WASHINGTON UNIVERSITY PHYSICIANS IN ILLINOIS, INC (NPI# 1760946156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760946156 |
| Entity Type | Organization |
| Organization Name | WASHINGTON UNIVERSITY PHYSICIANS IN ILLINOIS, INC |
| Practice Address |
660 S Euclid Ave Saint Louis MO 63110-1010 |
| Practice Telephone | 6186071140 |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2019-01-30 |
| Authorized Official Name | CATHY EGHIGIAN (DIRECTOR, MANAGED CARE) |
| Authorized Official Telephone | 6187910975 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| WUPI - Department of Plastic Surgery | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174015515 | Washington University Physicians In Illinois, Inc | Clinic/Center | 4511 Forest Park Ave, Saint Louis, MO 63108-2138 | 2018-06-01 |
| 1871132449 | Washington University Physicians In Illinois, Inc | Clinic/Center | 19 Wolf Creek Dr, Swansea, IL 62226-2355 | 2019-12-31 |
| 1891265039 | Washington University Physicians In Illinois, Inc | Physical Therapist | 1414 Cross St, O Fallon, IL 62269-2988 | 2018-11-30 |
| 1356822993 | Washington University Physicians In Illinois, Inc | Clinic/Center | 660 S Euclid Ave, Saint Louis, MO 63110-1010 | 2018-08-22 |
| 1477076263 | Washington University Physicians In Illinois, Inc | Clinic/Center | 1414 Cross St, O Fallon, IL 62269-2988 | 2017-07-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WASHINGTON UNIVERSITY PHYSICIANS IN ILLINOIS, INC. | 1414 Cross St, O Fallon, IL 62269-2988 |
| Street Address |
660 S EUCLID AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-1010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902802127 | Joseph M Thornhill | Anesthesiology | 660 S Euclid Ave, Saint Louis, MO 63110-1010 | 2005-06-22 |
| 1184231441 | Nilton Salles Rosa Neto | Internal Medicine | 660 S Euclid Ave, Saint Louis, MO 63110-1010 | 2020-09-29 |
| 1609482066 | Mathew Gregory Gielow | Nurse Anesthetist, Certified Registered | 660 S Euclid Ave, Saint Louis, MO 63110-1010 | 2020-09-21 |
| 1407467426 | Nesreen Jaafar | Psychiatry & Neurology | 660 S Euclid Ave, Saint Louis, MO 63110-1010 | 2020-08-13 |
| 1194335141 | Tara Wilmot | Dietitian, Registered | 660 S Euclid Ave, Saint Louis, MO 63110-1010 | 2020-08-05 |
| 1922617059 | Belma Kulovac | Registered Nurse | 660 S Euclid Ave, Saint Louis, MO 63110-1010 | 2020-07-24 |
| 1356968606 | Steven Duy Tran Ngo | Urology | 660 S Euclid Ave, Saint Louis, MO 63110-1010 | 2020-07-02 |
| 1154948560 | Nicholas Borcherding | Pathology | 660 S Euclid Ave, Saint Louis, MO 63110-1010 | 2020-07-01 |
| 1669097739 | Olivia Yvonne Pittman | Psychiatry & Neurology | 660 S Euclid Ave, Saint Louis, MO 63110-1010 | 2020-06-14 |
| 1477182301 | Connie Gan | Student in an Organized Health Care Education/Training Program | 660 S Euclid Ave, Saint Louis, MO 63110-1010 | 2020-04-03 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 63110 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275014953 | Arch Pediatrics LLC | Clinic/Center | 3844 S Lindbergh Blvd Ste 216, Saint Louis, MO 63127-1369 | 2018-08-22 |
| 1174015515 | Washington University Physicians In Illinois, Inc | Clinic/Center | 4511 Forest Park Ave, Saint Louis, MO 63108-2138 | 2018-06-01 |
| 1073022000 | Fairview Heights Medical Group Sc | Clinic/Center | 670 Mason Ridge Center Dr Ste 300, Saint Louis, MO 63141-8573 | 2017-09-21 |
| 1174830640 | Washington University School of Medicine | Clinic/Center | 4921 Parkview Pl Lowr Level, Center for Advanced Medicine, Saint Louis, MO 63110-1032 | 2010-09-07 |
| 1013542877 | Washington University | Clinic/Center | 4921 Parkview Pl Ste 5a, Saint Louis, MO 63110-1032 | 2020-03-11 |
| 1003387689 | Victus Physician Services, LLC | Clinic/Center | 12345 West Bend Drive, Suite 201, Saint Louis, MO 63128 | 2018-12-08 |
| 1356822993 | Washington University Physicians In Illinois, Inc | Clinic/Center | 660 S Euclid Ave, Saint Louis, MO 63110-1010 | 2018-08-22 |
| 1972091825 | Wuca Southwest Pediatrics LLC | Clinic/Center | 6526 Lansdowne Ave, Saint Louis, MO 63109-2654 | 2018-04-26 |
| 1669995403 | Washington University | Clinic/Center | 11125 Dunn Rd Ste 100, Saint Louis, MO 63136-6132 | 2017-07-24 |
| 1164882775 | Wuca-nash Pediatrics, LLC | Clinic/Center | 3737 N Kingshighway Blvd, Suite 209, Saint Louis, MO 63115-1736 | 2016-02-25 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63110 |
Please comment or provide details below to improve the information on WASHINGTON UNIVERSITY PHYSICIANS IN ILLINOIS, INC.
| 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.