CRAIG R HILDRETH (NPI# 1851393136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851393136 |
| Entity Type | Individual |
| Full Name | CRAIG R HILDRETH |
| Credential | M.D. |
| Practice Address |
10004 Kennerly Rd Ste 137a Saint Louis MO 63128-2140 |
| Practice Telephone | 3148427301 |
| Practice Fax Number | 3148427308 |
| Mailing Telephone | 3148427301 |
| Mailing Fax Number | 3148427308 |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
R6F58 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 203709100 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 533 Couch Ave, G-20, Saint Louis, MO 631225561 | 3149656411 | 3149651339 |
| Street Address |
10004 KENNERLY RD STE 137A |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63128-2140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982106571 | Kathryn Michelle Klein | Nurse Practitioner | 10004 Kennerly Rd Ste 137a, Saint Louis, MO 63128-2140 | 2018-02-28 |
| 1932156726 | St. Louis Cancer Care, L.l.p. | Internal Medicine | 10004 Kennerly Rd Ste 137a, Saint Louis, MO 63128-2140 | 2006-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
| 1326504655 | Nikodem Dental Holdings | Dentist | 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 | 2019-02-12 |
| 1932678505 | Michelle Anne Arvidson | Physical Therapy Assistant | Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2018-11-13 |
| 1245726710 | Kristen Rider | Nurse Practitioner | 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 | 2018-07-07 |
| 1306217427 | Sophia Bednarski | Dentist | 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2015-10-15 |
| 1427434224 | Darcie Burrus | Counselor | 12523 Old Tesson Rd G, St Louis, MO 63128 | 2015-08-04 |
| 1710368584 | Sara Hawatmeh | Internal Medicine | 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 | 2015-06-17 |
| 1871989590 | Celia Grace Montes-kolence | Speech-Language Pathologist | 12335 W Bend Drive, Saint Louis, MO 63128 | 2015-04-09 |
| 1245629302 | Marius Antonio Evans | Dentist | 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 | 2015-01-13 |
| 1801230313 | Sarah Elizabeth Walsh | Emergency Medicine | 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 | 2013-04-26 |
| Find all providers in zip 63128 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255544680 | Mark Andrew Schroeder | Internal Medicine | 10 Barnes West Dr Ste 100, Ste 100, Saint Louis, MO 63141-6350 | 2007-05-08 |
| 1669573077 | Virginia M Herrmann | Internal Medicine | 11155 Dunn Rd Ste 101e, Ste 101e, Saint Louis, MO 63136-6148 | 2006-09-26 |
| 1962410829 | Timothy Patrick Rearden | Internal Medicine | 11125 Dunn Rd Ste 100, Ste 100, Saint Louis, MO 63136-6132 | 2006-08-04 |
| 1023034261 | Ramaswamy Govindan | Internal Medicine | 4921 Parkview Pl Ste 7a, Ste 7a, Saint Louis, MO 63110-1032 | 2006-07-14 |
| 1043292246 | Peter Westervelt | Internal Medicine | 4921 Parkview Pl Fl 7, 7th Fl, Saint Louis, MO 63110-1032 | 2005-11-15 |
| 1437785979 | Jodi Granger | Internal Medicine | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2020-03-17 |
| 1861814386 | Bethany Sleckman | Internal Medicine | 607 S New Ballas Rd, Suite 3425, Saint Louis, MO 63141-8222 | 2014-01-17 |
| 1295173136 | Francesca Ferraro | Internal Medicine | 216 S Kingshighway Blvd, Stes 5900, 6900, 7900, 8900, Saint Louis, MO 63110-1026 | 2013-06-13 |
| 1619222502 | Tanner Michael Johanns | Internal Medicine | 4921 Parkview Pl, 7th Fl, Saint Louis, MO 63110-1032 | 2012-07-17 |
| 1871886705 | Karolyn Ann Oetjen | Internal Medicine | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2011-05-25 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63128 |
Please comment or provide details below to improve the information on CRAIG R HILDRETH.
| 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.