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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 200731842 | 05 |
Street Address |
6435 CHIPPEWA ST |
City | SAINT LOUIS |
State | MO |
Zip Code | 63109-2104 |
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 |
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 Code | 207RX0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Medical Oncology |
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] |
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 |
City | SAINT LOUIS |
Zip Code | 63109 |
Please comment or provide details below to improve the information on DR. SUSAN L LUEDKE.
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.