SURESH MATHEW


Address: 11125 Dunn Rd, Suite 304, Saint Louis, MO 63136-6132
Phone: 3143551166

SURESH MATHEW (NPI# 1922070614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922070614
Entity Type Individual
Full Name SURESH MATHEW
Credential MD
Practice Address 11125 Dunn Rd
Suite 304
Saint Louis
MO 63136-6132
Practice Telephone 3143551166
Practice Fax Number 3143559179
Mailing Telephone 3143551166
Mailing Fax Number 3143559179
Enumeration Date 2006-02-06
Last Update Date 2010-04-20
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
20022016480 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO 2002016480 05
MO 205931108 05

Office Location

Street Address 11125 DUNN RD
SUITE 304
City SAINT LOUIS
State MO
Zip Code 63136-6132

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033649819 Taewoo Lee Internal Medicine 3635 Vista Ave Saint Louis University Medical Center, Division of Nephrology, Saint Louis, MO 63110 2017-06-14
1780058727 St Louis Kidney Care LLC Internal Medicine 11155 Dunn Rd Ste 211n, Saint Louis, MO 63136-6166 2015-11-13
1184056830 Ralph Robert Hatlelid Internal Medicine 318 E Swon Ave, Saint Louis, MO 63119-3112 2013-08-05
1497000194 Siddiq Anwar Internal Medicine 660 S Euclid Ave # 8129, Renal Fellowship Program, Saint Louis, MO 63110-1010 2012-07-18
1588764724 Douglass Takashi Domoto Internal Medicine 2606 Clark Ave, Saint Louis, MO 63103-2502 2006-09-25
1699708016 Bhajanlal S Dara Internal Medicine 10160 W Florissant Ave, Suite 200, Saint Louis, MO 63136-2104 2006-07-09
1962432807 Guner Buyukkus Gulmen Internal Medicine 100 N Euclid Ave, Suite 800, Saint Louis, MO 63108-1529 2006-07-04
1710920947 Rajalakshmi T Gopalakrishnan Internal Medicine 915, North Grand Boulevard, Saint Louis, MO 63106 2006-06-14
1457348286 Kira S Mailey Internal Medicine 18 Chapel Hill Est, Saint Louis, MO 63131-1315 2005-10-06
1376166066 Nhs South LLC Internal Medicine 10004 Kennerly Rd, Saint Louis, MO 63128-2141 2020-05-28
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City SAINT LOUIS
Zip Code 63136

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Dataset Information

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.

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