102 E Washington St, Marshall, MO 65340-2146 | 2019-02-07 |
| 1578062436 | Regina Beth Kizer | Obstetrics & Gynecology | 1901 S Ventura Ave Ste B, Springfield, MO 65804-2700 | 2018-02-06 |
| 1053844282 | Saint Francis Medical Center | Obstetrics & Gynecology | Rr 4 #4515, Piedmont, MO 63957-9417 | 2017-04-05 |
| 1972854032 | West County Obgyn Specialists, PC | Obstetrics & Gynecology | 621 S New Ballas Rd Ste 75b, Saint Louis, MO 63141-8251 | 2012-09-28 |
| 1316210404 | Carrisann Tennessee Woods | Obstetrics & Gynecology | 525 Branson Landing Blvd Ste 408, Branson, MO 65616 | 2012-02-20 |
| 1265663348 | John F Medler | Obstetrics & Gynecology | 171 Valley Vue Cr., Saint Albans, MO 63073-0288 | 2009-08-06 |
| 1295842342 | Generoso Guzman | Obstetrics & Gynecology | 701 E Lincoln St, Hayti, MO 63851-1738 | 2006-08-24 |
| 1407869050 | Debra L Schaeffergrime | Obstetrics & Gynecology | 322 Woodlawn Terrace Ct, Ballwin, MO 63021-8336 | 2006-08-14 |
| 1003878141 | Gerald Wayne Englund | Obstetrics & Gynecology | 1002 Mc Intosh Cir, Ste. 3, Joplin, MO 64804-3642 | 2006-04-04 |
| Find all providers with the same taxonomy | ||||
| City | CHESTERFIELD |
| Zip Code | 63017 |
Please comment or provide details below to improve the information on DR. RICHARD CHRISTOPHER MUCKERMAN II.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.