Maryellen Frantz (NPI# 1033229190, PAC ID# 3779471081) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1033229190 |
| PAC ID by PECOS | 3779471081 |
| Professional Enrollment ID | I20040309000051 |
| Full Name | Maryellen Frantz |
| Organization Legal Name | GATEWAY GASTROENTEROLOGY INC |
| Address |
12855 N Forty Dr Suite 150 Saint Louiis MO 63141-8662 |
| Phone Number | 3143361130 |
| Gender | F |
| Credential | CNA |
| Graduation Year | 1976 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 2668448713 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260052 | MERCY HOSPITAL WASHINGTON |
| Address | Phone | Organization |
|---|---|---|
| 12855 N Forty Dr, Suite 150, Saint Louiis, MO 63141-8662 | 3143361130 | GATEWAY GASTROENTEROLOGY INC |
| 615 S New Ballas Rd, Dept of Anesthesia, St Louis, MO 63141-8221 | 3142514687 | WESTERN ANESTHESIOLOGY ASSOCIATES INC |
| Organization Legal Name | GATEWAY GASTROENTEROLOGY INC |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey T Kreikemeier | Gastroenterology | Gateway Gastroenterology Inc | 121 Saint Lukes Ctr Dr, Suite 406, Chesterfield, MO 63017-3519 |
| Dianna J Gaffner | Nurse Practitioner | Gateway Gastroenterology Inc | 121 Saint Lukes Ctr Dr, Suite 406, Chesterfield, MO 63017-3519 |
| Jonathan Charles Seccombe | Gastroenterology | Gateway Gastroenterology Inc | 121 Saint Lukes Ctr Dr, Suite 406, Chesterfield, MO 63017-3519 |
| Lisa M Sherrer | Certified Registered Nurse Anesthetist (crna) | Gateway Gastroenterology Inc | 12855 N Forty Dr, Suite 150, Saint Louiis, MO 63141-8662 |
| Angela M Fritschle | Certified Registered Nurse Anesthetist (crna) | Gateway Gastroenterology Inc | 12855 N Forty Dr, Suite 150, Saint Louiis, MO 63141-8662 |
| Jeffrey E Mathews | Gastroenterology | Gateway Gastroenterology Inc | 121 Saint Lukes Ctr Dr, Suite 406, Chesterfield, MO 63017-3519 |
| David D Benage | Gastroenterology | Gateway Gastroenterology Inc | 121 Saint Lukes Ctr Dr, Suite 406, Chesterfield, MO 63017-3519 |
| Kaitlin C Doneff | Nurse Practitioner | Gateway Gastroenterology Inc | 121 Saint Lukes Ctr Dr, Suite 406, Chesterfield, MO 63017-3519 |
| Fred H Williams | Gastroenterology | Gateway Gastroenterology Inc | 121 Saint Lukes Ctr Dr, Suite 406, Chesterfield, MO 63017-3519 |
| Cheri M Carmody | Nurse Practitioner | Gateway Gastroenterology Inc | 121 Saint Lukes Ctr Dr, Suite 406, Chesterfield, MO 63017-3519 |
| Street Address |
12855 N FORTY DR SUITE 150 |
| City | SAINT LOUIIS |
| State | MO |
| Zip | 63141-8662 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa M Sherrer | Certified Registered Nurse Anesthetist (crna) | Gateway Gastroenterology Inc | 12855 N Forty Dr, Suite 150, Saint Louiis, MO 63141-8662 |
| Angela M Fritschle | Certified Registered Nurse Anesthetist (crna) | Gateway Gastroenterology Inc | 12855 N Forty Dr, Suite 150, Saint Louiis, MO 63141-8662 |
| Janet M Schaefer | Certified Registered Nurse Anesthetist (crna) | Gateway Gastroenterology Inc | 12855 N Forty Dr, Suite 150, Saint Louiis, MO 63141-8662 |
| Michael A Huck | Certified Registered Nurse Anesthetist (crna) | Gateway Gastroenterology Inc | 12855 N Forty Dr, Suite 150, Saint Louiis, MO 63141-8662 |
| Tracey L Jackson | Certified Registered Nurse Anesthetist (crna) | Gateway Gastroenterology Inc | 12855 N Forty Dr, Suite 150, Saint Louiis, MO 63141-8662 |
| Kent L Adkins | Urology | American Multispecialty Group Inc | 12855 N Forty Dr, 230 Esse Health Urology Mid County, Saint Louis, MO 63141-8657 |
| Herbert Lubowitz | Internal Medicine | Mercy Clinic East Communities | 12855 N Forty Dr, 280 Mercy Clinic Diabetes and Nutrition Center, St Louis, MO 63141-8657 |
| Daniel James Bauer | Internal Medicine | Mercy Clinic East Communities | 12855 N Forty Dr, 280 Mercy Clinic Diabetes and Nutrition Center, St Louis, MO 63141-8657 |
| Shehzad Qayum | Ophthalmology | Visionary Eyecare and Surgery, Inc. | 12855 N Forty Dr, Suite 260, St Louis, MO 63141-8657 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren M Finnerty | Nurse Practitioner | Associated Physicians Group Ltd | 845 N New Ballas Court, Suite 120, Creve Couer, MO 63141 |
| Enos Moss | Nurse Practitioner | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Matthew Stewart Wilson | Psychiatry | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Erica Chick | Clinical Social Worker | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Thomas Horn | Psychiatry | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Tianyuan Yin Cornell | Psychiatry | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Patricia L Tracy | Physical Therapy | Associated Physicians Group, Ltd | 845 N New Ballas Court, Creve Couer, MO 63141 |
| Kevin O Easley | Gynecological Oncology | Mercy Clinic Gyn Oncology LLC | 607 S New Ballas Rd, Suite 2350, Saint Louis, MO 63141-0001 |
| Kelly L Ball | Nurse Practitioner | Mercy Clinic Gyn Oncology LLC | 607 S New Ballas Rd, Suite 2350, Saint Louis, MO 63141-0001 |
| Amy Kelly Neu | Clinical Social Worker | Fitzgibbons Psychological West County Psychological Associates | 12125 Woodcrest Exec Dr, Suite 110, St Louis, MO 63141-5009 |
| Find all physicians in zip 63141 | |||
| City | SAINT LOUIIS |
| Zip Code | 63141 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | SAINT LOUIIS + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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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.