DR. SUSAN L LUEDKE


Address: 6435 Chippewa St, Saint Louis, MO 63109-2104
Phone: 3153531870

DR. SUSAN L LUEDKE (NPI# 1679519508) 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) 1679519508
Entity Type Individual
Full Name DR. SUSAN L LUEDKE
Other Name DR. SUSAN LIEBOWITZ
Credential M.D.
Practice Address 6435 Chippewa St
Saint Louis
MO 63109-2104
Mailing Address 15945 Clayton Rd
Suite 120
Ballwin
MO 63011-2490
Practice Telephone 3153531870
Practice Fax Number 3143530315
Mailing Telephone 6362565000
Mailing Fax Number 6362565100
Enumeration Date 2006-06-20
Last Update Date 2010-12-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
R8493 MO Allopathic & Osteopathic Physicians
Y 207RX0202X Internal Medicine
Specialization: Medical Oncology
R8493 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO 200731842 05

Office Location

Street Address 6435 CHIPPEWA ST
City SAINT LOUIS
State MO
Zip Code 63109-2104

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477194777 Gina Hand-eoloff Nurse Practitioner 6435 Chippewa St, Saint Louis, MO 63109-2104 2019-10-08
1861874059 Catherine Louise Ash Internal Medicine 6435 Chippewa St, Saint Louis, MO 63109 2015-06-24
1053630103 Maurie Dolores Tracy Nurse Practitioner 6435 Chippewa St, Saint Louis, MO 63109-2104 2010-05-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013431907 James Edward Trout Community Health Worker 3956 Wenzlick Ave, St Louis, MO 63109 2017-08-01
1750815023 Andrea Hyde Nurse Practitioner 5302 Chippewa Street, Suite 301, St Louis, MO 63109 2017-04-13
1215362124 Alex Sharifian Dds Francis Park Dentistry PC Dentist 6650 Chippewa Street, Saint Louis, MO 63109 2013-09-10
1881993962 Rachel Elizabeth Hale Hasper Counselor 6555 Chippewa, St Louis, MO 63109 2011-03-15
1730369885 Janis Marie Lampa Physical Therapist 5203 Chippewa, Suite 301, St. Louis, MO 63109 2007-11-06
1285753772 James Matthew Jordan Occupational Therapist 32 Hampton Village Plaza, St Louis, MO 63109 2007-03-28
1730224478 Mercy Health Services, LLC Optometrist 34 Hampton Village Plaza, St. Louis, MO 63109 2007-02-20
1801959903 John Thomas Doyle Dentist 5400 Walsh St, St Louis, MO 63109 2006-12-19
1649339771 Residencial Services Corporation Assisted Living Facility 5890 Eichelberger, St Louis, MO 63109 2006-12-06
1316039852 Gary Raymond Rieser Dentist 3915 Watson Road, Suite 205, Saint Louis, MO 63109 2006-09-29
Find all providers in zip 63109

Taxonomy Information

Taxonomy Code 207RX0202X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Medical Oncology

Taxonomy Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255544680 Mark Andrew Schroeder Internal Medicine 10 Barnes West Dr Ste 100, Ste 100, Saint Louis, MO 63141-6350 2007-05-08
1669573077 Virginia M Herrmann Internal Medicine 11155 Dunn Rd Ste 101e, Ste 101e, Saint Louis, MO 63136-6148 2006-09-26
1962410829 Timothy Patrick Rearden Internal Medicine 11125 Dunn Rd Ste 100, Ste 100, Saint Louis, MO 63136-6132 2006-08-04
1023034261 Ramaswamy Govindan Internal Medicine 4921 Parkview Pl Ste 7a, Ste 7a, Saint Louis, MO 63110-1032 2006-07-14
1043292246 Peter Westervelt Internal Medicine 4921 Parkview Pl Fl 7, 7th Fl, Saint Louis, MO 63110-1032 2005-11-15
1851393136 Craig R Hildreth Internal Medicine 10004 Kennerly Rd Ste 137a, Saint Louis, MO 63128-2140 2005-08-15
1437785979 Jodi Granger Internal Medicine 4921 Parkview Pl, Saint Louis, MO 63110-1032 2020-03-17
1861814386 Bethany Sleckman Internal Medicine 607 S New Ballas Rd, Suite 3425, Saint Louis, MO 63141-8222 2014-01-17
1295173136 Francesca Ferraro Internal Medicine 216 S Kingshighway Blvd, Stes 5900, 6900, 7900, 8900, Saint Louis, MO 63110-1026 2013-06-13
1619222502 Tanner Michael Johanns Internal Medicine 4921 Parkview Pl, 7th Fl, Saint Louis, MO 63110-1032 2012-07-17
Find all providers in SAINT LOUIS

Competitor

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City SAINT LOUIS
Zip Code 63109

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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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