SUSEELA SAMUDRALA (NPI# 1881658292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881658292 |
| Entity Type | Individual |
| Full Name | SUSEELA SAMUDRALA |
| Credential | M.D. |
| Practice Address |
11125 Dunn Rd Suite 311 Saint Louis MO 63136-6132 |
| Mailing Address |
11125 Dunn Rd Saint Louis MO 63136-6132 |
| Practice Telephone | 3143557880 |
| Practice Fax Number | 3143558899 |
| Mailing Telephone | 3143557880 |
| Mailing Fax Number | 3143558899 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | R8290 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
11125 DUNN RD SUITE 311 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63136-6132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083617294 | Morin Michael Hanson | Surgery | 11125 Dunn Rd, Ste 402, Saint Louis, MO 63136-6132 | 2005-05-23 |
| 1033612502 | Casey Wikiera | Counselor | 11125 Dunn Rd, Saint Louis, MO 63136-6132 | 2018-03-12 |
| 1457707705 | Renee Mcdonald | Nurse Practitioner | 11125 Dunn Rd, Suite 204, Saint Louis, MO 63136-6132 | 2016-05-05 |
| 1518320001 | Emily Rutledge | Case Manager/Care Coordinator | 11125 Dunn Rd, Suite 201, Saint Louis, MO 63136-6132 | 2016-04-01 |
| 1881060812 | Victoria Fisher | Counselor | 11125 Dunn Rd, Saint Louis, MO 63136-6132 | 2015-08-13 |
| 1942676101 | Nicole Willmering | Community Health Worker | 11125 Dunn Rd, Saint Louis, MO 63136-6132 | 2015-08-11 |
| 1457746125 | Claudia Bledsoe | Case Manager/Care Coordinator | 11125 Dunn Rd, Professional Bulding #2 Suite 201, Saint Louis, MO 63136-6132 | 2015-03-31 |
| 1295146744 | Carnecia Cole | Pharmacist | 11125 Dunn Rd, Saint Louis, MO 63136-6132 | 2014-05-17 |
| 1073923413 | Veronica Smotherson | Case Manager/Care Coordinator | 11125 Dunn Rd, Professional Office Building #2, Saint Louis, MO 63136-6132 | 2014-05-07 |
| 1366862781 | Yi Jiang | Social Worker | 11125 Dunn Rd, Saint Louis, MO 63136-6132 | 2014-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565993 | Dorothy Smith | Home Health | 2531 Nathan Drive, St Louis, MO 63136 | 2020-10-16 |
| 1538784459 | Rita D Wilson | Technician | 9597 Jacobi Ave Bldg 33 Apt 7, Saint Louis, MO 63136 | 2020-06-16 |
| 1922646728 | Eduhealth Personal Care Services | Technician | 5843 Eagle Valley Dr Saint Louis Mo 63136, Saint Louis, MO 63136 | 2019-12-12 |
| 1558912964 | Homers Haven Home Care LLC | Home Health | 5636 Pamplin Pl, St Louis, MO 63136 | 2019-09-26 |
| 1366096703 | Chloe Suzanne Datillo | Nurse Practitioner | 2865 Netherton Dr., St Louis, MO 63136 | 2019-07-24 |
| 1053976431 | U Auto Be Quik LLC | Non-emergency Medical Transport (VAN) | 10352 Castle Drive, St. Louis, MO 63136 | 2019-05-01 |
| 1164945895 | A Plus Home Health Services LLC | Home Health | 9517 Wilson Bridge Drive, Saint Louis, MO 63136 | 2017-07-25 |
| 1184150302 | Fairview Village Adult Day Care LLC | Clinic/Center | 8449 Jennings Station Rd, Fairview Village Adult Day Care, Saint Louis, MO 63136 | 2017-05-08 |
| 1023541182 | Lots of Love Home Health Services | In Home Supportive Care | 4144 Lindell Blvd. Suite 218, Saint Louis, MO 63136 | 2017-04-06 |
| 1912440876 | Carestl Health | Clinic/Center | 7047 Emma Ave, Jennings, MO 63136 | 2016-11-28 |
| Find all providers in zip 63136 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| 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 Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821568569 | Maureen Moore | Physical Medicine & Rehabilitation | 7310 Summertime Dr, Saint Louis, MO 63129-5740 | 2018-11-26 |
| 1437564614 | Gregory Decker | Physical Medicine & Rehabilitation | 660 S Euclid Ave # 8111, Saint Louis, MO 63110-1010 | 2014-06-25 |
| 1346597457 | Pain and Performance Relief LLC | Physical Medicine & Rehabilitation | 4175 Crescent Dr Ste A, Saint Louis, MO 63129 | 2012-08-08 |
| 1619236197 | Craig Robert Ziegler | Physical Medicine & Rehabilitation | 660 S Euclid Ave, Campus Box 8233, Washington University Orthopedics, Saint Louis, MO 63110 | 2012-05-03 |
| 1154587723 | Katherine Caroline White Stenson | Physical Medicine & Rehabilitation | 1 Jefferson Barracks Dr Bldg 52, Saint Louis, MO 63125 | 2008-08-04 |
| 1215108337 | Mariam Chowdhry | Physical Medicine & Rehabilitation | 12855 N 40 Dr Ste 125, Saint Louis, MO 63141-8663 | 2008-03-17 |
| 1679519557 | Herbert B. Villaflores | Physical Medicine & Rehabilitation | 6420 Clayton Rd Fl 6, Saint Louis, MO 63117-1811 | 2006-06-21 |
| 1083693790 | Andrew Michael Wayne | Physical Medicine & Rehabilitation | 555 N New Ballas Rd Ste 175, Saint Louis, MO 63141-6884 | 2006-01-11 |
| 1245839166 | Jn Wellness Inc | Physical Medicine & Rehabilitation | 4225 Bayless Ave, Saint Louis, MO 63123-7513 | 2020-10-21 |
| 1558987099 | Michael John Hudock Jr. | Physical Medicine & Rehabilitation | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-06-21 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63136 |
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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.