Mark P Walsma (NPI# 1649295205, PAC ID# 2466472683) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1649295205 |
| PAC ID by PECOS | 2466472683 |
| Professional Enrollment ID | I20051202000560 |
| Full Name | Mark P Walsma |
| Organization Legal Name | MERCY EAST AMBULATORY SERVICES LLC |
| Address |
10700 Manchester Rd Suite E Kirkwood MO 63122-1307 |
| Phone Number | 3144289541 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 2365739240 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 11445 Olive Blvd, Creve Coeur, MO 63141-7108 | 3144289543 | MERCY EAST AMBULATORY SERVICES LLC |
| 10700 Manchester Rd, Suite E, Kirkwood, MO 63122-1307 | 3144289541 | MERCY EAST AMBULATORY SERVICES LLC |
| Organization Legal Name | MERCY EAST AMBULATORY SERVICES LLC |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Trisha Lynn Waters | Nurse Practitioner | Mercy East Ambulatory Services LLC | 11445 Olive Blvd, Creve Coeur, MO 63141-7108 |
| Audrey M Heath | Nurse Practitioner | Mercy East Ambulatory Services LLC | 1326 Clarkson Clayton Ctr, Ellisville, MO 63011-2145 |
| Rachel Landgraf | Nurse Practitioner | Mercy East Ambulatory Services LLC | 13275 Manchester Rd, Saint Louis, MO 63131-1748 |
| Chereka S Kluttz | Family Medicine | Mercy East Ambulatory Services LLC | 409 Lafayette Ctr, Manchester, MO 63011-3943 |
| Carl N Peters | Family Medicine | Mercy East Ambulatory Services LLC | 10700 Manchester Rd, Suite E, Kirkwood, MO 63122-1307 |
| Elizabeth Johnson | Nurse Practitioner | Mercy East Ambulatory Services LLC | 11445 Olive Blvd, Creve Coeur, MO 63141-7108 |
| Laura Marie Viero-dothage | Emergency Medicine | Mercy East Ambulatory Services LLC | 11445 Olive Blvd, Creve Coeur, MO 63141-7108 |
| Christy M Dyer | Nurse Practitioner | Mercy East Ambulatory Services LLC | 10700 Manchester Rd, Suite E, Kirkwood, MO 63122-1307 |
| Kristina H Flegel | Nurse Practitioner | Mercy East Ambulatory Services LLC | 409 Lafayette Ctr, Manchester, MO 63011-3943 |
| Julie R Irwin | Nurse Practitioner | Mercy East Ambulatory Services LLC | 11445 Olive Blvd, Creve Coeur, MO 63141-7108 |
| Street Address |
10700 MANCHESTER RD SUITE E |
| City | KIRKWOOD |
| State | MO |
| Zip | 63122-1307 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carl N Peters | Family Medicine | Mercy East Ambulatory Services LLC | 10700 Manchester Rd, Suite E, Kirkwood, MO 63122-1307 |
| Christy M Dyer | Nurse Practitioner | Mercy East Ambulatory Services LLC | 10700 Manchester Rd, Suite E, Kirkwood, MO 63122-1307 |
| Shannon Diann Pyle | Nurse Practitioner | Mercy East Ambulatory Services LLC | 10700 Manchester Rd, Suite E, Kirkwood, MO 63122-1307 |
| Dawn M Forbes | Nurse Practitioner | Mercy East Ambulatory Services LLC | 10700 Manchester Rd, Suite E, Kirkwood, MO 63122-1307 |
| Teresa J Hambley | Nurse Practitioner | Mercy East Ambulatory Services LLC | 10700 Manchester Rd, Suite E, Kirkwood, MO 63122-1307 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank J Mistretta | Chiropractic | 11229 Manchester Rd, Saint Louis, MO 63122-1122 | |
| Deborah G Lavender | Physical Therapy | 11247 Manchester Rd, Kirkwood, MO 63122-1122 | |
| Linda Patton Walsh | Physical Therapy | Transfiguration Inc | 11247 Manchester Rd, Kirkwood, MO 63122-1122 |
| James W Hankinson | Chiropractic | 11216 Manchester Rd, Kirkwood, MO 63122-1123 | |
| John T Scarlas | Qualified Audiologist | Greentree Audiology Inc | 10900 Manchester Rd, Suite 202, Kirkwood, MO 63122-1200 |
| Russell W Pickett | Qualified Audiologist | Greentree Audiology Inc | 10900 Manchester Rd, Suite 202, Kirkwood, MO 63122-1200 |
| Sherry K Pickett | Qualified Audiologist | Greentree Audiology Inc | 10900 Manchester Rd, Suite 202, Kirkwood, MO 63122-1200 |
| Dawn Gross | Clinical Social Worker | 11042 Manchester Rd, Kirkwood, MO 63122-1244 | |
| Lorie M Mcreynolds | Optometry | 11023 Manchester Rd, Kirkwood, MO 63122-1254 | |
| Sidney D Ybarra | Chiropractic | 11029 Manchester Rd, Saint Louis, MO 63122-1254 | |
| Find all physicians in zip 63122 | |||
| City | KIRKWOOD |
| Zip Code | 63122 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | KIRKWOOD + INTERNAL MEDICINE |
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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.