ERIC SUTPHEN


Address: 450 N New Ballas Rd Ste 70w, Saint Louis, MO 63141-6833
Phone: 3142272301

ERIC SUTPHEN (NPI# 1932170859) 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) 1932170859
Entity Type Individual
Full Name ERIC SUTPHEN
Credential MD
Practice Address 450 N New Ballas Rd Ste 70w
Saint Louis
MO 63141-6833
Mailing Address 215 Dunn Rd
Florissant
MO 63031-7928
Practice Telephone 3142272301
Practice Fax Number 3142272316
Mailing Telephone 3143159913
Mailing Fax Number 3148728069
Enumeration Date 2006-01-30
Last Update Date 2015-01-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
R2P24 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO 203032628 05
MO RAILROAD MEDICARE P00146606 01

Office Location

Street Address 450 N NEW BALLAS RD STE 70W
City SAINT LOUIS
State MO
Zip Code 63141-6833

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265044804 Genesiscare Landmark Missouri Cancer Care PC Radiology 450 N New Ballas Rd Ste 70w, Saint Louis, MO 63141-6833 2020-08-17
1467824649 Pro Physicians Clinic Pa Radiology 450 N New Ballas Rd Ste 70w, Saint Louis, MO 63141-6833 2015-10-27
1710359989 Northpoint Radiation Center Gp, LLC Clinic/Center 450 N New Ballas Rd Ste 70w, Saint Louis, MO 63141-6833 2015-10-27

Providers in the same zip code

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 Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336338912 Joseph Fields Radiology 9 Heather Hill Ln, Saint Louis, MO 63132-4105 2007-10-18
1265044804 Genesiscare Landmark Missouri Cancer Care PC Radiology 450 N New Ballas Rd Ste 70w, Saint Louis, MO 63141-6833 2020-08-17
1417516188 Joshua Philip Schiff Radiology 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 2019-06-06
1952969768 William Chun Yip Lo Radiology 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 2019-06-05
1205399847 Mustafaa Saleem Mahmood Radiology 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 2019-04-10
1831651496 Hayley Stowe Radiology 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 2019-04-03
1023513728 James Scott Cordova Radiology 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110-1003 2018-03-26
1467824649 Pro Physicians Clinic Pa Radiology 450 N New Ballas Rd Ste 70w, Saint Louis, MO 63141-6833 2015-10-27
1962898759 Alexander Justin Lin Radiology 4921 Parkview Pl, Ll, Saint Louis, MO 63110-1032 2015-04-08
1487097572 Aadel Ahmed Chaudhuri Radiology 4921 Parkview Pl, Ll, Saint Louis, MO 63110-1032 2013-04-09
Find all providers in SAINT LOUIS

Competitor

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City SAINT LOUIS
Zip Code 63141

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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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