KERRY E FLORENCE (NPI# 1841285749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841285749 |
| Entity Type | Individual |
| Full Name | KERRY E FLORENCE |
| Credential | MD |
| Practice Address |
500 Medical Dr Wentzville MO 63385-3421 |
| Mailing Address |
Po Box 790129 Dept Ec Saint Louis MO 63179-0129 |
| Practice Telephone | 6363271100 |
| Mailing Telephone | 8009686866 |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2007-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 36079 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD | 196690 | 01 |
| Street Address |
500 MEDICAL DR |
| City | WENTZVILLE |
| State | MO |
| Zip Code | 63385-3421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619979929 | Emergency Medical Care LLC | Emergency Medicine | 500 Medical Dr, Wentzville, MO 63385-3421 | 2005-06-01 |
| 1144838673 | Calie Marie Kircher | Social Worker | 500 Medical Dr, Wentzville, MO 63385-3421 | 2020-07-21 |
| 1043833593 | Summer Lacole Morefield | Counselor | 500 Medical Dr, Wentzville, MO 63385-3421 | 2020-05-19 |
| 1568017994 | Cep America LLC | Emergency Medicine | 500 Medical Dr, Wentzville, MO 63385-3421 | 2019-08-02 |
| 1790244648 | Ndye Secka Chamberlain | Marriage & Family Therapist | 500 Medical Dr, Wentzville, MO 63385-3421 | 2019-03-19 |
| 1013472083 | Debra Lynn Cates | Counselor | 500 Medical Dr, Wentzville, MO 63385-3421 | 2019-02-04 |
| 1982169199 | Kevin Lynn White Jr. | Counselor | 500 Medical Dr, Wentzville, MO 63385-3421 | 2019-02-01 |
| 1295299634 | Marcus Miller | Counselor | 500 Medical Dr, Wentzville, MO 63385-3421 | 2019-01-30 |
| 1457815953 | Krystal Currie | Counselor | 500 Medical Dr, Wentzville, MO 63385-3421 | 2019-01-29 |
| 1871057752 | Christine Sibilla | Counselor | 500 Medical Dr, Wentzville, MO 63385-3421 | 2019-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730243 | Jeffery William Ellis | Pharmacist | 1571 Wentzville Parkway, Wentzville, MO 63385 | 2020-11-05 |
| 1487266011 | Jason Wade Moore | Peer Specialist | 5 West Pearce Boulevard, Wentzville, MO 63385 | 2020-08-17 |
| 1265906176 | Montrice M Haynes | Counselor | 500 Medical Dr., Central Intake, Wentzville, MO 63385 | 2019-01-14 |
| 1841718459 | Linda Duree | Counselor | 7105 Whisper Creek Dr, Wentzville, MO 63385 | 2017-09-03 |
| 1811349368 | Sara Kleinlein | Social Worker | 500 Medical Drive, Wentzville, MO 63385 | 2016-07-08 |
| 1275980757 | Teona Moeller | Nurse Practitioner | 1598 West Meyer Dr., Wentzville, MO 63385 | 2016-05-16 |
| 1831561273 | Jay F. Hauser, Dds, PC | Dentist | 11 Wentzville Bluffs Drive, Wentzville, MO 63385 | 2015-10-26 |
| 1720402035 | Shara Kuehl | Speech-Language Pathologist | One Campus Drive, Wentzville, MO 63385 | 2014-02-06 |
| 1336480474 | Simply Loyal In Home and Transport Services LLC | Home Health | 152 Enterprise Dr, Wentzille, MO 63385 | 2013-03-14 |
| 1750641338 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1849 Wentzville Parkway, Wentzville, MO 63385 | 2012-05-17 |
| Find all providers in zip 63385 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154378073 | Desh V Anand | Emergency Medicine | 1111 W. Pearce Blvd., Wentzville, MO 63385-1020 | 2006-05-27 |
| 1619979929 | Emergency Medical Care LLC | Emergency Medicine | 500 Medical Dr, Wentzville, MO 63385-3421 | 2005-06-01 |
| 1568017994 | Cep America LLC | Emergency Medicine | 500 Medical Dr, Wentzville, MO 63385-3421 | 2019-08-02 |
| 1861417313 | Sudheer C Atluri | Emergency Medicine | 1111 W. Pearce Blvd., Wentzville, MO 63385-1020 | 2006-07-13 |
| 1538104229 | Sivasankara R Konala | Emergency Medicine | 1111 W Pearce Blvd, Wentzville, MO 63385-1020 | 2006-06-18 |
| 1063482958 | Nancy E Noel | Emergency Medicine | 500 Medical Dr, Wentzville, MO 63385-3421 | 2006-01-24 |
| 1619959137 | Kalugotla N Shivaram | Emergency Medicine | 1111 W Pearce Blvd, Wentzville, MO 63385-1020 | 2005-11-18 |
| 1245225168 | David Fouts | Emergency Medicine | 500 Medical Dr, Wentzville, MO 63385-3421 | 2005-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053972349 | Alanna Diamond | Emergency Medicine | One Hospital Drive Emergency Medicine M652 Dc029.10, Columbia, MO 65212-0001 | 2019-06-26 |
| 1013573146 | Michael Habhab | Emergency Medicine | 1 Hospital Dr Emergency Medicine M562 Dc029.10, Columbia, MO 65212-0001 | 2019-05-14 |
| 1043730716 | Ian James Becker | Emergency Medicine | 1 Hospital Dr # Dc029.10, Columbia, MO 65212-1000 | 2017-06-23 |
| 1649628454 | Sphere Medical Group | Emergency Medicine | 916 Olive St Fl 4, Saint Louis, MO 63101-1459 | 2016-06-02 |
| 1487002523 | Christopher Adam Waranch | Emergency Medicine | University of Missouri Columbia, Department of Emergency Medicine, Columbia, MO 65212-0001 | 2016-05-31 |
| 1306220488 | Andrea Marie-gioia Spangler | Emergency Medicine | 1235 E Cherokee St Dept Of, Springfield, MO 65804-2203 | 2015-07-17 |
| 1205219045 | Maria Christina Creel-bulos | Emergency Medicine | 660 South Euclid Avenue Cb 8072, St Louis, MO 63110 | 2015-06-29 |
| 1669853230 | Megan Litzau | Emergency Medicine | 615 S New Ballas Road, St Louis, MO 63141 | 2015-06-09 |
| 1366829426 | Bigeye Emergency Physicians LLC | Emergency Medicine | 10 South Hospital Deive, Fulton, MO 65251 | 2015-04-28 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| Find all providers with the same taxonomy | ||||
| City | WENTZVILLE |
| Zip Code | 63385 |
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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.