DR. WISAM HASSAN ALI AL BADR


Address: 3635 Grand Blvd, Saint Louis, MO 63110-2539
Phone: 3145778765

DR. WISAM HASSAN ALI AL BADR (NPI# 1710177480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710177480
Entity Type Individual
Full Name DR. WISAM HASSAN ALI AL BADR
Credential M.D.
Practice Address 3635 Grand Blvd
Saint Louis
MO 63110-2539
Mailing Address 9625 Chancelorsville Dr
Saint Louis
MO 63126-3312
Practice Telephone 3145778765
Practice Fax Number 3147710784
Mailing Telephone 3145778765
Mailing Fax Number 3147710784
Enumeration Date 2007-07-30
Last Update Date 2007-07-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 282NC0060X General Acute Care Hospital
Specialization: Critical Access
2007008384 MO Hospitals

Office Location

Street Address 3635 GRAND BLVD
City SAINT LOUIS
State MO
Zip Code 63110-2539

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 282NC0060X
Grouping Hospitals
Classification General Acute Care Hospital
Specialization Critical Access

Taxonomy Definition

Definition to come.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467789222 Va Medical Center In St.louis General Acute Care Hospital 9830 Eastdell Dr, Saint Louis, MO 63136-1915 2009-11-14
1619179561 Saint Louis University Medical Center General Acute Care Hospital 1402 S Grand Blvd # M238, Saint Louis, MO 63104-1004 2007-06-04
1871744037 Jamie Lynn White General Acute Care Hospital 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2008-10-07
1073729596 Barnes Jewish Hospital General Acute Care Hospital 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 2007-05-14
1407076631 St. Mary's Health Center General Acute Care Hospital 6420 Clayton Rd, Saint Louis, MO 63117-1811 2007-04-30
1205928926 Barnes-jewish Hospital General Acute Care Hospital 660 S Euclid Ave, Box 8086, Saint Louis, MO 63110-1010 2006-09-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1356689905 Southeast Health Center of Reynolds County LLC General Acute Care Hospital 100 Hwy 21, Ellington, MO 63638-7943 2013-01-16
1750512042 Vicky Laurine Simbro General Acute Care Hospital 4505 Cove Rd, Osage Beach, MO 65065-2307 2009-08-04
1962578609 Hermann Area Hospital District General Acute Care Hospital 509 West 18th St, Hermann, MO 65041 2006-11-27
1477648178 Iron County Hospital District General Acute Care Hospital 301 N Highway 21, Pilot Knob, MO 63663-0548 2006-10-04
1023053477 Mercy St. Francis Hospital General Acute Care Hospital 100 West Highway 60, Mountain View, MO 65548 2006-06-19
1912948308 Saint Lukes Hospital of Chillicothe General Acute Care Hospital 2799 N Washington, Chillicothe, MO 64601-2902 2006-06-09
1720039605 Cedar County Memorial Hospital General Acute Care Hospital 1401 S Park St, El Dorado Springs, MO 64744-2037 2006-05-15
1285690644 Advanced Health Care Management Services, LLC General Acute Care Hospital 100 Highway 21 N, Ellington, MO 63638-9409 2006-04-25
1841274057 Saint Luke's Hospital of Trenton General Acute Care Hospital 191 Iowa Blvd, Trenton, MO 64683-8343 2005-12-01
1831181148 Community Memorial Hospital District General Acute Care Hospital 610 N Ohio St, Appleton City, MO 64724-1609 2005-08-22
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Competitor

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City SAINT LOUIS
Zip Code 63110

Improve Information

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Dataset Information

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.

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