LEVI S KIRKLAND JR. (NPI# 1720082233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720082233 |
| Entity Type | Individual |
| Full Name | LEVI S KIRKLAND JR. |
| Credential | M.D. |
| Practice Address |
1034 S Brentwood Blvd Suite 694 Saint Louis MO 63117-1223 |
| Mailing Address |
P O Box 6193 Chesterfield MO 63006-6193 |
| Practice Telephone | 3146441411 |
| Practice Fax Number | 3146441606 |
| Mailing Telephone | 3146441411 |
| Mailing Fax Number | 3146441606 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2015-01-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | R9J09 | MO | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 036095002 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1034 S BRENTWOOD BLVD SUITE 694 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63117-1223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770028953 | Christina Cammon | Nurse Practitioner | 1034 S Brentwood Blvd, Suite 516, Saint Louis, MO 63117-1223 | 2016-12-27 |
| 1396289468 | Natalie Beth Antin | Social Worker | 1034 S Brentwood Blvd, Suite 555, Saint Louis, MO 63117-1223 | 2016-12-08 |
| 1417490772 | Patrick Alan Behnke | Nurse Practitioner | 1034 S Brentwood Blvd, Suite 600, Saint Louis, MO 63117-1223 | 2016-11-18 |
| 1457803611 | St Louis Trauma Counseling LLC | Social Worker | 1034 S Brentwood Blvd, Suite 555, Saint Louis, MO 63117-1223 | 2016-11-03 |
| 1912459439 | 360 Health Care, LLC | In Home Supportive Care | 1034 S Brentwood Blvd, Suite 450a, Saint Louis, MO 63117-1223 | 2016-11-01 |
| 1083162416 | John Petrovich | Specialist | 1034 S Brentwood Blvd, Suite 450a, Saint Louis, MO 63117-1223 | 2016-09-14 |
| 1609320076 | Allyson Graves | Speech-Language Pathologist | 1034 S Brentwood Blvd, #300, Saint Louis, MO 63117-1223 | 2016-08-15 |
| 1609237718 | Christine Shore-fitzgerald | Social Worker | 1034 S Brentwood Blvd, Suite 555, Saint Louis, MO 63117-1223 | 2016-03-16 |
| 1164883518 | St. Louis Dbt, LLC | Social Worker | 1034 S Brentwood Blvd, Suite 555, Saint Louis, MO 63117-1223 | 2016-03-13 |
| 1689032708 | Home Doctors Medical Associates | Family Medicine | 1034 S Brentwood Blvd, Suite 450, Saint Louis, MO 63117-1223 | 2016-02-03 |
| Find all providers in the same location | ||||
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003336934 | Bradley Kushner | Surgery | 660 S Euclid Ave Fl 9, Saint Louis, MO 63110-1010 | 2017-06-21 |
| 1982088571 | Maxwell Tanyi Fohtung | Surgery | 4949 W Pine Blvd, Saint Louis, MO 63108 | 2015-07-14 |
| 1376920538 | Jordan M Kirsch | Surgery | 660 S. Euclid Ave, Cb 8109, Saint Louis, MO 63110-1020 | 2015-04-27 |
| 1003231002 | Mysorekar Surgical | Surgery | 8342 Delcrest Dr, Apt 303, Saint Louis, MO 63124-2100 | 2014-02-27 |
| 1962765974 | Lauren K. M. Barron | Surgery | 7421 Nottingham Ave, Saint Louis, MO 63119-3341 | 2012-06-25 |
| 1831452952 | Bola Gabriel Aladegbami | Surgery | 4901 Forest Park Ave Ste 630, Mail Stop 90-75-587, Saint Louis, MO 63108-1444 | 2012-06-22 |
| 1235491663 | Andrew Yeh | Surgery | 1 Childrens Pl Ste 6110, Saint Louis, MO 63110-1002 | 2012-06-12 |
| 1922310481 | Radhika Kausalya Smith | Surgery | 1040 N Mason Rd Ste 120, Ste 120, Saint Louis, MO 63141-6361 | 2010-07-12 |
| 1730316290 | Katherine Glover-collins | Surgery | 4921 Parkview Pl Ste 5f, Ste 5f, Saint Louis, MO 63110-1032 | 2009-06-11 |
| 1245473156 | Nishant Raj | Surgery | 11155 Dunn Rd Ste 108n, Saint Louis, MO 63136-6148 | 2009-04-08 |
| 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.