DR. JOHN OLDHAM


Address: 11133 Dunn Rd, Rm H2241, Saint Louis, MO 63136-6119
Phone: 3146535663

DR. JOHN OLDHAM (NPI# 1659376390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659376390
Entity Type Individual
Full Name DR. JOHN OLDHAM
Credential M.D.
Practice Address 11133 Dunn Rd
Rm H2241
Saint Louis
MO 63136-6119
Mailing Address 6905 Washington Ave
Saint Louis
MO 63130-4309
Practice Telephone 3146535663
Enumeration Date 2005-06-18
Last Update Date 2011-10-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine R9476 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO 1659376390 05
MO 201103728 05

Other Providers JOHN OLDHAM

NPI Name Taxonomy Address Enumeration
1528176476 John M Oldham Psychiatry & Neurology 1977 Butler Blvd Ste E4.400, Houston, TX 77030-4101 2006-08-29
1699817429 John Samuel Oldham Jr. Surgery 3900 Kresge Way, Suite 42, Louisville, KY 40207-4660 2007-02-12
1770635708 John W Oldham Social Worker 4066 Hixson Pike, Chattanooga, TN 37415-3110 2007-01-18

Office Location

Street Address 11133 DUNN RD
RM H2241
City SAINT LOUIS
State MO
Zip Code 63136-6119

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750988499 Lindsey Onate Dietitian, Registered 11133 Dunn Rd, Saint Louis, MO 63136-6163 2020-10-06
1548878705 Christian Hospital Northeast Northwest Clinical Medical Laboratory 11133 Dunn Rd, Saint Louis, MO 63136-6163 2020-07-14
1962028555 Wayne Joseph Parks Spec/Tech, Pathology 11133 Dunn Rd, Saint Louis, MO 63136-6163 2020-06-19
1295368504 Rebecca Lynne Mooshegian Brewer Nurse Practitioner 11133 Dunn Rd, Saint Louis, MO 63136-6163 2020-02-14
1114568821 Kelly Ann Blanner Nurse Practitioner 11133 Dunn Rd, Saint Louis, MO 63136-6163 2019-10-03
1235790957 Kelly Anderson Erlinger Anesthesiologist Assistant 11133 Dunn Rd, Saint Louis, MO 63136-6163 2019-06-24
1053896654 Hermance Fortune Nurse Practitioner 11133 Dunn Rd, Saint Louis, MO 63136-6163 2018-09-28
1801376884 Andrea Lynn Thurm Nurse Practitioner 11133 Dunn Rd, Saint Louis, MO 63136-6163 2018-08-18
1831675545 Kyle Patrick Mclafferty Physician Assistant 11133 Dunn Rd, Saint Louis, MO 63136-6163 2018-07-16
1154816700 Cynthia Elaine Johnson Nurse Practitioner 11133 Dunn Rd, Saint Louis, MO 63136-6163 2018-06-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518565993 Dorothy Smith Home Health 2531 Nathan Drive, St Louis, MO 63136 2020-10-16
1538784459 Rita D Wilson Technician 9597 Jacobi Ave Bldg 33 Apt 7, Saint Louis, MO 63136 2020-06-16
1922646728 Eduhealth Personal Care Services Technician 5843 Eagle Valley Dr Saint Louis Mo 63136, Saint Louis, MO 63136 2019-12-12
1558912964 Homers Haven Home Care LLC Home Health 5636 Pamplin Pl, St Louis, MO 63136 2019-09-26
1366096703 Chloe Suzanne Datillo Nurse Practitioner 2865 Netherton Dr., St Louis, MO 63136 2019-07-24
1053976431 U Auto Be Quik LLC Non-emergency Medical Transport (VAN) 10352 Castle Drive, St. Louis, MO 63136 2019-05-01
1164945895 A Plus Home Health Services LLC Home Health 9517 Wilson Bridge Drive, Saint Louis, MO 63136 2017-07-25
1184150302 Fairview Village Adult Day Care LLC Clinic/Center 8449 Jennings Station Rd, Fairview Village Adult Day Care, Saint Louis, MO 63136 2017-05-08
1023541182 Lots of Love Home Health Services In Home Supportive Care 4144 Lindell Blvd. Suite 218, Saint Louis, MO 63136 2017-04-06
1912440876 Carestl Health Clinic/Center 7047 Emma Ave, Jennings, MO 63136 2016-11-28
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Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649628454 Sphere Medical Group Emergency Medicine 916 Olive St Fl 4, Saint Louis, MO 63101-1459 2016-06-02
1922448000 Scott Birdwell Emergency Medicine 1st Floor Em Administration, Saint Louis University Hospital 3635 Vista, Saint Louis, MO 63110 2013-07-03
1174963052 John Blakeney Morrison Emergency Medicine 4946 Buckingham Ct, Apt 2w, Saint Louis, MO 63108-1430 2013-06-25
1598109001 Total Access Urgent Care, PC Emergency Medicine 12616 Lamplighter Square Shpg Ctr, Saint Louis, MO 63128-2746 2013-04-26
1003179151 Sean Oliver Cavanaugh Emergency Medicine 660 S Euclid Ave # 8072, Washington University Emergency Medicine, Saint Louis, MO 63110-1010 2012-06-22
1730476573 Yonitte Kinsella Emergency Medicine 660 S. Euclid Ave., Campus Box 8072, Saint Louis, MO 63110 2011-06-30
1023304524 Mary Samantha Jones Emergency Medicine 5733 Mcpherson Ave, Saint Louis, MO 63112-1620 2011-06-22
1851527469 Kimberly Ann Hess Emergency Medicine 621 S New Ballas Rd Ste 1001, Tower B, Saint Louis, MO 63141-8264 2009-06-09
1710130919 Lee Hunter Young Emergency Medicine 5168 Amberglow Dr, Saint Louis, MO 63129-3204 2008-10-31
1306019914 Stephan Brenner Emergency Medicine 4628 Mcpherson Ave, Saint Louis, MO 63108-1937 2008-04-04
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Competitor

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City SAINT LOUIS
Zip Code 63136

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Dataset Information

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.

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