MARANATHA HEALTHCARE PC (NPI# 1679896716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679896716 |
| Entity Type | Organization |
| Organization Name | MARANATHA HEALTHCARE PC |
| Practice Address |
9231 W Florissant Ave Saint Louis MO 63136-1422 |
| Mailing Address |
Po Box 3980 Chesterfield MO 63006-3980 |
| Practice Telephone | 3145221888 |
| Practice Fax Number | 3145229674 |
| Mailing Telephone | 3145221888 |
| Mailing Fax Number | 3145229674 |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2010-05-17 |
| Authorized Official Name | DR. ADELUOLA G LIPEDE (PRESIDENT) |
| Authorized Official Telephone | 3145221888 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | R7F89 | MO | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
R7F89 | MO | Allopathic & Osteopathic Physicians |
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | R7F89 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
9231 W FLORISSANT AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63136-1422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376503250 | Adeluola G Lipede | Surgery | 9231 W Florissant Ave, Saint Louis, MO 63136-1422 | 2006-03-24 |
| 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 |
| Find all providers in zip 63136 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891034484 | John Phillip Connors | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1733 Kenmont Rd, Saint Louis, MO 63124-1021 | 2013-02-03 |
| 1578634226 | Nabil A Munfakh | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11155 Dunn Rd Ste 209e, Ste 209e, Saint Louis, MO 63136-6149 | 2006-11-13 |
| 1649355355 | Michael C Murphy | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3009 N Ballas Rd Ste 150d, Saint Louis, MO 63131-2322 | 2006-10-25 |
| 1972614576 | Nicholas Kouchoukos | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3023 N Ballas Rd Ste 150d, Saint Louis, MO 63131-2319 | 2006-08-31 |
| 1124066550 | John Codd | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 126 Southarm Dr, Saint Louis, MO 63122-4658 | 2006-06-04 |
| 1780636571 | Pirooz Eghtesady | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Childrens Pl Ste 5s50, Ste 5s50, Saint Louis, MO 63110-1002 | 2006-05-17 |
| 1134788136 | Chawannuch Ruaengsri | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2019-06-12 |
| 1639606106 | Tsuyoshi Takahashi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2017-05-16 |
| 1518333558 | Orlando Petrucci | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Childrens Pl, Ste 5s50, Saint Louis, MO 63110-1002 | 2015-08-13 |
| 1609131879 | William Arthue Gay Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Barnes Jewish Hospital Plz, Suite 3108 Queeny Tower, Saint Louis, MO 63110-1003 | 2012-07-12 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63136 |
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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.