SAMANTHA MINTERT


Address: 12855 N 40 Dr, Saint Louis, MO 63141-8622
Phone: 3145676071

SAMANTHA MINTERT (NPI# 1750847984) 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) 1750847984
Entity Type Individual
Full Name SAMANTHA MINTERT
Practice Address 12855 N 40 Dr
Saint Louis
MO 63141-8622
Practice Telephone 3145676071
Enumeration Date 2019-02-12
Last Update Date 2019-02-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
2018024069 MO Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO 363LF0000X 05

Office Location

Street Address 12855 N 40 DR
City SAINT LOUIS
State MO
Zip Code 63141-8622

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942206354 St. Louis Pharmaceutical Services LLC Pharmacy 12855 N 40 Dr, Saint Louis, MO 63141-8635 2005-06-22
1700423076 Faisal Matar Nurse Practitioner 12855 N 40 Dr, Saint Louis, MO 63141-8622 2019-12-05
1629439302 Elizabeth Galler Physician Assistant 12855 N 40 Dr, 180, Saint Louis, MO 63141-8657 2016-03-09
1992161210 Amy Thayer Nurse Practitioner 12855 N 40 Dr, Suite 180, Saint Louis, MO 63141-8657 2016-01-04
1821453796 Mason Ridge Ambulatory Surgery Center Lp Clinic/Center 12855 N 40 Dr, Suite 150, Saint Louis, MO 63141-8657 2015-12-21
1083090088 Rebecca Suzanne Roe Thomasson Physician Assistant 12855 N 40 Dr, Suite 180, Saint Louis, MO 63141-8657 2015-08-03
1891179040 Forefront Dermatology, S.c. Dermatology 12855 N 40 Dr, Suite 180, Saint Louis, MO 63141 2015-07-17
1669869657 Christopher Joseph Forsbach Podiatrist 12855 N 40 Dr, Saint Louis, MO 63141 2015-04-17
1346633930 Chesterfield Anesthesia Associates of Missouri, LLC Anesthesiology 12855 N 40 Dr, 150, Saint Louis, MO 63141-8657 2015-03-06
1417354374 Brittany Marie Joseph Occupational Therapist 12855 N 40 Dr, 250, Saint Louis, MO 63141-8657 2014-11-20
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134720816 Blake Christian Cory Nurse Practitioner 615 S Ballas Rd # 2015, Saint Louis, MO 63122-5314 2020-11-08
1265032346 Sara Lynn Gillespie Nurse Practitioner 2424 S 9th St Apt 215, Saint Louis, MO 63104-4717 2020-10-28
1174123509 Megan Ashley Wagner Nurse Practitioner 10012 Kennerly Rd Ste 406, Saint Louis, MO 63128-2197 2020-10-26
1467059972 Anissa Rasul Nurse Practitioner 10631 Thayer Dr, Saint Louis, MO 63123-6018 2020-10-07
1124635388 Brittney Sherrell Burks Nurse Practitioner 10314 Briar Hollow Dr Apt 7, Saint Louis, MO 63146-5777 2020-09-30
1629684865 Nicole Burdge Nurse Practitioner 9230 Laurel Hill Dr, Saint Louis, MO 63126-2820 2020-09-22
1932724614 Oluwatoyin Olufunke Adegboyega Nurse Practitioner 3318 Saint Vincent Ave, Saint Louis, MO 63104-1338 2020-06-09
1497376487 Jessica A Spring Nurse Practitioner 6023 Lansdowne Ave, Saint Louis, MO 63109-2243 2020-04-30
1932728466 Lucy Wachuka Kamau Nurse Practitioner 4412 Clarence Ave, Saint Louis, MO 63115-3108 2020-04-14
1275169567 Lindsay Jones Nurse Practitioner 1115 Olivette Executive Pkwy Ste 100, Saint Louis, MO 63132-3265 2020-03-18
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Competitor

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City SAINT LOUIS
Zip Code 63141

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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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