David Kantor (NPI# 1801994926, PAC ID# 3375620909) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1801994926 |
| PAC ID by PECOS | 3375620909 |
| Professional Enrollment ID | I20080408000088 |
| Full Name | David Kantor |
| Organization Legal Name | PREMIER MEDICAL PHYSICIANS LLC |
| Address |
2325 Dougherty Ferry Rd Suite 104 Saint Louis MO 63122-3356 |
| Phone Number | 3148216889 |
| Gender | M |
| Graduation Year | 1977 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6507129699 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260176 | DES PERES HOSPITAL |
| 260179 | ST LUKES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2325 Dougherty Ferry Rd, Suite 104, Saint Louis, MO 63122-3356 | 3148216889 | PREMIER MEDICAL PHYSICIANS LLC |
| Organization Legal Name | PREMIER MEDICAL PHYSICIANS LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vincent P Fortunato | Internal Medicine | Premier Medical Physicians LLC | 6651 Chippewa St, Suite 322, Saint Louis, MO 63109-2532 |
| Brenda L Buckley | Family Medicine | Premier Medical Physicians LLC | 1747 Smizer Station Rd, Suite 5, Fenton, MO 63026-2784 |
| Anahit Danielyan | Internal Medicine | Premier Medical Physicians LLC | 2315 Dougherty Ferry Rd, Suite 109a, Saint Louis, MO 63122-3383 |
| Michele Neudecker | Nurse Practitioner | Premier Medical Physicians LLC | 6651 Chippewa St, Suite 322, Saint Louis, MO 63109-2532 |
| James Ginther Jr. | Internal Medicine | Premier Medical Physicians LLC | 6651 Chippewa St, Suite 322, Saint Louis, MO 63109-2532 |
| Kellie Hopkins | Nurse Practitioner | Premier Medical Physicians LLC | 1747 Smizer Station Rd, Suite 5, Fenton, MO 63026-2784 |
| Street Address |
2325 DOUGHERTY FERRY RD SUITE 104 |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63122-3356 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hala F Adil | Dermatology | Epiphany Dermatology of Missouri LLC | 2325 Dougherty Ferry Rd, Suite 201, Saint Louis, MO 63122-3356 |
| John Judd | Obstetrics/gynecology | 2325 Dougherty Ferry Rd, Suite 206, Saint Louis, MO 63122-3356 | |
| Oliver A Mckee | Dermatology | Epiphany Dermatology of Missouri LLC | 2325 Dougherty Ferry Rd, Suite 201, Saint Louis, MO 63122-3356 |
| Michael Slade Stratton | Dermatology | Epiphany Dermatology of Missouri LLC | 2325 Dougherty Ferry Rd, Suite 201, Saint Louis, MO 63122-3356 |
| Naseem A Shekhani | Physical Medicine and Rehabilitation | 2325 Dougherty Ferry Rd, Suite 203, St Louis, MO 63122-3356 | |
| Dirk E Roberts | Nurse Practitioner | Orthopedic Specialists, PC | 2325 Dougherty Ferry Rd, Suite 100, St Louis, MO 63122-3356 |
| Matthew D Collard | Orthopedic Surgery | Orthopedic Specialists, PC | 2325 Dougherty Ferry Rd, Suite 100, St Louis, MO 63122-3356 |
| Michael C Chabot | Orthopedic Surgery | Orthopedic Specialists, PC | 2325 Dougherty Ferry Rd, Suite 100, St Louis, MO 63122-3356 |
| Angela Peter | Nurse Practitioner | Orthopedic Specialists, PC | 2325 Dougherty Ferry Rd, St Louis, MO 63122-3356 |
| Michelle S Adorjan | Nurse Practitioner | St Louis University | 2325 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 |
| Find all physicians in the same address | |||
| 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 | SAINT LOUIS |
| Zip Code | 63122 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SAINT LOUIS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on David Kantor.
| 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.