Russell R Kraeger (NPI# 1396746210, PAC ID# 6901954205) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1396746210 |
| PAC ID by PECOS | 6901954205 |
| Professional Enrollment ID | I20090424000173 |
| Full Name | Russell R Kraeger |
| Address |
1400 Lemay Ferry Rd Saint Louis MO 63125-2417 |
| Gender | M |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1967 |
| Primary Specialty | GENERAL SURGERY |
| Secondary Specialties | THORACIC SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260210 | ST ALEXIUS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1400 Lemay Ferry Rd, Saint Louis, MO 63125-2417 |
| Street Address |
1400 LEMAY FERRY RD |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63125-2417 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward A Hengel | Chiropractic | 4006 Bayless Ave, Saint Louis, MO 63125-1314 | |
| Brook C Raye | Nurse Practitioner | Institute for Research and Education In Family Medicine | 9417 S Broadway, Saint Louis, MO 63125-2009 |
| Marta R Gray | Nurse Practitioner | Institute for Research and Education In Family Medicine | 9417 S Broadway, Saint Louis, MO 63125-2009 |
| David C Campbell | Family Medicine | Institute for Research and Education In Family Medicine | 9417 S Broadway, Saint Louis, MO 63125-2009 |
| Stacy L Lobello | Nurse Practitioner | Institute for Research and Education In Family Medicine | 9417 S Broadway, Saint Louis, MO 63125-2009 |
| Chontay L Mckay | Nurse Practitioner | Institute for Research and Education In Family Medicine | 9417 S Broadway, Saint Louis, MO 63125-2009 |
| Kenya S Shotwell | Nurse Practitioner | Institute for Research and Education In Family Medicine | 9417 S Broadway, Saint Louis, MO 63125-2009 |
| Syreeta Van Ross | Nurse Practitioner | Ipc Pac Healthcare Services of Missouri Inc | 4005 Ripa Ave, Saint Louis, MO 63125-2378 |
| William F Sudholt | Internal Medicine | Ipc Pac Healthcare Services of Missouri Inc | 4005 Ripa Ave, Saint Louis, MO 63125-2378 |
| Tiffany L Nelson | Nurse Practitioner | Ipc Pac Healthcare Services of Missouri Inc | 4005 Ripa Ave, Saint Louis, MO 63125-2378 |
| Find all physicians in zip 63125 | |||
| City | SAINT LOUIS |
| Zip Code | 63125 |
| Specialty | GENERAL SURGERY |
| City + Specialty | SAINT LOUIS + GENERAL SURGERY |
Please comment or provide details below to improve the information on Russell R Kraeger.
| 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.