ST LOUIS PET CENTERS, LLC (NPI# 1861470734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861470734 |
| Entity Type | Organization |
| Organization Name | ST LOUIS PET CENTERS, LLC |
| Practice Address |
12637 Olive Blvd Creve Coeur MO 63141-6313 |
| Practice Telephone | 3146281300 |
| Practice Fax Number | 3146281301 |
| Mailing Telephone | 3146281300 |
| Mailing Fax Number | 3146281301 |
| Enumeration Date | 2006-01-02 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | DR. MICHAEL G BEAT (PRESIDENT) |
| Authorized Official Telephone | 3146281300 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MERCY CARE PLUS | 889182 | 01 | |
| AETNA | 7995486 | 01 | |
| USA MCO | 276582 | 01 | |
| HEALTHLINK | 532846 | 01 | |
| BCBS MO | 183981 | 01 |
| Street Address |
12637 OLIVE BLVD |
| City | CREVE COEUR |
| State | MO |
| Zip Code | 63141-6313 |
| 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 | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003353152 | E-cloud Radiology LLC | Radiology | 7304 Stream Valley Ct, Saint Louis, MO 63129-5291 | 2017-01-27 |
| 1184828410 | John Gerard Ryan | Radiology | Mallinckrodt Institute of Radiology - Barnesjewish Hosp, 510 South Kingshighway Blvd., Saint Louis, MO 63110 | 2007-06-12 |
| 1689742611 | Carl M Regier | Radiology | 404 Timberlane Point Rd, Branson, MO 65616-7951 | 2006-11-30 |
| 1558305052 | James Hughes Adams | Radiology | 612 Rosewood Dr, Kirksville, MO 63501-2477 | 2006-06-15 |
| 1083610539 | Gwendolyn Arnett | Radiology | 4321 Washington St, Ste 1000, Kansas City, MO 64111-5961 | 2005-06-21 |
| 1174527584 | Edward O'brien | Radiology | 9930 Watson Rd, Saint Louis, MO 63126-1827 | 2005-06-13 |
| 1982125407 | Mohamed Ahmed Ebada | Radiology | One Hospital Dr, Columbia, MO 65212-0001 | 2017-07-06 |
| 1033566740 | Ayesha Nasrullah | Radiology | One Hospital Dr, Columbia, MO 65212-0001 | 2016-05-23 |
| 1366861841 | William Cassidy Wilson Iv | Radiology | 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 | 2014-04-10 |
| 1720427982 | Aaron Joseph Mintz | Radiology | 510 S Kingshighway Blvd, Saint Louis, MO 63110-1076 | 2013-06-21 |
| Find all providers with the same taxonomy | ||||
| City | CREVE COEUR |
| Zip Code | 63141 |
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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.