DR. CARRIE ANN MUDD (NPI# 1770780538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770780538 |
| Entity Type | Individual |
| Full Name | DR. CARRIE ANN MUDD |
| Other Name | DR. CARRIE ANN FITZGIBBONS |
| Credential | M.D. |
| Practice Address |
520 S Elm Ave Saint Louis MO 63119-3845 |
| Practice Telephone | 3149623464 |
| Mailing Telephone | 3149623464 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2013-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 2010006349 | MO | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | 2006015672 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
520 S ELM AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63119-3845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548609779 | Joseph A Stauber | Internal Medicine | 520 S Elm Ave, Saint Louis, MO 63119-3845 | 2013-06-20 |
| 1306027909 | Chad Michael Ronholm | Emergency Medicine | 520 S Elm Ave, Saint Louis, MO 63119-3845 | 2007-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525631 | Kaylen A Howard | Specialist/Technologist | No, No, MO 63119 | 2020-10-16 |
| 1053887612 | St. Gianna Pediatrics, LLC | Pediatrics | 7387 Watson Road, Shrewsbury, MO 63119 | 2018-10-22 |
| 1982140265 | Forefront Dermatology, S.c. | Dermatology | 8567 Watson Rd, Webster Groves, MO 63119 | 2017-01-11 |
| 1407308018 | Tyler Clark | Student in an Organized Health Care Education/Training Program | 7785 Keswick Pl, Saint Louis, MO 63119 | 2016-10-30 |
| 1396109880 | Ritesh Gandhi | Family Medicine | 7345 Watson Rd Ste 203, Saint Louis, MO 63119 | 2016-04-11 |
| 1568834489 | Antonio Robinson | Counselor | 330 N. Gore, Great Circle, Saint Louis, MO 63119 | 2015-10-30 |
| 1922484039 | Odessa Baker X | Dietary Manager | 525 N. Laclede Station Road, St. Louis, MO 63119 | 2015-07-31 |
| 1194114694 | Laura Maher | Social Worker | 201 W. Lockwood Ave, Suite 201, St. Louis, MO 63119 | 2015-01-21 |
| 1427314046 | Dick (richard) Ralph Brummett | Family Medicine | 711 S Laclede Sta Rd, # 2111, St Louis, MO 63119 | 2012-04-09 |
| 1972872935 | Dolliene A. Raabe | Social Worker | 8050 Watson Road, Suite 201, St. Louis, MO 63119 | 2011-12-21 |
| Find all providers in zip 63119 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174048250 | Austin Lohse | Anesthesiology | 660 S Euclid Ave Dept Of, Saint Louis, MO 63110-1010 | 2017-08-09 |
| 1699185249 | Kunj G Patel | Anesthesiology | 4455 Duncan Ave Ste 8n, Saint Louis, MO 63110-1111 | 2014-05-05 |
| 1043630981 | William Owens | Anesthesiology | 500 N and South Rd Apt 102, Saint Louis, MO 63130-3937 | 2014-04-18 |
| 1891053229 | Daniel James Cook | Anesthesiology | 1101 Lucas Ave Ste 200, Saint Louis, MO 63101-1159 | 2012-04-23 |
| 1760748842 | Mary Ann Cheng Md LLC | Anesthesiology | 4909 Laclede Ave Apt 1006, Saint Louis, MO 63108-1425 | 2012-04-03 |
| 1245528595 | David Hastie | Anesthesiology | 660 S Euclid Ave # Cb8054, Saint Louis, MO 63110 | 2011-07-20 |
| 1447552880 | Pinnacle Medical Services LLC | Anesthesiology | 3212 Clifton Ave Apt A, Saint Louis, MO 63139-2365 | 2010-11-17 |
| 1922310929 | Matthew Taylor Nelson | Anesthesiology | 6018 Wagon Mount Ct, Saint Louis, MO 63129-4043 | 2010-07-07 |
| 1336450188 | Andrew J Riester | Anesthesiology | 1 N Grand Blvd, Saint Louis, MO 63103-2006 | 2010-06-27 |
| 1760793699 | Phillip Copper | Anesthesiology | 600 S Euclid Ave # Cb8054, Saint Louis, MO 63110-1010 | 2010-06-25 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63119 |
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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.