DR. VIVEK AGNIHOTRI (NPI# 1659478345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659478345 |
Entity Type | Individual |
Full Name | DR. VIVEK AGNIHOTRI |
Credential | M.D. |
Practice Address |
12401 Olive Blvd Ste 100 Creve Coeur MO 63141-5448 |
Practice Telephone | 3146271399 |
Practice Fax Number | 3143802417 |
Mailing Telephone | 3146271399 |
Mailing Fax Number | 3143802417 |
Enumeration Date | 2006-09-17 |
Last Update Date | 2016-09-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
2009003411 | MO | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538374590 | Vivek Agnihotri | Nurse Practitioner | 25 Pocono Rd, Department of Anesthesia, Denville, NJ 07834-2954 | 2007-05-13 |
Street Address |
12401 OLIVE BLVD STE 100 |
City | CREVE COEUR |
State | MO |
Zip Code | 63141-5448 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
Find all providers in zip 63141 |
Taxonomy Code | 2084P0802X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Addiction Psychiatry |
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487915195 | Insynergy | Psychiatry & Neurology | 11477 Olde Cabin Rd Ste 210, Creve Coeur, MO 63141-7129 | 2012-05-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548760820 | Honour Brite LLC | Psychiatry & Neurology | 3600 S National Ave, Springfield, MO 65807-7311 | 2018-02-13 |
1811344328 | C Care LLC | Psychiatry & Neurology | 224 S Woods Mill Rd, Suite 550 South Tower, Chesterfield, MO 63017-3513 | 2016-05-16 |
1790097988 | Neelofar Lalani | Psychiatry & Neurology | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2010-07-05 |
1164758975 | Eugene Norman Taub | Psychiatry & Neurology | 900 E Cherry St, Troy, MO 63379-1429 | 2009-10-29 |
1508928490 | Kathleen Voras | Psychiatry & Neurology | 807 Collins Dr, Festus, MO 63028-2346 | 2006-12-15 |
City | CREVE COEUR |
Zip Code | 63141 |
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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.