DR. GONZALO MATZUMURA UMEMOTO (NPI# 1700236072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700236072 |
| Entity Type | Individual |
| Full Name | DR. GONZALO MATZUMURA UMEMOTO |
| Credential | MD |
| Practice Address |
1 Barnes Jew Hosp Plz Saint Louis MO 63110-1003 |
| Mailing Address |
660 S Euclid Ave Dpt of Nephrology Campus Box # 8126 Saint Louis MO 63110-1010 |
| Practice Telephone | 3143625000 |
| Mailing Telephone | 3143625000 |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2019-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
2019014564 | MO | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6431 Fannin St, Houston, TX 770301501 | 7135006526 |
| Street Address |
1 BARNES JEW HOSP PLZ |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639283286 | Carolyn Downey Kelly | Nurse Practitioner | 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110 | 2006-08-19 |
| 1710584081 | Amber Hayes | Orthopaedic Surgery | 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110-1003 | 2020-10-08 |
| 1710592423 | Khatera Najrabi | Registered Nurse | 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110-1003 | 2020-09-10 |
| 1649880121 | Brian James Bertschi | Registered Nurse | 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110-1003 | 2020-08-09 |
| 1083230593 | David Michael Leander | Internal Medicine | 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110-1003 | 2020-06-20 |
| 1619593134 | Benjamin Hoemann | Internal Medicine | 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110-1003 | 2020-06-20 |
| 1104442748 | Aashray Singareddy | Internal Medicine | 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110-1003 | 2020-06-19 |
| 1124644927 | Lauren Marie Van Buren | Internal Medicine | 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110-1003 | 2020-06-18 |
| 1679199327 | Sneha Narasimhan | Internal Medicine | 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110-1003 | 2020-06-18 |
| 1033735758 | Amandeep Singh Kataria | Internal Medicine | 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110-1003 | 2020-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| 1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
| 1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
| 1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
| 1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
| 1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
| Find all providers in zip 63110 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1033649819 | Taewoo Lee | Internal Medicine | 3635 Vista Ave Saint Louis University Medical Center, Division of Nephrology, Saint Louis, MO 63110 | 2017-06-14 |
| 1780058727 | St Louis Kidney Care LLC | Internal Medicine | 11155 Dunn Rd Ste 211n, Saint Louis, MO 63136-6166 | 2015-11-13 |
| 1184056830 | Ralph Robert Hatlelid | Internal Medicine | 318 E Swon Ave, Saint Louis, MO 63119-3112 | 2013-08-05 |
| 1497000194 | Siddiq Anwar | Internal Medicine | 660 S Euclid Ave # 8129, Renal Fellowship Program, Saint Louis, MO 63110-1010 | 2012-07-18 |
| 1588764724 | Douglass Takashi Domoto | Internal Medicine | 2606 Clark Ave, Saint Louis, MO 63103-2502 | 2006-09-25 |
| 1699708016 | Bhajanlal S Dara | Internal Medicine | 10160 W Florissant Ave, Suite 200, Saint Louis, MO 63136-2104 | 2006-07-09 |
| 1962432807 | Guner Buyukkus Gulmen | Internal Medicine | 100 N Euclid Ave, Suite 800, Saint Louis, MO 63108-1529 | 2006-07-04 |
| 1710920947 | Rajalakshmi T Gopalakrishnan | Internal Medicine | 915, North Grand Boulevard, Saint Louis, MO 63106 | 2006-06-14 |
| 1457348286 | Kira S Mailey | Internal Medicine | 18 Chapel Hill Est, Saint Louis, MO 63131-1315 | 2005-10-06 |
| 1376166066 | Nhs South LLC | Internal Medicine | 10004 Kennerly Rd, Saint Louis, MO 63128-2141 | 2020-05-28 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63110 |
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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.