DR. KATHRYN A SPECTORSKY (NPI# 1942627823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942627823 |
| Entity Type | Individual |
| Full Name | DR. KATHRYN A SPECTORSKY |
| Credential | MD |
| Practice Address |
1225 Graham Rd Florissant MO 63031-8012 |
| Mailing Address |
1 Childrens Pl Cb 8116 Saint Louis MO 63110-1002 |
| Practice Telephone | 3144542644 |
| Practice Fax Number | 3144542110 |
| Mailing Telephone | 3144542644 |
| Mailing Fax Number | 3144542110 |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2019-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 2017016485 | MO | Allopathic & Osteopathic Physicians |
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
2017016485 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
1225 GRAHAM RD |
| City | FLORISSANT |
| State | MO |
| Zip Code | 63031-8012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265431399 | Antonio R Penilla | Internal Medicine | 1225 Graham Rd, Ste 2310c, Florissant, MO 63031-8012 | 2005-07-20 |
| 1912549452 | Erica Frazier | Social Worker | 1225 Graham Rd, Florissant, MO 63031-8012 | 2019-10-16 |
| 1275174088 | Pamela Wooten | Registered Nurse | 1225 Graham Rd, Florissant, MO 63031-8012 | 2019-10-02 |
| 1700357647 | John A Powers | Nurse Practitioner | 1225 Graham Rd, Florissant, MO 63031-8012 | 2018-12-17 |
| 1922454719 | Jenna O'shea | Nurse Practitioner | 1225 Graham Rd, Ste 1340c, Florissant, MO 63031-8012 | 2016-05-11 |
| 1093135980 | Daniel Zwilling | Physician Assistant | 1225 Graham Rd, Florissant, MO 63031-8012 | 2014-04-18 |
| 1356769012 | Lindsay Riedl Jaeger | Pediatrics | 1225 Graham Rd, Florissant, MO 63031-8012 | 2014-03-31 |
| 1124459730 | Javda Miasha Wilson | Nurse Practitioner | 1225 Graham Rd, Florissant, MO 63031-8012 | 2013-12-06 |
| 1013358100 | Laura M Gramolino | Nurse Practitioner | 1225 Graham Rd, Florissant, MO 63031-8012 | 2013-07-17 |
| 1316381270 | Ritu L Zei | Pediatrics | 1225 Graham Rd, Florissant, MO 63031-8012 | 2013-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528550019 | A Precious Home Care Solution Cds LLC | Home Health | 2367 Periwinkle Court, Florisant, MO 63031 | 2018-05-31 |
| 1932625415 | Haven of Grooming | Specialist | 51 Florissant Oaks Shop Center, Florissant, MO 63031 | 2017-08-16 |
| 1841696648 | Deandra's Angels Home Care | Home Health | 1985 Lindsay Lane, Florissant, MO 63031 | 2014-11-06 |
| 1871907378 | Daniel Joseph Watson | Ophthalmology | 900 N Highway 67 St, Florissant, MO 63031 | 2014-06-12 |
| 1124449954 | Edgar Micere | Occupational Therapy Assistant | 1 Paul Place Ct, Florissant, MO 63031 | 2013-12-20 |
| 1699019190 | Dushanas Touch of Love Transportation L.l.c | Non-emergency Medical Transport (VAN) | 3011 Oriental Dr, Florissant, MO 63031 | 2012-11-21 |
| 1790038321 | Pleasant Solutions Home Health Care,llc | Community Based Residential Treatment Facility, Mental Illness | 100 Rue St. Francios Suite 107, Saint Louis, MO 63031 | 2012-10-19 |
| 1114279460 | Access Dental & Dentures LLC | Dentist | 565 Howdershell Rd, Florissant, MO 63031 | 2012-10-11 |
| 1982980843 | Lauren Heimberger | Pharmacist | 15390 New Halls Ferry, Florissant, MO 63031 | 2011-10-24 |
| 1578878732 | North County Adult Center LLC | Registered Nurse | 500 Greenway Manor Dr, Florissant, MO 63031 | 2010-08-12 |
| Find all providers in zip 63031 | ||||
| Taxonomy Code | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841636867 | Namrata Nikhil Patel | Pediatrics | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2013-05-16 |
| 1558657668 | Lovy Shukla-solus | Pediatrics | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2011-06-27 |
| 1871889113 | Amanda Nedved | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2011-06-24 |
| 1699903062 | Heather Wilson | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2009-06-24 |
| 1215192158 | Erin L Scott | Pediatrics | 2401 Gillham Rd, Pediatric Emergency Medicine Department, Kansas City, MO 64108-4619 | 2008-07-21 |
| 1205093879 | Alliyia Battul Ali | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2008-05-20 |
| 1013182427 | Jennifer Watts | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2008-04-25 |
| 1821298357 | Kristi Lynn Kinder | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108 | 2007-07-23 |
| 1386847747 | Scott M Thomas | Pediatrics | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2007-06-06 |
| 1407075278 | St Louis University | Pediatrics | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2007-04-24 |
| Find all providers with the same taxonomy | ||||
| City | FLORISSANT |
| Zip Code | 63031 |
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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.