WASHINGTON UNIVERSITY (NPI# 1871521575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871521575 |
| Entity Type | Organization |
| Organization Name | WASHINGTON UNIVERSITY |
| Other Organization Name | FOREST PARK KIDNEY CENTER |
| Practice Address |
4205 Forest Park Ave Saint Louis MO 63108-2810 |
| Mailing Address |
4240 Duncan Ave Campus Box 8221 Saint Louis MO 63110-1123 |
| Practice Telephone | 3142860842 |
| Mailing Telephone | 3142730770 |
| Mailing Fax Number | 3142730470 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2015-12-30 |
| Authorized Official Name | CATHY EGHIGIAN (DIRECTOR, CREDENTIALING OPERATIONS) |
| Authorized Official Telephone | 3142730770 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 500724208 | 05 |
| Other Name | Type Code |
|---|---|
| Forest Park Kidney Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1790265759 | Washington University | Ophthalmology | 4901 Forest Park Ave # 8221, Saint Louis, MO 63108-1495 | 2018-08-20 |
| 1942710991 | Washington University | Clinic/Center | 272 Mayfair Plaza Shopping Ctr, Florissant, MO 63033-8009 | 2017-10-04 |
| 1013430891 | Washington University | Physical Therapist | 4921 Parkview Pl Ste 6f, Saint Louis, MO 63110 | 2017-07-24 |
| 1104162999 | Washington University | Pharmacy | 5225 Midamerica Plz, Saint Louis, MO 63129-0002 | 2012-12-24 |
| 1033382536 | Washington University | Durable Medical Equipment & Medical Supplies | 14532 S Outer 40, Suite 200, Chesterfield, MO 63017-5701 | 2008-04-07 |
| 1235235532 | Washington University | Clinical Medical Laboratory | 509 S Euclid Ave, Saint Louis, MO 63110-1007 | 2006-09-15 |
| 1841221116 | Washington University | Clinic/Center | 4950 Childrens Pl, Saint Louis, MO 63110-1000 | 2006-07-05 |
| 1346847233 | Washington University | Clinic/Center | 8888 Ladue Rd Ste 100, Saint Louis, MO 63124-2056 | 2020-10-05 |
| 1013542877 | Washington University | Clinic/Center | 4921 Parkview Pl Ste 5a, Saint Louis, MO 63110-1032 | 2020-03-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | WASHINGTON UNIVERSITY IN ST. LOUIS | The Washington University, 1 Brookings Dr Campus Box 1058, St. Louis, Mo 631304899 |
| System for Award Management (SAM) Entities | WASHINGTON UNIVERSITY MEDICAL CENTER | 4400 Chouteau Ave, Saint Louis, MO 63110-1678 |
| Virginia Business Entities | Washington University of Virginia Inc. | 4302 Evergreen Ln, 2nd Fl, Annandale, Virginia 22003 |
| System for Award Management (SAM) Entities | WASHINGTON UNIVERSITY PHYSICIANS IN ILLINOIS, INC. | 1414 Cross St, O Fallon, IL 62269-2988 |
| Washington State Corporations | WASHINGTON UNIVERSITY PREP, LLC | 18232 Bothell Everett Hwy, Suite 220, Bothell, WA 98012 |
| System for Award Management (SAM) Entities | WASHINGTON UNIVERSITY SCHOOL OF MEDICINE | 1brookings Dr, Saint Louis, MO 63130-4862 |
| Indiana Business Entities | WASHINGTON UNIVERSITY TECHNOLOGY ASSOCIATES INC | 8220 Brentwood Industrial Dr, St Louis, MO 63144 |
| System for Award Management (SAM) Entities | WASHINGTON UNIVERSITY, THE | One Brookings Dr, Saint Louis, MO 63130-4862 |
| Street Address |
4205 FOREST PARK AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63108-2810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619335684 | Darlene Nichols | Dietitian, Registered | 4205 Forest Park Ave, Saint Louis, MO 63108-2810 | 2016-02-05 |
