SURGERY SPECIALIST OF ST. LOUIS (NPI# 1801099841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801099841 |
| Entity Type | Organization |
| Organization Name | SURGERY SPECIALIST OF ST. LOUIS |
| Practice Address |
1035 Bellevue Ave Suite 203 Saint Louis MO 63117-1854 |
| Practice Telephone | 3146445150 |
| Practice Fax Number | 3146445156 |
| Mailing Telephone | 3146445150 |
| Mailing Fax Number | 3146445156 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. FRANCIS A DYSARZ III (M.D.) |
| Authorized Official Telephone | 3146445150 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
MD119584 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
1035 BELLEVUE AVE SUITE 203 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63117-1854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396738019 | William B Guyol Jr. | Internal Medicine | 1035 Bellevue Ave, Suite 105, Saint Louis, MO 63117-1854 | 2005-08-28 |
| 1891135398 | Jennifer Marie Moore | Internal Medicine | 1035 Bellevue Ave, Suite 400, Saint Louis, MO 63117-1854 | 2013-06-28 |
| 1720348600 | Edward W Heidbrier Md PC | Internal Medicine | 1035 Bellevue Ave, Suite 105, Saint Louis, MO 63117-1854 | 2012-05-24 |
| 1831487719 | Dany Varughese Thekkemuriyil | Internal Medicine | 1035 Bellevue Ave, Suite 500, Saint Louis, MO 63117-1854 | 2011-07-13 |
| 1659670552 | Ann M Armstrong | Nurse Practitioner | 1035 Bellevue Ave, Suite 500, Saint Louis, MO 63117-1854 | 2011-03-18 |
| 1245542042 | J.c. Redington, Md Inc | Internal Medicine | 1035 Bellevue Ave, Ste 105, Saint Louis, MO 63117-1854 | 2010-07-08 |
| 1932430097 | April Lampkin | Nurse Practitioner | 1035 Bellevue Ave, Suite 316, Saint Louis, MO 63117-1854 | 2010-01-28 |
| 1265662050 | Erica Edith Martin | Nurse Practitioner | 1035 Bellevue Ave, Suite 502, Saint Louis, MO 63117-1854 | 2009-07-15 |
| 1497983787 | John P Durbin | Internal Medicine | 1035 Bellevue Ave, 400, Saint Louis, MO 63117-1854 | 2009-06-25 |
| 1053547539 | Rishi Kranth Vasireddy | Family Medicine | 1035 Bellevue Ave, Suite 305, Saint Louis, MO 63117-1854 | 2009-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956611 | Efehi Kelly Ogbomo | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Suite 2218, St. Louis, MO 63117 | 2020-06-11 |
| 1619533890 | Abdul Rauf | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road. Ssm Health St. Mary's Hospital, St. Louis, MO 63117 | 2019-05-14 |
| 1083278477 | Mohamed Maali Gumaa Mohamed | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road Ssm St. Mary's Hospital, Department of Internal Medicine, St. Louis, MO 63117 | 2019-05-01 |
| 1750945556 | Samrat Jun Jayanth | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm Health St Mary's Hospital, St. Louis, MO 63117 | 2019-04-26 |
| 1215491329 | Latonya Allen | Counselor | 1612 S. Big Bend Blvd, St. Louis, MO 63117 | 2019-01-23 |
| 1265917025 | Blue Stars Therapy, LLC | Occupational Therapist | 1101 Edward Terrace, Apt A, St. Louis, MO 63117 | 2018-09-27 |
| 1770060014 | Ultra Care Home Services LLC | Home Health | 7353 Dale Ave, Saint Louis, MO 63117 | 2018-07-19 |
| 1235623562 | Melissa Valerie Taylor | Counselor | Psychological Services of St Louis, LLC, 7110 Oakland Ave, St Louis, MO 63117 | 2018-06-20 |
| 1124517289 | Jideofor Ebony Obodozie | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm St. Mary's Hospital, St. Louis, MO 63117 | 2018-05-04 |
| 1770071706 | Sivaram Prabhuji Muppaneni | Student in an Organized Health Care Education/Training Program | Ssm St Mary's Hospital, 6420 Clayton Road, St. Louis, MO 63117 | 2018-04-25 |
| Find all providers in zip 63117 | ||||
| Taxonomy Code | 2086S0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgery of the Hand |
| A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740616705 | Andrew J. Kochevar, Md, Pllc | Surgery | 3306 Vista Ave, Saint Louis, MO 63104-1106 | 2013-09-23 |
| 1235659061 | Colin William Mcinnes | Surgery | One Barnes Jewish Hospital Plaza, Saint Louis, MO 63110 | 2017-06-22 |
| 1154561538 | Jeffrey Mark Pike | Surgery | 4921 Parkview Pl, Ste 6a, Saint Louis, MO 63110-1032 | 2009-02-25 |
| 1497974075 | St Louis University | Surgery | 1755 S Grand Blvd, Saint Louis, MO 63104-1540 | 2007-04-24 |
| 1508997529 | Nicole S Schroeder | Surgery | 4921 Parkview Pl, Ste 6a, Saint Louis, MO 63110-1032 | 2007-03-08 |
| 1386661916 | Keith E Brandt | Surgery | 4921 Parkview Pl Ste 6g, Ste 6g, Saint Louis, MO 63110-1032 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699766980 | Subbarao Polineni | Surgery | 6 Jungerman Cir, Ste 107, St Peters, MO 63376 | 2005-11-04 |
| 1275714784 | Venkata Kr Bodavula | Surgery | 5600 Mexico Rd Ste 21, Saint Peters, MO 63376-1660 | 2007-11-27 |
| 1447472519 | Midwest Special Surgery, P.C. | Surgery | 830 Waterbury Falls Dr, O Fallon, MO 63368-2215 | 2007-05-02 |
| 1184779399 | Tony E Sudekum | Surgery | 830 Waterbury Falls Dr, O Fallon, MO 63368-2215 | 2007-01-25 |
| 1639192123 | Scott Alan Langford | Surgery | 120 Ne Saint Lukes Blvd Ste 200, Lees Summit, MO 64086-6011 | 2006-07-25 |
| 1568499846 | S Vic Glogovac | Surgery | 12255 De Paul Dr, Suite 165, Bridgeton, MO 63044-2510 | 2006-06-26 |
| 1235196205 | Barry J Gainor | Surgery | 1101 Hospital Dr, Columbia, MO 65212-0001 | 2006-04-26 |
| City | SAINT LOUIS |
| Zip Code | 63117 |
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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.