Eric D Lederman (NPI# 1255368973, PAC ID# 1759280712) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is COLORECTAL SURGERY (PROCTOLOGY).
| Nation Provider ID (NPI) | 1255368973 |
| PAC ID by PECOS | 1759280712 |
| Professional Enrollment ID | I20100907000678 |
| Full Name | Eric D Lederman |
| Organization Legal Name | MISSOURI BAPTIST PHYSICIAN SERVICES LLC |
| Address |
3015 N Ballas Rd Physician Services St Louis MO 63131-2329 |
| Phone Number | 3149965544 |
| Gender | M |
| Medical School | WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
| Group Practice PAC ID | 0446294342 |
| Number of Group Practice Members | 28 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260108 | MISSOURI BAPTIST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3015 N Ballas Rd, Physician Services, St Louis, MO 63131-2329 | 3149965544 | MISSOURI BAPTIST PHYSICIAN SERVICES LLC |
| 555 N New Ballas Rd, 265 Suburban Surgical, St Louis, MO 63141-6886 | 3149914644 | MISSOURI BAPTIST PHYSICIAN SERVICES LLC |
| Organization Legal Name | MISSOURI BAPTIST PHYSICIAN SERVICES LLC |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy Jean Nickerson | Certified Clinical Nurse Specialist (cns) | Missouri Baptist Physician Services LLC | 3015 N Ballas Rd, Physician Services, St Louis, MO 63131-2329 |
| Michele C Woodley | Gastroenterology | Missouri Baptist Physician Services LLC | 3009 N Ballas Rd, Suite 359c, Saint Louis, MO 63131-2324 |
| Michael Mauney | Thoracic Surgery | Missouri Baptist Physician Services LLC | 3023 N Ballas Rd, Suite 150d, Saint Louis, MO 63131-2319 |
| Todd K Howard | Surgical Oncology | Missouri Baptist Physician Services LLC | 3015 N Ballas Rd, Physician Services, St Louis, MO 63131-2329 |
| Ann M Bayne | Nurse Practitioner | Missouri Baptist Physician Services LLC | 3023 N Ballas Rd, Suite 150d, Saint Louis, MO 63131-2319 |
| Alaa A Elbendary | Gynecological Oncology | Missouri Baptist Physician Services LLC | 3015 N Ballas Rd, Physician Services, St Louis, MO 63131-2329 |
| Mary K Burch | Nurse Practitioner | Missouri Baptist Physician Services LLC | 555 N New Ballas Rd, 265 Suburban Surgical, St Louis, MO 63141-6886 |
| Jack R Oak | Vascular Surgery | Missouri Baptist Physician Services LLC | 3015 N Ballas Rd, Physician Services, St Louis, MO 63131-2329 |
| Jeane L Stohldrier | Physician Assistant | Missouri Baptist Physician Services LLC | 555 N New Ballas Rd, 265 Suburban Surgical, St Louis, MO 63141-6886 |
| Jeffrey E Zuke | General Surgery | Missouri Baptist Physician Services LLC | 3015 N Ballas Rd, Physician Services, St Louis, MO 63131-2329 |
| Street Address |
3015 N BALLAS RD PHYSICIAN SERVICES |
| City | ST LOUIS |
| State | MO |
| Zip | 63131-2329 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley Pike | Nurse Practitioner | Washington University | 3015 N Ballas Rd, Missouri Baptist Medical Center, Saint Louis, MO 63131-2329 |
| Paul S Patane | Anesthesiology | Ballas Anesthesia, Inc | 3015 N Ballas Rd, St Louis, MO 63131-2329 |
| Hilton I Price | Diagnostic Radiology | Midwest Radiological Associates PC | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 |
| Stephen R Davis | Anesthesiology | Ballas Anesthesia, Inc | 3015 N Ballas Rd, St Louis, MO 63131-2329 |
| Terri L Jackson | Certified Registered Nurse Anesthetist (crna) | Ballas Anesthesia, Inc | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 |
| Kelsey L Gutesa | Certified Registered Nurse Anesthetist (crna) | Ballas Anesthesia, Inc | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 |
| Hameem I Kawsar | Internal Medicine | Physician Groups Lc | 3015 N Ballas Rd, Mbmc Hospitalists, Saint Louis, MO 63131-2329 |
| Madhav B Vinjamuri | Anesthesiology | Ballas Anesthesia, Inc | 3015 N Ballas Rd, St Louis, MO 63131-2329 |
| Terri L Kolker | Physician Assistant | Physician Groups Lc | 3015 N Ballas Rd, Mbmc Hospitalists, Saint Louis, MO 63131-2329 |
| Michael J Bolger | Internal Medicine | Missouri Baptist Medical Center | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sajid Zafar | Gastroenterology | 12950 Woodlark Ln, Saint Louis, MO 63131-1314 | |
| Kira S Mailey | Nephrology | 18 Chapel Hill Est, Saint Louis, MO 63131-1315 | |
| Laura A Baldridge | Nurse Practitioner | Superior Healthcare Physical Medicine of West County LLC | 2121 Barrett Station Rd, Saint Louis, MO 63131-1606 |
| Megan M Cox | Nurse Practitioner | Superior Healthcare Physical Medicine of West County LLC | 2121 Barrett Station Rd, Saint Louis, MO 63131-1606 |
| Daniel P Gogliotti | Chiropractic | Superior Healthcare Physical Medicine of West County LLC | 2121 Barrett Station Rd, Saint Louis, MO 63131-1606 |
| Jessica L Hilgedick | Chiropractic | Superior Healthcare Physical Medicine of West County LLC | 2121 Barrett Station Rd, Saint Louis, MO 63131-1606 |
| Robert Becker | Psychologist, Clinical | 2190 S Mason Rd, Suite 200, Saint Louis, MO 63131-1637 | |
| Lauren Christine Sanderson | Nurse Practitioner | West County Rheumatology LLC | 13100 Manchester Rd, Saint Louis, MO 63131-1703 |
| Sona Kamat | Internal Medicine | West County Rheumatology LLC | 13100 Manchester Rd, Saint Louis, MO 63131-1703 |
| Allison Anne Krull | Nurse Practitioner | West County Rheumatology LLC | 13100 Manchester Rd, Saint Louis, MO 63131-1703 |
| Find all physicians in zip 63131 | |||
| City | ST LOUIS |
| Zip Code | 63131 |
| Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
| City + Specialty | ST LOUIS + COLORECTAL SURGERY (PROCTOLOGY) |
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| 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.