Deryk Lee Mcdowell (NPI# 1356486179, PAC ID# 0143281170) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1356486179 |
| PAC ID by PECOS | 0143281170 |
| Professional Enrollment ID | I20090820000593 |
| Full Name | Deryk Lee Mcdowell |
| Organization Legal Name | MERCY CLINIC HEART AND VASCULAR LLC |
| Address |
625 S New Ballas Rd Suite 2015 Saint Louis MO 63141-8253 |
| Phone Number | 3142511700 |
| Gender | M |
| Credential | MD |
| Medical School | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 8820016207 |
| Number of Group Practice Members | 52 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260020 | MERCY HOSPITAL ST LOUIS |
| 260023 | MERCY HOSPITAL JEFFERSON |
| Address | Phone | Organization |
|---|---|---|
| 625 S New Ballas Rd, Suite 2015, Saint Louis, MO 63141-8253 | 3142511700 | MERCY CLINIC HEART AND VASCULAR LLC |
| Organization Legal Name | MERCY CLINIC HEART AND VASCULAR LLC |
| Physicians | 54 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Courtney R Gray | Nurse Practitioner | Mercy Clinic Heart and Vascular LLC | 620 Maple Valley Dr, Farmington, MO 63640-1976 |
| Denise P Blackburn | Nurse Practitioner | Mercy Clinic Heart and Vascular LLC | 20 The Legends Pkwy, Eureka, MO 63025-3801 |
| Frank L Bleyer | Cardiovascular Disease (cardiology) | Mercy Clinic Heart and Vascular LLC | 1000 E Cherry St, Fl 3, Troy, MO 63379-1513 |
| Bruce Czarnik | Cardiovascular Disease (cardiology) | Mercy Clinic Heart and Vascular LLC | 1203 Smizer Mill Rd, Suite 102, Fenton, MO 63026-3483 |
| Stacy Schroeder | Nurse Practitioner | Mercy Clinic Heart and Vascular LLC | 901 Patients 1st Dr, Washington, MO 63090-4700 |
| James A Stokes | Internal Medicine | Mercy Clinic Heart and Vascular LLC | 625 S New Ballas Rd, Suite 2030, Saint Louis, MO 63141-8253 |
| Seth N Barbanell | Cardiovascular Disease (cardiology) | Mercy Clinic Heart and Vascular LLC | 755 Dunn Rd, Suite 160, Hazelwood, MO 63042-1751 |
| Louis V Deane | Cardiovascular Disease (cardiology) | Mercy Clinic Heart and Vascular LLC | 625 S New Ballas Rd, Suite 2030, Saint Louis, MO 63141-8253 |
| Benjamin Robert Wiele | Cardiovascular Disease (cardiology) | Mercy Clinic Heart and Vascular LLC | 625 S New Ballas Rd, Suite 2015, Saint Louis, MO 63141-8253 |
| Kristin Louise Fisher | Nurse Practitioner | Mercy Clinic Heart and Vascular LLC | 901 Patients 1st Dr, Washington, MO 63090-4700 |
| Street Address |
625 S NEW BALLAS RD SUITE 2015 |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63141-8253 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leticia Cross | Nurse Practitioner | Mercy Clinic Cardiovascular and Thoracic Surgery LLC | 625 S New Ballas Rd, Suite 7040, Saint Louis, MO 63141-8253 |
| James A Stokes | Internal Medicine | Mercy Clinic Heart and Vascular LLC | 625 S New Ballas Rd, Suite 2030, Saint Louis, MO 63141-8253 |
| Louis V Deane | Cardiovascular Disease (cardiology) | Mercy Clinic Heart and Vascular LLC | 625 S New Ballas Rd, Suite 2030, Saint Louis, MO 63141-8253 |
| Benjamin Robert Wiele | Cardiovascular Disease (cardiology) | Mercy Clinic Heart and Vascular LLC | 625 S New Ballas Rd, Suite 2015, Saint Louis, MO 63141-8253 |
| Robert P Ferrara | Cardiovascular Disease (cardiology) | Mercy Clinic Heart and Vascular LLC | 625 S New Ballas Rd, Suite 2015, Saint Louis, MO 63141-8253 |
| Denise L Janosik | Cardiovascular Disease (cardiology) | Mercy Clinic Heart and Vascular LLC | 625 S New Ballas Rd, Suite 2030, Saint Louis, MO 63141-8253 |
| Anne E Robinson | Physician Assistant | Mercy Clinic Cardiovascular and Thoracic Surgery LLC | 625 S New Ballas Rd, Suite 7040, Saint Louis, MO 63141-8253 |
| Khaled Awad | Cardiac Electrophysiology | Mercy Clinic Heart and Vascular LLC | 625 S New Ballas Rd, Suite 2030, Saint Louis, MO 63141-8253 |
| David J Meiners | General Surgery | Mercy Clinic Surgical Specialists LLC | 625 S New Ballas Rd, 7063 Mercy Clinic Vascular Specialists, Saint Louis, MO 63141-8218 |
| Nicole Rohr | Nurse Practitioner | Mercy Clinic Heart and Vascular LLC | 625 S New Ballas Rd, Suite 2030, Saint Louis, MO 63141-8253 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren M Finnerty | Nurse Practitioner | Associated Physicians Group Ltd | 845 N New Ballas Court, Suite 120, Creve Couer, MO 63141 |
| Enos Moss | Nurse Practitioner | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Matthew Stewart Wilson | Psychiatry | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Erica Chick | Clinical Social Worker | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Thomas Horn | Psychiatry | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Tianyuan Yin Cornell | Psychiatry | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Patricia L Tracy | Physical Therapy | Associated Physicians Group, Ltd | 845 N New Ballas Court, Creve Couer, MO 63141 |
| Kevin O Easley | Gynecological Oncology | Mercy Clinic Gyn Oncology LLC | 607 S New Ballas Rd, Suite 2350, Saint Louis, MO 63141-0001 |
| Kelly L Ball | Nurse Practitioner | Mercy Clinic Gyn Oncology LLC | 607 S New Ballas Rd, Suite 2350, Saint Louis, MO 63141-0001 |
| Amy Kelly Neu | Clinical Social Worker | Fitzgibbons Psychological West County Psychological Associates | 12125 Woodcrest Exec Dr, Suite 110, St Louis, MO 63141-5009 |
| Find all physicians in zip 63141 | |||
| City | SAINT LOUIS |
| Zip Code | 63141 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | SAINT LOUIS + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Deryk Lee Mcdowell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.