KIRKWOOD MEDICAL GROUP LLC (NPI# 1699828327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699828327 |
| Entity Type | Organization |
| Organization Name | KIRKWOOD MEDICAL GROUP LLC |
| Practice Address |
3844 S Lindbergh Blvd Suite 160 Saint Louis MO 63127-1368 |
| Practice Telephone | 3146982500 |
| Practice Fax Number | 3146982323 |
| Mailing Telephone | 3146982500 |
| Mailing Fax Number | 3146982323 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2007-07-30 |
| Authorized Official Name | SANDRA LEA FISCHER (OFFICE MANAGER) |
| Authorized Official Telephone | 3146982500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
3844 S LINDBERGH BLVD SUITE 160 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63127-1368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194724062 | Cherese Yvette Collins | Obstetrics & Gynecology | 3844 S Lindbergh Blvd, Ste 235, Saint Louis, MO 63127-1368 | 2005-07-21 |
| 1003269374 | Sarah Z. Martin | Nurse Practitioner | 3844 S Lindbergh Blvd, Saint Louis, MO 63127-1368 | 2016-07-21 |
| 1356604318 | Aleksandr Lanis | Internal Medicine | 3844 S Lindbergh Blvd, Suite 160, Saint Louis, MO 63127-1368 | 2012-06-24 |
| 1194017228 | Laura D Mueller | Obstetrics & Gynecology | 3844 S Lindbergh Blvd, Ste 235, Saint Louis, MO 63127-1368 | 2011-05-09 |
| 1386934768 | Erin Dumontier | Obstetrics & Gynecology | 3844 S Lindbergh Blvd, Ste 235, Saint Louis, MO 63127-1368 | 2011-04-19 |
| 1861794679 | Patients First Health Care LLC | Allergy & Immunology | 3844 S Lindbergh Blvd, Saint Louis, MO 63127-1368 | 2010-11-30 |
| 1881900124 | St. Louis Infectious Disease Specialists, LLC | Internal Medicine | 3844 S Lindbergh Blvd, Suite 250, Saint Louis, MO 63127-1368 | 2010-08-24 |
| 1689830168 | Teresa T Dillard | Nurse Practitioner | 3844 S Lindbergh Blvd, Ste 216, Saint Louis, MO 63127-1416 | 2008-08-04 |
| 1538322565 | Donna Wenzelburger | Nurse Practitioner | 3844 S Lindbergh Blvd, Suite 200, Saint Louis, MO 63127-1368 | 2008-07-09 |
| 1285756262 | Watson Medical Group, Inc. | Family Medicine | 3844 S Lindbergh Blvd, Suite 230, Saint Louis, MO 63127-1368 | 2007-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730698374 | Advanced Surgical Center of Sunset Hills LLC | Clinic/Center | 4594 S Lindbergh Blvd, Saint Louis, MO 63127 | 2017-09-27 |
| 1811382179 | Robert Paul Hintze | Dentist | 3555 Sunset Office Dr Ste 210, Saint Louis, MO 63127 | 2015-04-03 |
| 1639560782 | Bwell Pharmacy LLC | Pharmacy | 12128 Gravois Road, St.louis, MO 63127 | 2015-02-11 |
| 1043612773 | Braham Dev Dewan | Internal Medicine | 9917 Grandview Forest Court, Saint Louis, MO 63127 | 2014-09-25 |
| 1639518673 | Jonathan Yoon | Otolaryngology | 9701 Landmark Parkway Dr Ste 201, Saint Louis, MO 63127 | 2013-06-24 |
| 1639515315 | Kathleen Mary Lowe | Internal Medicine | 3844 S Lindbergh Blvd Ste 120, Saint Louis, MO 63127 | 2013-05-21 |
| 1366782088 | Sunset Hills Family Chiropractic LLC | Clinic/Center | 4600 South Lindbergh Ave, Suite 3, St. Louis, MO 63127 | 2013-02-15 |
| 1063743300 | John Ralph Firth | Dentist | 3890 So. Lindbergh Blvd., Suite 115, Sunset Hills, MO 63127 | 2010-01-27 |
| 1174762850 | Antonio I Longrais | Dentist | 4600 S. Lindbeigh 63127, St. Louis, MO 63127 | 2009-02-19 |
| 1447439716 | George D Bankhead Dds Ms PC | Dentist | 3890 S Lindbergh Blvd, Suite 115, Sunset Hills, MO 63127 | 2007-11-02 |
| Find all providers in zip 63127 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1780223933 | Glenn C. Jacobsen | Internal Medicine | 7 Carrswold Dr, Saint Louis, MO 63105-2914 | 2020-01-04 |
| 1396305868 | Kevin Colin O'fee | Internal Medicine | 1 Barnes Jewish Hospital Plz # 90-29928, Saint Louis, MO 63110-1003 | 2019-06-17 |
| 1144740200 | Michael Slade | Internal Medicine | 660 S Euclid Ave # 8056-29, Saint Louis, MO 63110-1010 | 2017-06-20 |
| 1386171312 | Niaz Memon | Internal Medicine | 625 S New Ballas Rd Ste 7020, Saint Louis, MO 63141-8218 | 2017-05-22 |
| 1043746027 | Paul David Olivo | Internal Medicine | 639 W Polo Dr, Saint Louis, MO 63105-2635 | 2017-05-11 |
| 1649706243 | Jared Frisby | Internal Medicine | 1100 S Grand Blvd Fl 8, Saint Louis, MO 63104-1015 | 2017-05-03 |
| 1518417708 | Md At Home LLC | Internal Medicine | 6 Portland Pl, Saint Louis, MO 63108-1204 | 2016-10-11 |
| 1285087429 | Kathryn Parker | Internal Medicine | 1000 Des Peres Rd Ste 300, Saint Louis, MO 63131 | 2016-07-22 |
| 1831540863 | John Kirby Krause Jr. | Internal Medicine | 1031 Highlands Plaza Dr W, Apt 510, Saint Louis, MO 63110-1303 | 2016-06-30 |
| 1104277458 | Vedica Sharma | Internal Medicine | 10010 Kennerly Rd Ste 140, Saint Louis, MO 63128-2106 | 2016-06-28 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63127 |
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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.