DR. MARC BRUCE ABRAMS (NPI# 1720144678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720144678 |
| Entity Type | Individual |
| Full Name | DR. MARC BRUCE ABRAMS |
| Credential | DDS |
| Practice Address |
456 N New Ballas Rd Suite 249 Creve Coeur MO 63141-6831 |
| Practice Telephone | 3145692201 |
| Practice Fax Number | 3145692320 |
| Mailing Telephone | 3145692201 |
| Mailing Fax Number | 3145692320 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2008-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
11777 | MO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BCBS | 29075 | 01 |
| MO | CIGNA HMO | 111519 | 01 |
| MO | MEDICARE ID- TYPE UNSPECIFIED DR ABRAMS | T80996 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598763393 | Marc A. Abrams | Specialist | 2322 E 22nd St, Suite 102, Cleveland, OH 44115-3176 | 2005-07-14 |
| 1144249244 | Marc J Abrams | Anesthesiology | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2006-07-19 |
| 1346270584 | Marc Todd Abrams | Psychologist | 91 Smith Ave, Mount Kisco, NY 10549-2810 | 2006-07-04 |
| Street Address |
456 N NEW BALLAS RD SUITE 249 |
| City | CREVE COEUR |
| State | MO |
| Zip Code | 63141-6831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235300401 | World Wide Neurology, Ltd | Psychiatry & Neurology | 456 N New Ballas Rd, Creve Coeur, MO 63141-6831 | 2008-03-17 |
| 1679767719 | Women's Health Specialists of St. Louis, LLC | Obstetrics & Gynecology | 456 N New Ballas Rd, Suite 386, Creve Coeur, MO 63141-6831 | 2007-08-31 |
| 1972704039 | Sher Institute for Reproductive Medicine | Obstetrics & Gynecology | 456 N New Ballas Rd, Suite 101, Creve Coeur, MO 63141-6831 | 2007-05-29 |
| 1144386004 | Kenneth Emil Kram | Dentist | 456 N New Ballas Rd, Suite 249, Creve Coeur, MO 63141-6831 | 2006-12-28 |
| 1205946787 | Oral and Maxillofacial Surgeons Inc | Dentist | 456 N New Ballas Rd, Suite 249, Creve Coeur, MO 63141-6831 | 2006-08-30 |
| 1063429215 | Howard Ivan Weiss | Psychiatry & Neurology | 456 N New Ballas Rd, Suite 324, Creve Coeur, MO 63141-6831 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396123352 | Oluwole Fadahunsi | Dentist | 11437 Olive Blvd, Creve Coeur, MO 63141-7108 | 2015-05-11 |
| 1144386004 | Kenneth Emil Kram | Dentist | 456 N New Ballas Rd, Suite 249, Creve Coeur, MO 63141-6831 | 2006-12-28 |
| 1205946787 | Oral and Maxillofacial Surgeons Inc | Dentist | 456 N New Ballas Rd, Suite 249, Creve Coeur, MO 63141-6831 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881202943 | Kansas City Oral Surgery & Implant Center | Dentist | 8771 N Platte Purchase Dr, Kansas City, MO 64155-1829 | 2020-07-15 |
| 1700403722 | Kansas City Facial and Oral Surgery, LLC | Dentist | 2931 Ne Independence Ave., Lees Summit, MO 64064-6406 | 2020-06-26 |
| 1134767866 | Courtney Ethington | Dentist | 4 West Dr Ste 170, Chesterfield, MO 63017-1793 | 2019-12-12 |
| 1184130528 | Archway Oral Surgery and Dental Implants | Dentist | 16 Hampton Village Plz Ste 200, Saint Louis, MO 63109-2128 | 2017-12-21 |
| 1780120410 | Ervin Simmons Iv Dmd LLC | Dentist | 3220 Parker Rd, Florissant, MO 63033-3733 | 2017-01-19 |
| 1437531209 | Federico Castillo Iv | Dentist | 2521 Cherry St, Kansas City, MO 64108-2750 | 2015-06-29 |
| 1437579208 | Gregory Lohr | Dentist | 2931 Ne Independence Ave, Lees Summit, MO 64064 | 2014-04-21 |
| 1114347861 | Zachary L Brown | Dentist | 4700 Belleview Ave Ste L10, Kansas City, MO 64112-1360 | 2014-04-21 |
| 1265868863 | Gregory Pernoud | Dentist | 1204 E State Route 72, Rolla, MO 65401-3938 | 2013-09-16 |
| 1942551247 | Kansas City Surgical Arts LLC | Dentist | 8080 North Flintlock Road, Kansas City, MO 64158 | 2012-09-26 |
| Find all providers with the same taxonomy | ||||
| City | CREVE COEUR |
| Zip Code | 63141 |
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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.