DR. JENNIFER DAWN KRICK (NPI# 1851591523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851591523 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER DAWN KRICK |
| Credential | M.D. |
| Practice Address |
6828 State Route 162 Maryville IL 62062-8500 |
| Mailing Address |
10777 Sunset Office Dr Suite 310 Saint Louis MO 63127-1019 |
| Practice Telephone | 6182885084 |
| Practice Fax Number | 6182888045 |
| Mailing Telephone | 3148225900 |
| Mailing Fax Number | 3148225919 |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2009-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 2005034034 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036181252 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861052789 | Jennifer Marie Krick | Social Worker | 3100 Channel Dr Ste 300, Juneau, AK 99801-7837 | 2019-06-13 |
| 1235674664 | Jennifer Lynn Krick | Physician Assistant | 510 8th Ave Ne, Suite 200, Issaquah, WA 98029-5436 | 2016-12-20 |
| Street Address |
6828 STATE ROUTE 162 |
| City | MARYVILLE |
| State | IL |
| Zip Code | 62062-8500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700807187 | Habibur Rahman | Pediatrics | 6828 State Route 162, Suite A, Maryville, IL 62062-8500 | 2006-07-21 |
| 1538342621 | Ssm Medical Group | Clinic/Center | 6828 State Route 162, Maryville, IL 62062-8500 | 2007-12-11 |
| 1609964543 | Tri-city Neurology Associates, Ltd. | Psychiatry & Neurology | 6828 State Route 162, Maryville, IL 62062-8558 | 2006-10-10 |
| 1245345537 | Riaz A Naseer | Psychiatry & Neurology | 6828 State Route 162, Maryville, IL 62062-8558 | 2006-08-20 |
| 1750496055 | Syed S Ali | Psychiatry & Neurology | 6828 State Route 162, Maryville, IL 62062-8558 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104325091 | Jennifer M Oyler | Physician Assistant | 6812 State Route 162 Suite 120, Maryville, IL 62062 | 2018-02-06 |
| 1710495965 | Sarah Elizabeth Barto | Family Medicine | 2133 Vadalabene Drive, Suite Sb, Maryville, IL 62062 | 2018-01-22 |
| 1104348085 | Lindsey Nicole Langendorf | Chiropractor | 62 Executive Plaza Ct, Maryville, IL 62062 | 2017-07-12 |
| 1043750540 | Gina Saal | Nurse Anesthetist, Certified Registered | 6800 Rt 162, Maryville, IL 62062 | 2017-03-02 |
| 1548657737 | Karen Michelle Bertels | Emergency Medicine | 6800 Il - 162, Maryville, IL 62062 | 2015-04-25 |
| 1811258148 | Debra Ann Hoelscher | Internal Medicine | 2102 Vadalabene, Maryville, IL 62062 | 2012-06-04 |
| 1538438445 | Casey Elizabeth Wiesemeyer | Speech-Language Pathologist | 2201 Copper Creek Rd, Maryville, IL 62062 | 2011-12-21 |
| 1407144819 | Norah Claire Farley Baker | Family Medicine | 10 Professional Park Dr., Maryville, IL 62062 | 2011-07-19 |
| 1891092474 | Kimberly M Schneider | Physician Assistant | 20b Professional Park Drive, Maryville, IL 62062 | 2011-02-17 |
| 1669782397 | Purandhri Patel | Physical Therapist | 6820 State Route 162, Maryville, IL 62062 | 2010-10-15 |
| Find all providers in zip 62062 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134677818 | Dixie Swanson | Pediatrics | 2705 Daventry Dr, Maryville, TN 37804-6141 | 2016-09-12 |
| 1205039955 | Jennifer Anne Loethen | Pediatrics | 5 Professional Park Dr, Maryville, IL 62062-5621 | 2007-06-08 |
| 1659422053 | Cynthia J Easter | Pediatrics | 681 Morganton Square Dr, Maryville, TN 37801-4763 | 2007-01-15 |
| 1326125428 | Blount Memorial Hospital, Inc. | Pediatrics | 212 Cates St, Maryville, TN 37801-4902 | 2006-11-01 |
| 1700807187 | Habibur Rahman | Pediatrics | 6828 State Route 162, Suite A, Maryville, IL 62062-8500 | 2006-07-21 |
| 1811921026 | Whitney Elizabeth Dee | Pediatrics | 616 W Lamar Alexander Pkwy, Maryville, TN 37801-3904 | 2006-07-11 |
| 1093744872 | Cindy Elaine Hoover | Pediatrics | 414 Greenbelt Dr, Maryville, TN 37804-5702 | 2006-07-02 |
| 1669416921 | Lori A Baxter | Pediatrics | Cedar Creek Pediatric & Adolescent Medicine, PC, 616 Smithview Drive, Maryville, TN 37803-6100 | 2006-06-16 |
| 1467613430 | Jenna Kathleen Neil Mccall | Pediatrics | 414 Greenbelt Dr, Maryville, TN 37804-5702 | 2008-06-22 |
| 1003039223 | Cedar Creek Pediatric & Adolescent Medicine, PC | Pediatrics | 616 Smithview Dr, Maryville, TN 37803-6100 | 2007-04-10 |
| Find all providers in MARYVILLE | ||||
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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.