Manohar Gajjela (NPI# 1942594106, PAC ID# 1557582087) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HOSPITALIST.
| Nation Provider ID (NPI) | 1942594106 |
| PAC ID by PECOS | 1557582087 |
| Professional Enrollment ID | I20170913000195 |
| Full Name | Manohar Gajjela |
| Organization Legal Name | PHYSICIAN GROUPS LC |
| Address |
11133 Dunn Rd Suite 2427 Saint Louis MO 63136-6163 |
| Phone Number | 3146535643 |
| Gender | M |
| Graduation Year | 2006 |
| Primary Specialty | HOSPITALIST |
| Group Practice PAC ID | 3072421254 |
| Number of Group Practice Members | 348 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150021 | PARKVIEW REGIONAL MEDICAL CENTER |
| 260180 | CHRISTIAN HOSPITAL NORTHEAST |
| 150101 | PARKVIEW WHITLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2602662020 | PARKVIEW HEALTH SYSTEM INC |
| 11133 Dunn Rd, Suite 2427, Saint Louis, MO 63136-6163 | 3146535643 | PHYSICIAN GROUPS LC |
| Organization Legal Name | PHYSICIAN GROUPS LC |
| Physicians | 360 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John David Edward Cooper | Obstetrics/gynecology | Physician Groups Lc | 1103 W Liberty St, Farmington, MO 63640-1986 |
| Kwabena Owusu Dekyi | Family Medicine | Physician Groups Lc | 7415 A N Lindbergh Blvd, Hazelwood, MO 63042-2120 |
| Amy Elizabeth Roberts | Family Medicine | Physician Groups Lc | 8888 Ladue Rd, Suite 210, Saint Louis, MO 63124-2005 |
| Jane Isabelle Foreman | Nurse Practitioner | Physician Groups Lc | 605 C Douglas Dr, Ashland, MO 65010-9088 |
| Shahed N Badiyan | Radiation Oncology | Physician Groups Lc | 150 Entrance Way, Siteman Cancer Center, Saint Peters, MO 63376-1645 |
| Carlos A Rubio-reyes | Family Medicine | Physician Groups Lc | 900 Rain Forest Pkwy, Suite B, Columbia, MO 65202-3796 |
| Mindy Lou Doscher | Nurse Practitioner | Physician Groups Lc | 900 W Nifong Blvd, Suite 101, Columbia, MO 65203-4469 |
| Sarah Z Martin | Nurse Practitioner | Physician Groups Lc | 3844 S Lindbergh Blvd, Suite 120, Saint Louis, MO 63127-1369 |
| Mary Hoang | Family Medicine | Physician Groups Lc | 6261 Ronald Reagan Dr, Suite B19, Lake Saint Louis, MO 63367-2665 |
| Melinda C Hart | Nurse Practitioner | Physician Groups Lc | 108 Market St, Glasgow, MO 65254-1053 |
| Street Address |
11133 DUNN RD SUITE 2427 |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63136-6163 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dia Milazzo | Certified Registered Nurse Anesthetist (crna) | Midwest Anesthesia Providers Sc | 11133 Dunn Rd, Saint Louis, MO 63136-6163 |
| Yunhong Zhang | Anesthesiology | Midwest Anesthesia Providers Sc | 11133 Dunn Rd, Saint Louis, MO 63136-6163 |
| Sylvia G Hoormann | Certified Registered Nurse Anesthetist (crna) | Midwest Anesthesia Providers Sc | 11133 Dunn Rd, Saint Louis, MO 63136-6163 |
| Michelle L Heffron | Certified Clinical Nurse Specialist (cns) | Washington University | 11133 Dunn Rd, Saint Louis, MO 63136-6119 |
| Melissa J Lueking | Hospitalist | Physician Groups Lc | 11133 Dunn Rd, Suite 2427, Saint Louis, MO 63136-6163 |
| Meghan E Greaves | Anesthesiology Assistant | Midwest Anesthesia Providers Sc | 11133 Dunn Rd, Saint Louis, MO 63136-6163 |
| Hermance Fortune | Nurse Practitioner | Southeastern Emergency Services of Memphis PC | 11133 Dunn Rd, Saint Louis, MO 63136-6163 |
| Suresh Basnet | Critical Care (intensivists) | Washington University | 11133 Dunn Rd, Saint Louis, MO 63136-6163 |
| Christine E Nance | Certified Registered Nurse Anesthetist (crna) | Midwest Anesthesia Providers Sc | 11133 Dunn Rd, Saint Louis, MO 63136-6163 |
| Jared L Ross | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 11133 Dunn Rd, Saint Louis, MO 63136-6163 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tanika C Mcclary | Nurse Practitioner | 10135 W Florissant Ave, Saint Louis, MO 63136-2103 | |
| Bhajan S Dara | Internal Medicine | Metro St Louis Renal Services Inc | 10160 W Florissant Ave, Suite 200, Saint Louis, MO 63136-2104 |
| Pradeep A Chandra | Cardiovascular Disease (cardiology) | St Louis Heart and Vascular PC | 2880 Netherton Dr, Suite 102, Saint Louis, MO 63136-4649 |
| Akinrinola Fatoki | Family Medicine | 2880 Netherton Dr, Suite 200, Saint Louis, MO 63136-4649 | |
| Reynal L Caldwell | General Practice | 2880 Netherton Dr, Suite 103, Saint Louis, MO 63136-4649 | |
| Meredith A Schoene | Nurse Practitioner | David J. Pernikoff, Md, PC | 2865 Netherton, St Louis, MO 63136-4674 |
| Juan O Carden | Hematology/oncology | 2865 Netherton Dr, Saint Louis, MO 63136-4674 | |
| Kamil Dostalik | Physical Therapy | Physical Therapy Consultants, Inc | 2865 Netherton Dr, Saint Louis, MO 63136-4674 |
| Steven M Mense | Physical Therapy | Physical Therapy Consultants, Inc | 2865 Netherton Dr, Saint Louis, MO 63136-4674 |
| Michael P Tuckey | Physical Therapy | Physical Therapy Consultants, Inc | 2865 Netherton Dr, Saint Louis, MO 63136-4674 |
| Find all physicians in zip 63136 | |||
| City | SAINT LOUIS |
| Zip Code | 63136 |
| Specialty | HOSPITALIST |
| City + Specialty | SAINT LOUIS + HOSPITALIST |
Please comment or provide details below to improve the information on Manohar Gajjela.
| 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.