MS. MARTHA HURST DEADY


Address: John Cochran Vamc 915 North Grand Ave., 11fjc, St. Louis, MO 63106
Phone: 3146524100

MS. MARTHA HURST DEADY (NPI# 1841255452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841255452
Entity Type Individual
Full Name MS. MARTHA HURST DEADY
Credential PA-C
Practice Address John Cochran Vamc 915 North Grand Ave.
11fjc
St. Louis
MO 63106
Mailing Address 3042 Jamie Ct
Arnold
MO 63010-2573
Practice Telephone 3146524100
Practice Fax Number 3142897612
Mailing Telephone 6362820951
Enumeration Date 2006-04-18
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
113743 MO Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address JOHN COCHRAN VAMC 915 NORTH GRAND AVE.
11FJC
City ST. LOUIS
State MO
Zip Code 63106

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770027997 Superior Manor of Downtown LLC Assisted Living Facility 1501 Clinton St., St Louis, MO 63106 2016-12-07
1811361454 James Preston Jr. Pharmacist 915 N. Grand Vlvd, Pharmacy Dept., John Cochran Va Medical Center, Saint Louis, MO 63106 2015-11-19
1245656354 Julie Marie Albsmeyer Physician Assistant 915 North Grand 111-jc-gi, John Cochran Va Hospital, St. Louis, MO 63106 2014-03-13
1932523230 Cathy Yeung Registered Nurse 715 N Grand Blvd., St Louis, MO 63106 2014-02-07
1902149388 Amanda Foley Doula 4056 Humphrey Street, Saint Louis, MO 63106 2013-04-03
1942569876 Cornelia Charles Internal Medicine 915 Norh Grand Blvd, Saint Louis, MO 63106 2012-05-12
1124334396 Kasandra Ann Tinajero Registered Nurse 915 N. Grand Blvd., St. Louis, MO 63106 2010-08-26
1366673931 Cassandra Vernetta Talbert Social Worker 915 N. Grand., 122/jc Social Work Dept. V.a. Medical Center, St. Louis, MO 63106 2009-07-30
1497910707 Robert Louis Tillman Pharmacy Technician 915 N Grand Ave, St. Louis, MO 63106 2008-07-25
1861676686 Bradley Dean Overmeyer Social Worker 915 N Grand Blvd., Social Work Service, St. Louis, MO 63106 2007-12-28
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154956498 Ashleigh Clendenny Physician Assistant Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 2020-03-06
1912175969 Amy Jo Gable Physician Assistant 555 N. New Ballas, Suite 265, St. Louis, MO 63141 2008-02-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1922628528 Sarah Benson Physician Assistant 26791 Andrews Ln, Warrenton, MO 63383-6240 2020-04-23
1912538752 Karen Anghel Physician Assistant 804 S Kisner Dr, Independence, MO 64056-3062 2020-01-30
1457822082 Jwan Alallaf Physician Assistant 4121 Roanoke Rd Apt 18, Kansas City, MO 64111-4053 2018-12-07
1730602921 Saurav N Kayastha Physician Assistant 13013 Fuller Ave Ste A, Grandview, MO 64030-2687 2017-07-19
1891227393 Hollis Smith Physician Assistant 2015 Maplewood Commons Dr, Saint Louis, MO 63143-1003 2017-04-03
1992165104 Cassie Mcgee Physician Assistant 1051 Jones St, Kennett, MO 63857-3866 2016-03-01
1033462387 Miguel Angel Medina Physician Assistant 1900 South Sunshine Ave., Springfield, MO 65807 2012-10-24
1699084814 Travis James Weiss Physician Assistant 6724 State Highway 77, Benton, MO 63736-8238 2010-10-05
1235453150 James F Patton Physician Assistant 913 South St, Stockton, MO 65785-9381 2010-03-22
1649397894 Rachel S Tarr Physician Assistant 2208 Richert Pl, Saint Louis, MO 63143-2522 2007-03-23
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Competitor

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City ST. LOUIS
Zip Code 63106

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Dataset Information

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.

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