Kimberly J Phelps (NPI# 1932543527, PAC ID# 3678887189) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1932543527 |
| PAC ID by PECOS | 3678887189 |
| Professional Enrollment ID | I20150728005605 |
| Full Name | Kimberly J Phelps |
| Organization Legal Name | ST LOUIS MINIMALLY INVASIVE SPINE |
| Address |
4590 S Lindbergh Blvd Saint Louis MO 63127-1839 |
| Phone Number | 3142709494 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8921248105 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260020 | MERCY HOSPITAL ST LOUIS |
| 260077 | ST ANTHONY'S MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4590 S Lindbergh Blvd, Saint Louis, MO 63127-1839 | 3142709494 | ST LOUIS MINIMALLY INVASIVE SPINE |
| Organization Legal Name | ST LOUIS MINIMALLY INVASIVE SPINE |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurt M Eichholz | Neurosurgery | St Louis Minimally Invasive Spine | 4590 S Lindbergh Blvd, Saint Louis, MO 63127-1839 |
| Street Address |
4590 S LINDBERGH BLVD |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63127-1839 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurt M Eichholz | Neurosurgery | St Louis Minimally Invasive Spine | 4590 S Lindbergh Blvd, Saint Louis, MO 63127-1839 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alina V Adams | Nurse Practitioner | Ssm Medical Group Inc | 3555 Sunset Office Dr, Suite C100, Saint Louis, MO 63127-1014 |
| Pradeep Kapoor | Internal Medicine | Ssm Medical Group Inc | 3555 Sunset Office Dr, Suite C100, Saint Louis, MO 63127-1014 |
| David Alan Theodoro | Cardiac Surgery | Ssm Medical Group Inc | 3555 Sunset Office Dr, Suite C100, Saint Louis, MO 63127-1014 |
| Ellen R Wertenberger | Physician Assistant | Ssm Medical Group Inc | 3555 Sunset Office Dr, Suite C100, Saint Louis, MO 63127-1014 |
| Dawn M Calabrese | Physician Assistant | Ssm Medical Group Inc | 3555 Sunset Office Dr, Suite C100, Saint Louis, MO 63127-1014 |
| Coralia I Leyderman | Physician Assistant | Ssm Medical Group Inc | 3555 Sunset Office Dr, Suite C100, Saint Louis, MO 63127-1014 |
| Edward S Levy | Obstetrics/gynecology | Ssm Medical Group Inc | 3555 Sunset Office Dr, Suite C100, Saint Louis, MO 63127-1014 |
| Ahmet T Gurbuz | Cardiac Surgery | Ssm Medical Group Inc | 3555 Sunset Office Dr, Suite C100, Saint Louis, MO 63127-1014 |
| Robert Snitzer | Cardiovascular Disease (cardiology) | Ssm Medical Group Inc | 3555 Sunset Office Dr, Suite C100, Saint Louis, MO 63127-1014 |
| John Randall Cornett Ii | Nurse Practitioner | Ssm Medical Group Inc | 3555 Sunset Office Dr, Suite C100, Saint Louis, MO 63127-1014 |
| Find all physicians in zip 63127 | |||
| City | SAINT LOUIS |
| Zip Code | 63127 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SAINT LOUIS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kimberly J Phelps.
| 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.