| 1538314455 | Andrea R Sims | Nurse Practitioner | 4205 Forest Park Ave, Saint Louis, MO 63108-2810 | 2008-11-19 |
| 1699965632 | Natalie J Moretz | Dietitian, Registered | 4205 Forest Park Ave, Saint Louis, MO 63108-2810 | 2007-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851474 | Nigel Austen Thomas Cook | Social Worker | 4050 West Pine Blvd. Apt. 4118, St. Louis, MO 63108 | 2020-08-12 |
| 1467070011 | C2n Diagnostics, LLC | Clinical Medical Laboratory | 20 South Sarah Street, Saint Louis, MO 63108 | 2020-07-10 |
| 1609414358 | Kaylee Breitenbucher | Occupational Therapist | 4444 Forest Park Avenue, Msc 8505-94-01, St. Louis, MO 63108 | 2019-12-12 |
| 1114419546 | Activangels Home Health | Home Health | 4625 Lindell Blvd Ste 304, Saint Louis, MO 63108 | 2018-06-01 |
| 1215427349 | Heart To Heart Consolidated Home Care Service LLC | Home Health | 4625 Lindell Blvd Ste 200, Saint Louis, MO 63108 | 2018-05-15 |
| 1447755905 | Erin Virginia Adams | Student in an Organized Health Care Education/Training Program | 4355 Maryland Ave Apt 116, Saint Louis, MO 63108 | 2018-03-27 |
| 1033621172 | Roots Healthcare and Homes | In Home Supportive Care | 4300 Enright Ave, St. Louis, MO 63108 | 2017-10-30 |
| 1336661719 | House of Destiny Adult Day Care LLC | Clinic/Center | 4507 Olive Street, St Louis, MO 63108 | 2017-07-07 |
| 1003338492 | Khin Min Thu | Social Worker | 4236 Lindell Blvd., Suite 200, St Louis, MO 63108 | 2017-07-07 |
| 1679093967 | Together We Can Home Healthcare Services LLC | Home Health | 4144 Lindell Blvd Suite 221, Saint Louis, MO 63108 | 2017-06-27 |
| Find all providers in zip 63108 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871049411 | Total Renal Care Inc | Clinic/Center | 8980 Natural Bridge Rd, Saint Louis, MO 63121-3917 | 2016-09-01 |
| 1295139459 | Meadows Dialysis LLC | Clinic/Center | 1554 Sierra Vista Plz, Saint Louis, MO 63138-2040 | 2014-10-17 |
| 1245580570 | Rainer Dialysis LLC | Clinic/Center | 3740 S Jefferson Ave, Saint Louis, MO 63118-3905 | 2012-09-13 |
| 1881980498 | Tugman Dialysis LLC | Clinic/Center | 10241 Lewis and Clark Blvd, Saint Louis, MO 63136-5505 | 2011-06-22 |
| 1497074520 | Gateway St Louis Dialysis LLC | Clinic/Center | 4100 Union Blvd, Saint Louis, MO 63115-1225 | 2010-05-28 |
| 1316173966 | Total Renal Care Inc | Clinic/Center | 3660 Gustine Ave, Saint Louis, MO 63116-3617 | 2009-06-09 |
| 1770719700 | Total Renal Care Inc | Clinic/Center | 9030 Saint Charles Rock Rd, Saint Louis, MO 63114 | 2009-06-04 |
| 1982764387 | Saint Louis Renal Care, LLC | Clinic/Center | 5901 Delmar Blvd, Saint Louis, MO 63112-2028 | 2006-12-08 |
| 1598867772 | Saint Louis Renal Care, LLC | Clinic/Center | Drummond Hall, 3691 Rutger, Suite 222, Saint Louis, MO 63110 | 2006-09-01 |
| 1457463325 | Metro Dialysis Center - Normandy, Inc. | Clinic/Center | 101 N Oaks Plz, Saint Louis, MO 63121-2925 | 2006-08-31 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63108 |
Please comment or provide details below to improve the information on WASHINGTON UNIVERSITY.
| 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.