EMERGENCY PHYSICIANS OF ST. LOUIS, PC (NPI# 1730342163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730342163 |
| Entity Type | Organization |
| Organization Name | EMERGENCY PHYSICIANS OF ST. LOUIS, PC |
| Practice Address |
10010 Kennerly Road Saint Louis MO 63128 |
| Mailing Address |
Po Box 790379 Saint Louis MO 63179-0379 |
| Practice Telephone | 8165500003 |
| Practice Fax Number | 6307341560 |
| Mailing Telephone | 8165500003 |
| Mailing Fax Number | 6307341560 |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2014-05-05 |
| Authorized Official Name | JASON M SCHLAUTMAN (PRESIDENT) |
| Authorized Official Telephone | 8165500003 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians |
| Street Address |
10010 KENNERLY ROAD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346337722 | Tara N Evans | Pathology | 10010 Kennerly Road, Dept of Pathology, Saint Louis, MO 63128-2106 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
| 1326504655 | Nikodem Dental Holdings | Dentist | 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 | 2019-02-12 |
| 1932678505 | Michelle Anne Arvidson | Physical Therapy Assistant | Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2018-11-13 |
| 1245726710 | Kristen Rider | Nurse Practitioner | 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 | 2018-07-07 |
| 1306217427 | Sophia Bednarski | Dentist | 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2015-10-15 |
| 1427434224 | Darcie Burrus | Counselor | 12523 Old Tesson Rd G, St Louis, MO 63128 | 2015-08-04 |
| 1710368584 | Sara Hawatmeh | Internal Medicine | 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 | 2015-06-17 |
| 1871989590 | Celia Grace Montes-kolence | Speech-Language Pathologist | 12335 W Bend Drive, Saint Louis, MO 63128 | 2015-04-09 |
| 1245629302 | Marius Antonio Evans | Dentist | 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 | 2015-01-13 |
| 1801230313 | Sarah Elizabeth Walsh | Emergency Medicine | 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 | 2013-04-26 |
| Find all providers in zip 63128 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598700684 | Raana J Ponstingl | Emergency Medicine | 3635 Vista At Grand Boulevard, Saint Louis, MO 63110 | 2006-06-20 |
| 1104432640 | Complex Healthcare of Des Peres LLC | Emergency Medicine | 1032 Old Des Peres Rd, Saint Louis, MO 63131-1865 | 2020-09-21 |
| 1154703841 | Preston Mangum Gilbert | Emergency Medicine | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 | 2015-06-18 |
| 1497042055 | Linh Tuong Le | Emergency Medicine | 3635 Vista Ave, Saint Louis, MO 63110-2539 | 2011-07-05 |
| 1306027909 | Chad Michael Ronholm | Emergency Medicine | 520 S Elm Ave, Saint Louis, MO 63119-3845 | 2007-11-25 |
| 1154432854 | Laura J Steines | Emergency Medicine | 400 S Kingshighway Blvd, Saint Louis, MO 63110-1014 | 2006-08-31 |
| 1659307437 | Joe V Baldwin | Emergency Medicine | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 | 2006-06-24 |
| 1578599254 | James R Mcadam | Emergency Medicine | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 | 2006-06-24 |
| 1750327250 | Federico J Jimenez Jr. | Emergency Medicine | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 | 2006-06-22 |
| 1649223561 | Annu A. Terkonda | Emergency Medicine | 3555 Sunset Office Dr, Ste. C, Saint Louis, MO 63127-1015 | 2006-05-19 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63128 |
Please comment or provide details below to improve the information on EMERGENCY PHYSICIANS OF ST. LOUIS, PC.
| 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.