BARRY SCOTT HIGHBLOOM (NPI# 1679536114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679536114 |
| Entity Type | Individual |
| Full Name | BARRY SCOTT HIGHBLOOM |
| Credential | M.D. |
| Practice Address |
17655 Bridgeway Circle Dr Chesterfield MO 63005-4219 |
| Mailing Address |
11995 Singletree Ln Ste 500 Eden Prairie MN 55344-5347 |
| Practice Telephone | 9525951100 |
| Practice Fax Number | 6122944903 |
| Mailing Telephone | 9525951301 |
| Mailing Fax Number | 6122944903 |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2018-04-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME100323 | FL | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
100466 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
17655 BRIDGEWAY CIRCLE DR |
| City | CHESTERFIELD |
| State | MO |
| Zip Code | 63005-4219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063901254 | Ryan Hewkin | Chiropractor | 17684 Chesterfield Airport Road, Chesterfield, MO 63005 | 2018-05-03 |
| 1093224487 | All Family Matters, LLC | In Home Supportive Care | 100 Chesterfield Business Pkwy Ste 200, Chesterfield, MO 63005 | 2017-09-28 |
| 1437681293 | Emily Therese Harpel | Pharmacist | 691 Trade Center Blvd, Chesterfield, MO 63005 | 2017-03-31 |
| 1831543826 | Leslie Noel Chanasue | Family Medicine | 17701 Edison Ave Ste 101, Chesterfield, MO 63005 | 2016-04-16 |
| 1497112874 | Jordan Kimler | Nurse Practitioner | 124 Chesterfield Towne Ctr, Chesterfield, MO 63005 | 2016-01-15 |
| 1265850556 | Richard George Rougeau | General Practice | 17679 Wildridge Drive, Wildwood, MO 63005 | 2014-04-03 |
| 1679912554 | Ceara M Barmeier | Physician Assistant | 17300 N Outer 40 Rd #101, Chesterfield, MO 63005 | 2013-06-24 |
| 1265794911 | Regeneration Orthopedics, LLC | Anesthesiology | 6 Mcbride & Son Center Dr., Ste 204, Chesterfield, MO 63005 | 2012-06-08 |
| 1528334984 | Syed Tanveer Haider | Radiologic Technologist | 16502 Barrister Lane, Chesterfield, MO 63005 | 2012-03-29 |
| 1144591041 | Sensible Dental - Chesterfield | Dentist | 100 Thf Blvd., Chesterfield, MO 63005 | 2012-01-24 |
| Find all providers in zip 63005 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619209996 | Midwest Radiology Services, LLC | Radiology | 16091 Swingley Ridge Rd, Suite 100, Chesterfield, MO 63017-2056 | 2010-02-11 |
| 1972545655 | Patrick A Cabrera | Radiology | 1415 Elbridge Payne Rd Ste 120, Chesterfield, MO 63017-8522 | 2006-06-10 |
| 1386611739 | St Lukes Center for Diagnostic Imaging LLC | Radiology | 6 Mcbride & Sons Corporate Center Drive, Suite 101, Chesterfield, MO 63005 | 2006-03-03 |
| 1134191083 | Gerald Keith Claycomb | Radiology | 14 Crown Manor Dr, Chesterfield, MO 63005-6805 | 2006-02-05 |
| 1689659039 | Jeffrey B Judd | Radiology | 16091 Swingley Ridge Rd Ste 100, Chesterfield, MO 63017 | 2005-12-08 |
| 1689091076 | Usa Radiology Management Solutions LLC | Radiology | 1415 Elbridge Payne Rd Ste 120, Chesterfield, MO 63017-8522 | 2014-03-24 |
| 1477710051 | Archana S Abhyankar | Radiology | 16091 Swingley Ridge Rd Ste 100, Chesterfield, MO 63017-2056 | 2008-05-21 |
| 1225234933 | Jason A Kayser | Radiology | 232 S Woods Mill Rd, Chesterfield, MO 63017-3406 | 2007-06-21 |
| 1154459915 | Peter Holtz | Radiology | 232 S Woods Mill Rd, Chesterfield, MO 63017-3417 | 2007-03-01 |
| 1841328606 | Kishan Yalavarthi | Radiology | 232 S Woods Mill Rd, Chesterfield, MO 63017-3417 | 2007-03-01 |
| Find all providers in CHESTERFIELD | ||||
| City | CHESTERFIELD |
| Zip Code | 63005 |
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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.