Kendall A Itoku (NPI# 1699870162, PAC ID# 3971509522) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1699870162 |
| PAC ID by PECOS | 3971509522 |
| Professional Enrollment ID | I20100329000623 |
| Full Name | Kendall A Itoku |
| Organization Legal Name | BJSPH PHYSICIAN BILLING SERVICES, LLC |
| Address |
20 Progress Point Pkwy Suite 108 O Fallon MO 63368-2207 |
| Phone Number | 6363443711 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 3678728763 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260179 | ST LUKES HOSPITAL |
| 260219 | PROGRESS WEST HOSPITAL |
| 260108 | MISSOURI BAPTIST MEDICAL CENTER |
| 260005 | SSM ST JOSEPH HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 111 Saint Lukes Ctr Dr, Suite 40, Chesterfield, MO 63017-3509 | 3144343433 | UROLOGY OF ST. LOUIS, INC |
| 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 | 6363443711 | BJSPH PHYSICIAN BILLING SERVICES, LLC |
| 3555 Sunset Office Dr, Suite C100, Saint Louis, MO 63127-1014 | 3142389100 | SSM MEDICAL GROUP INC |
| Organization Legal Name | BJSPH PHYSICIAN BILLING SERVICES, LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth A Hacker | General Surgery | Bjsph Physician Billing Services, LLC | 6 Jungermann Cir, Suite 205, Saint Peters, MO 63376-1625 |
| Laurel A Yeager | General Surgery | Bjsph Physician Billing Services, LLC | 6 Jungermann Cir, Suite 205, Saint Peters, MO 63376-1625 |
| Jerad Paul Miller | General Surgery | Bjsph Physician Billing Services, LLC | 6 Jungermann Cir, Suite 205, Saint Peters, MO 63376-1625 |
| Andrew Thomas Blackburne | Urology | Bjsph Physician Billing Services, LLC | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Christopher Dennis Jaeger | Urology | Bjsph Physician Billing Services, LLC | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Jennifer L Etling | General Surgery | Bjsph Physician Billing Services, LLC | 6 Jungermann Cir, Suite 205, Saint Peters, MO 63376-1625 |
| Daniel J Bergmann | General Surgery | Bjsph Physician Billing Services, LLC | 6 Jungermann Cir, Suite 205, Saint Peters, MO 63376-1625 |
| Street Address |
20 PROGRESS POINT PKWY SUITE 108 |
| City | O FALLON |
| State | MO |
| Zip | 63368-2207 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle L Maloney | Nurse Practitioner | Physician Groups Lc | 20 Progress Point Pkwy, Suite 206, O Fallon, MO 63368-2207 |
| Brian Grus | Internal Medicine | Physician Groups Lc | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Gloria Michelle P Edacheril | Nurse Practitioner | Physician Groups Lc | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Bridget Doerr | Nurse Practitioner | Physician Groups Lc | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Genevieve Catherine Matthews | Internal Medicine | Physician Groups Lc | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Yolanda Bledsoe | Internal Medicine | Physician Groups Lc | 20 Progress Point Pkwy, Suite 206, O Fallon, MO 63368-2207 |
| Kirsten M Mcdaniel | Obstetrics/gynecology | 20 Progress Point Pkwy, Suite 200, O Fallon, MO 63368-2207 | |
| Andrew Thomas Blackburne | Urology | Bjsph Physician Billing Services, LLC | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Christopher Dennis Jaeger | Urology | Bjsph Physician Billing Services, LLC | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Loria A Lindsey | Obstetrics/gynecology | 20 Progress Point Pkwy, Suite 200, O Fallon, MO 63368-2207 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Austin F Clark | Physical Therapy | Prorehab PC | 951 Waterbury Falls Dr, O Fallon, MO 63368-2202 |
| Jeffrey S Swank | Physical Therapy | Prorehab PC | 951 Waterbury Falls Dr, O Fallon, MO 63368-2202 |
| Benjamin L Schaub | Physical Therapy | Prorehab PC | 951 Waterbury Falls Dr, O Fallon, MO 63368-2202 |
| Donald T Thorsen | Occupational Therapy | Prorehab PC | 951 Waterbury Falls Dr, O Fallon, MO 63368-2202 |
| Theodore S Rummel | Orthopedic Surgery | Piper Spine Care, PC | 2 Progress Point Pkwy, O Fallon, MO 63368-2205 |
| Milton O Ochieng | Gastroenterology | Physician Groups Lc | 20 Progress Point Pkwy, Suite 206, O Fallon, MO 63368-2207 |
| Angela C Clercx | Nurse Practitioner | Physician Groups Lc | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Jamie L Tueth | Internal Medicine | Physician Groups Lc | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Valentina Jordan Moore | Nurse Practitioner | Physician Groups Lc | 20 Progress Point Pkwy, Suite 206, O Fallon, MO 63368-2207 |
| Martin B Ast | Cardiovascular Disease (cardiology) | Physician Groups Lc | 20 Progress Point Pkwy, Suite 206, O Fallon, MO 63368-2207 |
| Find all physicians in zip 63368 | |||
| City | O FALLON |
| Zip Code | 63368 |
| Specialty | UROLOGY |
| City + Specialty | O FALLON + UROLOGY |
Please comment or provide details below to improve the information on Kendall A Itoku.
| 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.