SHARON MARIE PRUSACZYK (NPI# 1780857532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780857532 |
| Entity Type | Individual |
| Full Name | SHARON MARIE PRUSACZYK |
| Practice Address |
2355 Dougherty Ferry Rd Saint Louis MO 63122-3325 |
| Mailing Address |
1216 Wildhorse Meadows Dr Chesterfield MO 63005-1348 |
| Practice Telephone | 3148215002 |
| Mailing Telephone | 6365374022 |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2008-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 12009412 | MO | Speech, Language and Hearing Service Providers |
| Street Address |
2355 DOUGHERTY FERRY RD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63122-3325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043296494 | Darin Marshall Minkin | Surgery | 2355 Dougherty Ferry Rd, 430, Saint Louis, MO 63122 | 2005-12-19 |
| 1083163570 | Michael Jeffries | Physician Assistant | 2355 Dougherty Ferry Rd, Suite #330, Saint Louis, MO 63122-3325 | 2016-09-26 |
| 1649642349 | Lisa Ann Hunt | Nurse Practitioner | 2355 Dougherty Ferry Rd, Saint Louis, MO 63122-3325 | 2015-10-21 |
| 1346650884 | Matthew T. Ricks Do LLC | Surgery | 2355 Dougherty Ferry Rd, 430, Saint Louis, MO 63122-3325 | 2014-05-06 |
| 1255597738 | Darin M Minkin Inc | Surgery | 2355 Dougherty Ferry Rd, Ste 430, Saint Louis, MO 63122-3356 | 2008-08-04 |
| 1780846196 | Mary Jo Beason | Audiologist | 2355 Dougherty Ferry Rd, Suite 430, Saint Louis, MO 63122-3325 | 2008-06-26 |
| 1316128846 | Vascular Surgery of St. Louis P.C. | Surgery | 2355 Dougherty Ferry Rd, Suite 440, Saint Louis, MO 63122-3325 | 2007-11-27 |
| 1932226107 | Advanced Urology Associates, LLC | Urology | 2355 Dougherty Ferry Rd, Suite 410, Saint Louis, MO 63122-3325 | 2007-03-23 |
| 1598823478 | West County Family Medicine, Inc | Family Medicine | 2355 Dougherty Ferry Rd, Ste 320, Saint Louis, MO 63122-3325 | 2006-12-05 |
| 1336216902 | Des Peres Medical Specialist | General Acute Care Hospital | 2355 Dougherty Ferry Rd, Suite 408, Saint Louis, MO 63122-3325 | 2006-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659933174 | Keela Rushing | Physical Therapist | 439 S Kirkwood Rd Ste 200, Kirkwood, MO 63122 | 2019-07-04 |
| 1730643461 | Kirkwood Family Dental | Dentist | 333 S Kirkwood Road, Suite 105, Kirkwood, MO 63122 | 2019-01-28 |
| 1477061166 | Total Access Urgent Care, PC | Clinic/Center | 2980 Dougherty Ferry Rd, Saint Louis, MO 63122 | 2018-01-16 |
| 1760933469 | Missouri Cvs Pharmacy, L.l.c | Durable Medical Equipment & Medical Supplies | 10820 Manchester Rd, Kirkwood, MO 63122 | 2016-10-18 |
| 1518321041 | M. Kathleen Blanchard | Counselor | 11042 Manchester Rd., Kirkwood, MO 63122 | 2016-04-11 |
| 1265801914 | Kim Grega | Counselor | 700 S Kirkwood Rd, Kirkwood, MO 63122 | 2015-09-23 |
| 1245617943 | Mark Edward Taylor | Dentist | 610 North Geyer, Kirkwood, MO 63122 | 2015-05-01 |
| 1467843094 | Mary Elizabeth Boomgarden | Physical Therapist | 9645 Big Bend Boulevard, Saint Louis, MO 63122 | 2015-02-18 |
| 1760725717 | Michael Diller Counseling | Counselor | 144 W Madison Avenue, Kirkwood, MO 63122 | 2013-03-28 |
| 1427309954 | Anne Marie Delaplain | Dentist | 725 Laclede Station Road, Webster Groves, MO 63122 | 2012-09-24 |
| Find all providers in zip 63122 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415381 | Eleni Beeve | Audiologist | 10004 Kennerly Rd Ste 205a, Saint Louis, MO 63128-5108 | 2020-10-19 |
| 1033695143 | Chelsea Marie Tisckos | Audiologist | 6400 Clayton Rd Ste 405, Saint Louis, MO 63117-1850 | 2018-07-12 |
| 1770076317 | Samantha Fox | Audiologist | 615 S New Ballas Rd Ste 385a, Saint Louis, MO 63141-8221 | 2018-06-08 |
| 1952826224 | Julia Stelmach | Audiologist | 621 S New Ballas Rd Ste 307a, Saint Louis, MO 63141-8257 | 2017-08-08 |
| 1386168318 | Lauren Christyne Locke | Audiologist | 1 Childrens Pl Ste 3s23, Saint Louis, MO 63110 | 2017-08-01 |
| 1891216123 | Elizabeth Ann Suba | Audiologist | 3660 Vista Ave Ste 312, Saint Louis, MO 63110-2540 | 2017-06-27 |
| 1114368214 | Kathleen R Rehrer | Audiologist | 3009 N Ballas Rd Ste 380c, Saint Louis, MO 63131-2324 | 2013-07-17 |
| 1861735938 | Ashley Rae Manning | Audiologist | 906 Rutger St, Saint Louis, MO 63104-3517 | 2013-03-27 |
| 1477864072 | Kenneth Ernest Marciniak | Audiologist | 607 S New Ballas Rd Ste 2300, Saint Louis, MO 63141-8234 | 2010-06-29 |
| 1720210032 | Kristen Willis | Audiologist | 3860 S Lindbergh Blvd, Ste. #108, Saint Louis, MO 63127-1373 | 2009-08-20 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63122 |
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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.