COREY RANDALL RENTFROW


Address: 1001 S Kirkwood Rd, Saint Louis, MO 63122-7254
Phone: 3149668887

COREY RANDALL RENTFROW (NPI# 1992983662) 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) 1992983662
Entity Type Individual
Full Name COREY RANDALL RENTFROW
Credential P.A.-C
Practice Address 1001 S Kirkwood Rd
Saint Louis
MO 63122-7254
Practice Telephone 3149668887
Practice Fax Number 3149663869
Mailing Telephone 3149668887
Mailing Fax Number 3149663869
Enumeration Date 2008-02-05
Last Update Date 2015-06-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 2008003785 MO Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1001 S KIRKWOOD RD
City SAINT LOUIS
State MO
Zip Code 63122-7254

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679570808 Leonard F Fagan Internal Medicine 1001 S Kirkwood Rd, Suite 100, Saint Louis, MO 63122-7254 2005-07-01
1649747437 Katherine Natalie Benjamin Occupational Therapy Assistant 1001 S Kirkwood Rd, Saint Louis, MO 63122-7254 2018-10-30
1578917464 St. Anthony's Physician Organization Internal Medicine 1001 S Kirkwood Rd, Ste 300, Saint Louis, MO 63122-7254 2016-04-18
1740678226 Brandy Hughes Nurse Practitioner 1001 S Kirkwood Rd, Saint Louis, MO 63122-7254 2015-01-06
1508205543 Dermond Cortez Henry Family Medicine 1001 S Kirkwood Rd, Ste 300, Saint Louis, MO 63122-7254 2013-06-24
1215202510 Joseph Jason Grassino Physician Assistant 1001 S Kirkwood Rd, Suite 120, Saint Louis, MO 63122-7254 2012-03-20
1255615951 Rachel Ann Cook Nurse Practitioner 1001 S Kirkwood Rd, Saint Louis, MO 63122-7254 2011-09-29
1851553598 St. Anthony's Physician Organization Family Medicine 1001 S Kirkwood Rd, Ste 300, Saint Louis, MO 63122-7254 2008-06-25
1578761706 Lubbna Johar Family Medicine 1001 S Kirkwood Rd, Ste 300, Saint Louis, MO 63122-7254 2007-07-10
1225257694 Hamid Bashir Internal Medicine 1001 S Kirkwood Rd, Ste 300, Saint Louis, MO 63122-7254 2007-04-24
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659933174 Keela Rushing Physical Therapist 439 S Kirkwood Rd Ste 200, Kirkwood, MO 63122 2019-07-04
1730643461 Kirkwood Family Dental Dentist 333 S Kirkwood Road, Suite 105, Kirkwood, MO 63122 2019-01-28
1477061166 Total Access Urgent Care, PC Clinic/Center 2980 Dougherty Ferry Rd, Saint Louis, MO 63122 2018-01-16
1760933469 Missouri Cvs Pharmacy, L.l.c Durable Medical Equipment & Medical Supplies 10820 Manchester Rd, Kirkwood, MO 63122 2016-10-18
1518321041 M. Kathleen Blanchard Counselor 11042 Manchester Rd., Kirkwood, MO 63122 2016-04-11
1265801914 Kim Grega Counselor 700 S Kirkwood Rd, Kirkwood, MO 63122 2015-09-23
1245617943 Mark Edward Taylor Dentist 610 North Geyer, Kirkwood, MO 63122 2015-05-01
1467843094 Mary Elizabeth Boomgarden Physical Therapist 9645 Big Bend Boulevard, Saint Louis, MO 63122 2015-02-18
1760725717 Michael Diller Counseling Counselor 144 W Madison Avenue, Kirkwood, MO 63122 2013-03-28
1427309954 Anne Marie Delaplain Dentist 725 Laclede Station Road, Webster Groves, MO 63122 2012-09-24
Find all providers in zip 63122

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639779341 Andrew Hecht Physician Assistant 13131 Tesson Ferry Rd Ste 105, Saint Louis, MO 63128-3887 2020-10-30
1396352860 Alexis Lindsey Physician Assistant 5629 Bischoff Ave, Saint Louis, MO 63110-2929 2020-09-28
1942824339 Jett Elena Mcguire Physician Assistant 2200 Locust St Apt 506, Saint Louis, MO 63103-1532 2020-06-02
1356965602 Katherine Anne Hill Physician Assistant 3619 Whispering Ridge Ln, Saint Louis, MO 63129-2247 2020-06-02
1326669516 Kayla Bergmann Physician Assistant 58 W Glendale Rd, Saint Louis, MO 63119-4054 2020-04-29
1023638038 Laura Ann Humphrey Physician Assistant Allied Health Building 3437 Caroline Street, Room 3015, Saint Louis, MO 63104 2020-04-20
1477172237 Allison Mcniell Physician Assistant 3853 Mcdonald Ave # 1f, Saint Louis, MO 63116-4716 2020-04-13
1922627728 Allissa Speiser Physician Assistant 3437 Caroline St Ste 3082, Saint Louis, MO 63104-1111 2020-04-11
1578182564 Alexander Charles Greff Physician Assistant 6416 Oakland Ave Apt 306, Saint Louis, MO 63139-3226 2020-04-10
1043839061 Andrew Chida Physician Assistant 2050 Lafayette Ave Apt 1e, Saint Louis, MO 63104-2529 2020-04-09
Find all providers in SAINT LOUIS

Competitor

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City SAINT LOUIS
Zip Code 63122

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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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