SAMANTHA MULLAN (NPI# 1699185652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699185652 |
| Entity Type | Individual |
| Full Name | SAMANTHA MULLAN |
| Credential | MD |
| Practice Address |
6420 Clayton Rd Ste 2701 Saint Louis MO 63117-1811 |
| Practice Telephone | 3147683635 |
| Mailing Telephone | 3147683635 |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2020-11-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
2018011076 | MO | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
6420 CLAYTON RD STE 2701 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63117-1811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184003410 | Emily Whitaker Zantow | Obstetrics & Gynecology | 6420 Clayton Rd Ste 2701, Saint Louis, MO 63117-1811 | 2015-05-19 |
| 1295140960 | Megan Leigh Lawlor | Obstetrics & Gynecology | 6420 Clayton Rd Ste 2701, Saint Louis, MO 63117-1811 | 2014-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956611 | Efehi Kelly Ogbomo | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Suite 2218, St. Louis, MO 63117 | 2020-06-11 |
| 1619533890 | Abdul Rauf | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road. Ssm Health St. Mary's Hospital, St. Louis, MO 63117 | 2019-05-14 |
| 1083278477 | Mohamed Maali Gumaa Mohamed | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road Ssm St. Mary's Hospital, Department of Internal Medicine, St. Louis, MO 63117 | 2019-05-01 |
| 1750945556 | Samrat Jun Jayanth | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm Health St Mary's Hospital, St. Louis, MO 63117 | 2019-04-26 |
| 1215491329 | Latonya Allen | Counselor | 1612 S. Big Bend Blvd, St. Louis, MO 63117 | 2019-01-23 |
| 1265917025 | Blue Stars Therapy, LLC | Occupational Therapist | 1101 Edward Terrace, Apt A, St. Louis, MO 63117 | 2018-09-27 |
| 1770060014 | Ultra Care Home Services LLC | Home Health | 7353 Dale Ave, Saint Louis, MO 63117 | 2018-07-19 |
| 1235623562 | Melissa Valerie Taylor | Counselor | Psychological Services of St Louis, LLC, 7110 Oakland Ave, St Louis, MO 63117 | 2018-06-20 |
| 1124517289 | Jideofor Ebony Obodozie | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm St. Mary's Hospital, St. Louis, MO 63117 | 2018-05-04 |
| 1770071706 | Sivaram Prabhuji Muppaneni | Student in an Organized Health Care Education/Training Program | Ssm St Mary's Hospital, 6420 Clayton Road, St. Louis, MO 63117 | 2018-04-25 |
| Find all providers in zip 63117 | ||||
| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972526994 | Michael J Paul | Obstetrics & Gynecology | 3009 N Ballas Rd Ste 351c, Saint Louis, MO 63131-2324 | 2006-07-25 |
| 1386647345 | George A Macones | Obstetrics & Gynecology | 4901 Forest Park Ave Ste 710, Ste 710, Saint Louis, MO 63108-1402 | 2005-05-24 |
| 1952810129 | Mercy Clinic Maternal Fetal Medicine LLC | Obstetrics & Gynecology | 621 S New Ballas Rd Ste 2007b, Saint Louis, MO 63141-8265 | 2017-09-20 |
| 1205272341 | Katherine Mae Massa | Obstetrics & Gynecology | 4901 Forest Park Ave, Div Obgyn Mfm / Ultrasound, Ste 710, Saint Louis, MO 63108-1495 | 2013-05-16 |
| 1164786166 | Kia S Lannaman | Obstetrics & Gynecology | 1031 Bellevue Ave Ste 400, Saint Louis, MO 63117-1858 | 2012-06-25 |
| 1568728939 | Megan Elizabeth Foeller | Obstetrics & Gynecology | 4901 Forest Park Ave, Ste 710, Saint Louis, MO 63108-1495 | 2012-04-10 |
| 1841585809 | Michael Mckinley Dombrowski | Obstetrics & Gynecology | 4901 Forest Park Ave, Ste 710, Saint Louis, MO 63108-1495 | 2011-06-17 |
| 1689969743 | Nandini Raghuraman | Obstetrics & Gynecology | 4901 Forest Park Ave, Ste 710, Saint Louis, MO 63108-1495 | 2011-06-16 |
| 1891086211 | Yu Lin Lee | Obstetrics & Gynecology | 4921 Parkview Pl, Ste 5a, Saint Louis, MO 63110-1032 | 2011-04-20 |
| 1992968416 | Amanda Trudell | Obstetrics & Gynecology | 621 S New Ballas Rd, 2007b, Saint Louis, MO 63141-8232 | 2008-07-03 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63117 |
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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.