Eric J Sutphen (NPI# 1932170859, PAC ID# 4082677232) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
| Nation Provider ID (NPI) | 1932170859 |
| PAC ID by PECOS | 4082677232 |
| Professional Enrollment ID | I20041115000186 |
| Full Name | Eric J Sutphen |
| Organization Legal Name | PRO PHYSICIANS CLINIC PA |
| Address |
450 N New Ballas Rd 70 Saint Louis MO 63141-6833 |
| Phone Number | 3146653096 |
| Gender | M |
| Credential | MD |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | RADIATION ONCOLOGY |
| Group Practice PAC ID | 1254497274 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260108 | MISSOURI BAPTIST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 215 Dunn Rd, Florissant, MO 63031-7928 | 3143159917 | METROPOLITAN UROLOGICAL SPECIALISTS PC |
| 12855 N 40 Dr, Suite 375, Saint Louis, MO 63141-8657 | 3145676071 | UROLOGY OF ST. LOUIS, INC |
| 450 N New Ballas Rd 70, Saint Louis, MO 63141-6833 | 3146653096 | PRO PHYSICIANS CLINIC PA |
| Organization Legal Name | PRO PHYSICIANS CLINIC PA |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy D Nichols | Radiation Oncology | Pro Physicians Clinic Pa | 2800 E Hwy 114, Suite 130, Trophy Club, TX 76262-5305 |
| Kimberly Denise Stewart | Radiation Oncology | Pro Physicians Clinic Pa | 7718 Louis Pasteur Ct, San Antonio, TX 78229-3473 |
| Anita Tharian | Hematology/oncology | Pro Physicians Clinic Pa | 1645 N Town E Blvd, Suite 503, Mesquite, TX 75150-4147 |
| Gary Young | Radiation Oncology | Pro Physicians Clinic Pa | 11801 S Fwy, Suite 201, Burleson, TX 76028-7021 |
| Trevor Lim | Radiation Oncology | Pro Physicians Clinic Pa | 12705 Toepperwein Rd, Live Oak, TX 78233-3257 |
| Amy P Cripps | Hematology/oncology | Pro Physicians Clinic Pa | 6957 W Plano Pkwy, Suite 1100, Plano, TX 75093-1621 |
| Matthew L Cavey | Radiation Oncology | Pro Physicians Clinic Pa | 11801 S Fwy, Suite 201, Burleson, TX 76028-7021 |
| Street Address |
450 N NEW BALLAS RD 70 |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63141-6833 |
| 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 LOUIS |
| Zip Code | 63141 |
| Specialty | RADIATION ONCOLOGY |
| City + Specialty | SAINT LOUIS + RADIATION ONCOLOGY |
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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.