Yazan A Abdalla (NPI# 1033365358, PAC ID# 4789854068) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1033365358 |
| PAC ID by PECOS | 4789854068 |
| Professional Enrollment ID | I20110823001022 |
| Full Name | Yazan A Abdalla |
| Organization Legal Name | ST ANTHONY'S PHYSICIAN ORGANIZATION |
| Address |
10012 Kennerly Rd Suite 404 Saint Louis MO 63128-2197 |
| Phone Number | 3145435911 |
| Gender | M |
| Graduation Year | 2005 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 4880588938 |
| Number of Group Practice Members | 104 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260077 | ST ANTHONY'S MEDICAL CENTER |
| 260020 | MERCY HOSPITAL ST LOUIS |
| 260023 | MERCY HOSPITAL JEFFERSON |
| Address | Phone | Organization |
|---|---|---|
| 10012 Kennerly Rd, Suite 404, Saint Louis, MO 63128-2197 | 3145435911 | ST ANTHONY'S PHYSICIAN ORGANIZATION |
| Organization Legal Name | ST ANTHONY'S PHYSICIAN ORGANIZATION |
| Physicians | 112 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren Elise Carqueville | Nurse Practitioner | St Anthony's Physician Organization | 1001 S Kirkwood Rd, Suite 300, Kirkwood, MO 63122-7250 |
| Samantha E Kamp | Nurse Practitioner | St Anthony's Physician Organization | 7345 Watson Rd, St Anthony's Neurosurgery Specialists, Saint Louis, MO 63119-4405 |
| Amila Tomas | Nurse Practitioner | St Anthony's Physician Organization | 12700 Southfork Rd, Suite 200, Saint Louis, MO 63128-3201 |
| Michael Farell Massa | Psychiatry | St Anthony's Physician Organization | 10020 Kennerly Rd, Saint Louis, MO 63128-2106 |
| Rachel M Ott | Nurse Practitioner | St Anthony's Physician Organization | 12700 Kennerly Rd, Suite 220, Saint Louis, MO 63128 |
| Hisham Taher | Critical Care (intensivists) | St Anthony's Physician Organization | 4850 Lemay Ferry Rd, Suite 210, Saint Louis, MO 63129-1576 |
| Nancy Birner | Pediatric Medicine | St Anthony's Physician Organization | 2900 Lemay Ferry Rd, Suite 104, Saint Louis, MO 63125-3915 |
| Panduranga R Koya | Internal Medicine | St Anthony's Physician Organization | 313 Augustine Rd, Eureka, MO 63025-1935 |
| Mena M Luangjamekorn | Family Medicine | St Anthony's Physician Organization | 1717 Catlin Dr, Barnhart, MO 63012-1216 |
| Bassam Ar Hadi | Neurosurgery | St Anthony's Physician Organization | 5425 Southfield Ctr, Saint Louis, MO 63123-5984 |
| Street Address |
10012 KENNERLY RD SUITE 404 |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63128-2197 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michele R Yu | Nurse Practitioner | The Heart Specialty Associates LLC | 10012 Kennerly Rd, Suite 300, Saint Louis, MO 63128-2197 |
| Jeane E Kiene | Nurse Practitioner | The Heart Specialty Associates LLC | 10012 Kennerly Rd, Suite 300, Saint Louis, MO 63128-2197 |
| Thomas B Morrison | Cardiovascular Disease (cardiology) | The Heart Specialty Associates LLC | 10012 Kennerly Rd, Suite 300, Saint Louis, MO 63128-2197 |
| Amy E Moran | Nurse Practitioner | The Heart Specialty Associates LLC | 10012 Kennerly Rd, Suite 305, Saint Louis, MO 63128-2197 |
| Lesley M Endermuhle | Nurse Practitioner | The Heart Specialty Associates LLC | 10012 Kennerly Rd, Suite 305, Saint Louis, MO 63128-2197 |
| Brooke N Shadel | Dermatology | Dermatological Care, Inc. | 10012 Kennerly Rd, Suite 401, Saint Louis, MO 63128-2197 |
| Tina L Mooney | Nurse Practitioner | The Heart Specialty Associates LLC | 10012 Kennerly Rd, Suite 403, Saint Louis, MO 63128-2197 |
| Jamie Christine Joyce | Obstetrics/gynecology | St Anthony's Physician Organization | 10012 Kennerly Rd, Suite 405, Saint Louis, MO 63128-2197 |
| Leslie E Foss | Nurse Practitioner | The Heart Specialty Associates LLC | 10012 Kennerly Rd, Suite 305, Saint Louis, MO 63128-2197 |
| Diane M Stierwalt | Nurse Practitioner | The Heart Specialty Associates LLC | 10012 Kennerly Rd, Suite 403, Saint Louis, MO 63128-2197 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel M Ott | Nurse Practitioner | St Anthony's Physician Organization | 12700 Kennerly Rd, Suite 220, Saint Louis, MO 63128 |
| Shephali H Wulff | Infectious Disease | Infectious Diseases PC | 330 1st Capitol Dr, Suite 260, St Charles, MO 63128 |
| Marie E Wehner | Optometry | Vision Care Consultants Inc | 12121 Tesson Ferry Professional Ctr, Saint Louis, MO 63128-1250 |
| David Brian Seibel | Optometry | Vision Care Consultants Inc | 12121 Tesson Ferry Professional Ctr, Saint Louis, MO 63128-1250 |
| Craig Mathew Brawley | Optometry | Vision Care Consultants Inc | 12121 Tesson Ferry Professional Ctr, Saint Louis, MO 63128-1250 |
| John D Friederich | Optometry | Vision Care Consultants Inc | 12121 Tesson Ferry Professional Ctr, Saint Louis, MO 63128-1250 |
| Michelle E Nogalski | Physical Therapy | Prorehab PC | 107 Concord Plaza Shopping Ctr, Saint Louis, MO 63128-1307 |
| Yvonne M Layugan | Family Medicine | 123 Concord Plaza Shopping Ctr, Saint Louis, MO 63128-1307 | |
| Megan R Anna | Physical Therapy | Prorehab PC | 107 Concord Plaza Shopping Ctr, Saint Louis, MO 63128-1307 |
| Christopher J Tabor | Physical Therapy | The Physical Therapy Center, Inc. | 12048 Tesson Ferry Rd, Saint Louis, MO 63128-1727 |
| Find all physicians in zip 63128 | |||
| City | SAINT LOUIS |
| Zip Code | 63128 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | SAINT LOUIS + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Yazan A Abdalla.
| 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.