DR. TYLER RANDALL KRUMMENACHER (NPI# 1851621460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851621460 |
Entity Type | Individual |
Full Name | DR. TYLER RANDALL KRUMMENACHER |
Credential | M.D. |
Practice Address |
845 N New Ballas Ct Suite 200 Saint Louis MO 63141-7134 |
Mailing Address |
12639 Old Tesson Rd Suite 115 Saint Louis MO 63128-2786 |
Practice Telephone | 3149834700 |
Practice Fax Number | 3146929862 |
Mailing Telephone | 3148490311 |
Mailing Fax Number | 3148494423 |
Enumeration Date | 2010-01-04 |
Last Update Date | 2015-09-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
2015021550 | MO | Allopathic & Osteopathic Physicians |
Street Address |
845 N NEW BALLAS CT SUITE 200 |
City | SAINT LOUIS |
State | MO |
Zip Code | 63141-7134 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467997536 | Ashley Tusevljak | Nurse Practitioner | 845 N New Ballas Ct, Unit 360, Saint Louis, MO 63141-7134 | 2016-12-28 |
1811218969 | Megan Maupin Burgess | Physical Therapist | 845 N New Ballas Ct, Suite 40, Saint Louis, MO 63141-7134 | 2010-06-11 |
1689810624 | Angela Marie Berkbuegler | Physical Therapy Assistant | 845 N New Ballas Ct, Suite 40, Saint Louis, MO 63141-7134 | 2008-12-22 |
1346400561 | Elizabeth Erker | Dietitian, Registered | 845 N New Ballas Ct, 2nd Floor, Saint Louis, MO 63141-7134 | 2008-06-11 |
1861662272 | Patricia A Mcguire | Surgery | 845 N New Ballas Ct, Suite 300, Saint Louis, MO 63141-7134 | 2008-03-03 |
1477723799 | Charles Robert Nathan | Surgery | 845 N New Ballas Ct, Suite 300, Saint Louis, MO 63141-7134 | 2008-03-03 |
1679752927 | Nancy Pevnick | Physical Therapy Assistant | 845 N New Ballas Ct, Suite 40, Saint Louis, MO 63141-7134 | 2007-11-02 |
1073700217 | Misty D Wheelock | Registered Nurse | 845 N New Ballas Ct, Suite 200, Saint Louis, MO 63141-7134 | 2007-10-02 |
1386838613 | Todd R Tiepelman | Physical Therapy Assistant | 845 N New Ballas Ct, Suite 40, Saint Louis, MO 63141-7134 | 2007-08-29 |
1811181308 | Colleen Elizabeth Glisson | Orthopaedic Surgery | 845 N New Ballas Ct, Suite 200, Saint Louis, MO 63141-7134 | 2007-08-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
Find all providers in zip 63141 |
Taxonomy Code | 207XS0106X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Hand Surgery |
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093732521 | Richard H Gelberman | Orthopaedic Surgery | 4921 Parkview Pl Ste 6a6b, Ste 6a/6b, Saint Louis, MO 63110-1032 | 2006-07-17 |
1932599354 | Sbkt Enterprises, LLC | Orthopaedic Surgery | 1000 Des Peres Rd, Suite 210, Saint Louis, MO 63131-2050 | 2015-01-24 |
1649508219 | Jun Yamanokuchi Matsui | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2009-11-19 |
1710115712 | David Micah Brogan | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2009-06-29 |
1477712933 | Christopher John Dy | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2008-06-09 |
1114108719 | Lindley B Wall | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2007-11-25 |
1144373341 | William Feinstein | Orthopaedic Surgery | 1050 Old Des Peres Rd, Suite 100, Saint Louis, MO 63131-1873 | 2007-01-19 |
1891711024 | Martin I Boyer | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2006-07-14 |
1548212764 | Ryan Patrick Calfee | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2006-05-16 |
1851371082 | Robert R Bell | Orthopaedic Surgery | 1050 Old Des Peres Rd, 100, Saint Louis, MO 63131-1873 | 2006-01-23 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63141 |
Please comment or provide details below to improve the information on DR. TYLER RANDALL KRUMMENACHER.
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.