MS. PATRICIA R GORENC (NPI# 1831469188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831469188 |
| Entity Type | Individual |
| Full Name | MS. PATRICIA R GORENC |
| Credential | PA |
| Practice Address |
5201 Mid America Plz Ste 1500 Saint Louis MO 63129-0002 |
| Mailing Address |
660 S Euclid Ave Cb 8233 Saint Louis MO 63110-1010 |
| Practice Telephone | 3142862900 |
| Practice Fax Number | 3142862990 |
| Mailing Telephone | 3145143500 |
| Mailing Fax Number | 3147472598 |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2019-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2017029532 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2017029532 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 220046098 | 05 | |
| IL | ENROLLED | 05 |
| Street Address |
5201 MID AMERICA PLZ STE 1500 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63129-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346208394 | Nicole Marie Ducharme | Internal Medicine | 5201 Mid America Plz, Saint Louis, MO 63129-0002 | 2006-05-01 |
| 1780180497 | John Lucas Runde | Specialist/Technologist | 5201 Mid America Plz, Saint Louis, MO 63129-0002 | 2018-04-02 |
| 1699290122 | Kristen Caroline Kemper | Nurse Practitioner | 5201 Mid America Plz, Ste 1500, Saint Louis, MO 63129-0002 | 2017-08-05 |
| 1750817342 | Anna M Guimbarda | Occupational Therapist | 5201 Mid America Plz, Suite 2600, Saint Louis, MO 63129-0002 | 2017-05-03 |
| 1700230646 | Prorehab PC | Physical Therapist | 5201 Mid America Plz, Suite 2600, Saint Louis, MO 63129-0002 | 2016-04-18 |
| 1649631425 | Washington University | Durable Medical Equipment & Medical Supplies | 5201 Mid America Plz, Suite 1500, Saint Louis, MO 63129-0002 | 2016-03-08 |
| 1902265994 | Washington University | Clinic/Center | 5201 Mid America Plz, Suite 2200, Saint Louis, MO 63129-0002 | 2016-02-18 |
| 1194013086 | Angela Joann Demetrulias | Optometrist | 5201 Mid America Plz, Saint Louis, MO 63129-0002 | 2011-07-13 |
| 1811208267 | Anubha Mutneja | Internal Medicine | 5201 Mid America Plz, Ste 2300, Saint Louis, MO 63129-0002 | 2010-06-30 |
| 1275561086 | Steven A Lauter | Internal Medicine | 5201 Mid America Plz, Saint Louis, MO 63129-0002 | 2006-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447730742 | Total Access Urgent Care, PC | Clinic/Center | 4400 Telegraph Road, 4400 Telegraph Road, St. Louis, MO 63129 | 2018-08-16 |
| 1679061808 | Susan Swyers Grogan | Occupational Therapist | 2806 Flamewood Drive, St. Louis, MO 63129 | 2018-04-24 |
| 1376073981 | Eric Piatchek | Specialist/Technologist | 2661 Bluff Ridge Drive, St. Louis, MO 63129 | 2017-06-15 |
| 1033647144 | Keona E Smith | Nurse Practitioner | 7334 Lindbergh Blvd, Ballwin, MO 63129 | 2017-06-02 |
| 1588036966 | Sarah Michelle Corry | Occupational Therapist | 5043 Telegraph Rd, St Louis, MO 63129 | 2015-10-26 |
| 1598169120 | Vivian Carr | Counselor | 5266 Sir Bors Drive, St. Louis, MO 63129 | 2014-10-10 |
| 1982044327 | Andrew Michael Bryant | Family Medicine | 4280 Mid America Lane, Saint Louis, MO 63129 | 2013-06-30 |
| 1306185533 | John Alexander Miller | Registered Nurse | 4220 Robert Koch Hospital Rd, Saint Louis, MO 63129 | 2013-02-07 |
| 1346597457 | Pain and Performance Relief LLC | Physical Medicine & Rehabilitation | 4175 Crescent Dr Ste A, Saint Louis, MO 63129 | 2012-08-08 |
| 1366721516 | Teresa Lyn Bitter | Speech-Language Pathologist | 7325 Summerview Manor Lane, St. Louis, MO 63129 | 2011-08-05 |
| Find all providers in zip 63129 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891227393 | Hollis Smith | Physician Assistant | 2015 Maplewood Commons Dr, Saint Louis, MO 63143-1003 | 2017-04-03 |
| 1649397894 | Rachel S Tarr | Physician Assistant | 2208 Richert Pl, Saint Louis, MO 63143-2522 | 2007-03-23 |
| 1528198439 | Jonathan Adam Pellechia | Physician Assistant | 11155 Dunn Rd Ste 315e, Saint Louis, MO 63136-6111 | 2007-03-07 |
| 1376174417 | Robert Cory Proffer | Physician Assistant | 607 S New Ballas Rd Ste 2300, Saint Louis, MO 63141-8234 | 2020-01-28 |
| 1881246502 | Ariel Ashley Schnell | Physician Assistant | 3655 Vista Ave, Saint Louis, MO 63110-2539 | 2019-07-12 |
| 1194296186 | Jacob Bast | Physician Assistant | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2018-12-17 |
| 1508335779 | Gerard Forster | Physician Assistant | 12647 Olive Blvd Ste 600, Saint Louis, MO 63141-6346 | 2018-11-17 |
| 1124509773 | Sara Burke Connolly | Physician Assistant | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2018-08-22 |
| 1831675545 | Kyle Patrick Mclafferty | Physician Assistant | 11133 Dunn Rd, Saint Louis, MO 63136-6163 | 2018-07-16 |
| 1649768995 | Paul Thomas Mrotek | Physician Assistant | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2018-04-23 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63129 |
Please comment or provide details below to improve the information on MS. PATRICIA R GORENC.
| 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.