MERCY CLINIC PULMONOLOGY - WASHINGTON, LLC (NPI# 1699086926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699086926 |
| Entity Type | Organization |
| Organization Name | MERCY CLINIC PULMONOLOGY - WASHINGTON, LLC |
| Other Organization Name | ST. JOHN'S MERCY PULMONOLOGY |
| Practice Address |
851 E 5th St Suite 304 Washington MO 63090-3135 |
| Practice Telephone | 6362398057 |
| Practice Fax Number | 6362398911 |
| Mailing Telephone | 6362398057 |
| Mailing Fax Number | 6362398911 |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2020-10-14 |
| Authorized Official Name | JEFFREY CIARAMITA (PRESIDENT) |
| Authorized Official Telephone | 3142511952 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | MERCY CLINIC EAST COMMUNITIES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St. John's Mercy Pulmonology | Former Legal Business Name - Organization |
| Street Address |
851 E 5TH ST SUITE 304 |
| City | WASHINGTON |
| State | MO |
| Zip Code | 63090-3135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790781268 | Michelle L Beumer | Pediatrics | 851 E 5th St, Ste 312, Washington, MO 63090-3130 | 2005-06-21 |
| 1669018602 | Sheila Ann Buesking | Nurse Practitioner | 851 E 5th St, Washington, MO 63090-3135 | 2019-11-25 |
| 1437794898 | Amanda Leanna Martin | Dietitian, Registered | 851 E 5th St, Washington, MO 63090-3135 | 2019-11-08 |
| 1609303460 | Minami Ohta | Counselor | 851 E 5th St, Suite 200, Washington, MO 63090-3135 | 2017-05-11 |
| 1427413467 | Alison Hoglan | Social Worker | 851 E 5th St, Suite 200, Washington, MO 63090-3135 | 2015-12-17 |
| 1760857833 | Jillian Poretti | Dietitian, Registered | 851 E 5th St, Suite 226, Washington, MO 63090-3135 | 2015-12-01 |
| 1942636980 | Mercy Clinic Pain Management, LLC | Anesthesiology | 851 E 5th St, Suite 144, Washington, MO 63090-3135 | 2013-09-23 |
| 1467792523 | Marie Bernice Sander | Nurse Practitioner | 851 E 5th St, Suite 208, Washington, MO 63090-3135 | 2013-02-26 |
| 1215299482 | Deborah Bernice Beste | Nurse Practitioner | 851 E 5th St, Suite 200, Washington, MO 63090-3135 | 2012-06-13 |
| 1801154489 | Feet for Life Centers Inc PC | Podiatrist | 851 E 5th St, #228, Washington, MO 63090-3135 | 2012-05-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798792 | Alicia Caroline Baker | Nurse Practitioner | 1070 W 7th St, Washington, MO 63090 | 2020-10-21 |
| 1962975839 | Jennifer Biermann | Pharmacist | 801 E 5th Street, Washington, MO 63090 | 2019-01-03 |
| 1487199733 | Kristen Elaine Cleavelin | Registered Nurse | Mercy Convenient Care, 901 Patients First Drive, Washington, MO 63090 | 2016-12-22 |
| 1699146712 | Washington Community Counseling Center | Community/Behavioral Health | 421 W. 5th Street, Suite 110, Washington, MO 63090 | 2015-10-15 |
| 1598002024 | Americare At Vicotrian Manor of Washington, LLC | Assisted Living Facility | 2701 Rabbit Trail Dr, Washington, MO 63090 | 2013-01-03 |
| 1578824116 | Rhonda Ann Pepmiller | Nurse Practitioner | 851 E 5th St Ste 309, Washington, MO 63090 | 2012-05-30 |
| 1932486032 | Julie Joanne Lynch | Pharmacist | 890 Country Corners, Washington, MO 63090 | 2011-11-03 |
| 1043590839 | Laurie Elizabeth Bryson | Counselor | 102 Elm Street, Suite 204, Washington, MO 63090 | 2011-08-24 |
| 1164737490 | Mohan Mallikarjuna Edupuganti | Internal Medicine | 901 Patients First Dr Ste 2500, Washington, MO 63090 | 2010-08-11 |
| 1154640225 | Nicholas W Frederickson | Internal Medicine | 901 Patients First Drive Suite 3300, Washington, MO 63090 | 2010-05-27 |
| Find all providers in zip 63090 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598263006 | David C Gross, Md, PC | Internal Medicine | 106 Irving St Nw #412, Washington, DC 20010 | 2018-01-30 |
| 1811424872 | Cristian Dumitrescu | Internal Medicine | 3800 Reservoir Rd Nw Rm M421, Washington, DC 20007-2113 | 2017-05-21 |
| 1942642228 | Luzviminda Peredo-berger | Internal Medicine | 500 12th St Sw Fl 2, Washington, DC 20536-5098 | 2013-07-26 |
| 1083851174 | Marymina Respiratory Medicine, LLC | Internal Medicine | 1740 Sycamore, Washington, IL 61571-9799 | 2009-01-12 |
| 1154513521 | Joel M. Taubin M.d., P.C. | Internal Medicine | 1145 19th St Nw Ste 504, Washington, DC 20036-3715 | 2007-08-09 |
| 1033267109 | Thomas Michael Fitzpatrick | Internal Medicine | Wramc, Building 2, Room 2j38, 6900 Georgia Avenue, Nw, Washington, DC 20307-0001 | 2007-01-08 |
| 1124197413 | Jeffrey A Kelman | Internal Medicine | 2623 Garfield St Nw, Washington, DC 20008-4103 | 2006-11-08 |
| 1487742250 | Ronald Kurt Poropatich | Internal Medicine | Wramc Bldg2 Pulmonary Critical Care Medicine, 6900 Georgia Ave., Nw, Washington, DC 20307-0001 | 2006-10-10 |
| 1063507515 | Peter Lefort Whitesell | Internal Medicine | 2041 Georgia Ave Nw 5-b01, Main Hospital, Washington, DC 20060 | 2006-10-03 |
| 1629170923 | Truvor Vadym Kuzmowych | Internal Medicine | Dva Medical Center 50 Irving St Nw, Washington, DC 20422-0001 | 2006-09-05 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 63090 |
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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.