Travis W Dum (NPI# 1578829958, PAC ID# 7214233766) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1578829958 |
| PAC ID by PECOS | 7214233766 |
| Professional Enrollment ID | I20170619002099 |
| Full Name | Travis W Dum |
| Organization Legal Name | UROLOGY OF ST. LOUIS, INC |
| Address |
112 Piper Hill Dr Suite 12 Saint Peters MO 63376-1690 |
| Phone Number | 6369399202 |
| Gender | M |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 6204723786 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260191 | BARNES-JEWISH ST PETERS HOSPITAL |
| 260104 | SSM DEPAUL HEALTH CENTER |
| 260005 | SSM ST JOSEPH HEALTH CENTER |
| 260081 | SSM ST CLARE HEALTH CENTER |
| 260179 | ST LUKES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 12277 Depaul Dr, Suite 201, Bridgeton, MO 63044 | 3147398844 | SSM MEDICAL GROUP INC |
| 112 Piper Hill Dr, Suite 12, Saint Peters, MO 63376-1690 | 6369399202 | UROLOGY OF ST. LOUIS, INC |
| Organization Legal Name | UROLOGY OF ST. LOUIS, INC |
| Physicians | 35 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel Porter | Nurse Practitioner | Urology of St. Louis, Inc | 12855 N 40 Dr, Suite 375, Saint Louis, MO 63141-8657 |
| Matthew T. Johnson | Urology | Urology of St. Louis, Inc | 6812 State Route 162 200, Maryville, IL 62062-8562 |
| James Rybak | Urology | Urology of St. Louis, Inc | 4550 Memorial Dr, Suite 280, Belleville, IL 62226-5372 |
| Joseph Levy | Urology | Urology of St. Louis, Inc | 112 Piper Hill Dr, Suite 12, Saint Peters, MO 63376-1690 |
| Danielle N Fries | Nurse Practitioner | Urology of St. Louis, Inc | 12855 N 40 Dr, Suite 375, Saint Louis, MO 63141-8657 |
| Asim Razzaq | Urology | Urology of St. Louis, Inc | 11155 Dunn Rd, Suite 309e, Saint Louis, MO 63136-6111 |
| David W Keetch | Urology | Urology of St. Louis, Inc | 450 N New Ballas Rd, Suite 70, St Louis, MO 63141-6883 |
| Brad C White | Urology | Urology of St. Louis, Inc | 450 N New Ballas Rd, Suite 70, St Louis, MO 63141-6883 |
| Matthew Spellman | Urology | Urology of St. Louis, Inc | 450 N New Ballas Rd, Suite 70, St Louis, MO 63141-6883 |
| Seth Strope | Urology | Urology of St. Louis, Inc | 12855 N 40 Dr, Suite 375, Saint Louis, MO 63141-8657 |
| Street Address |
112 PIPER HILL DR SUITE 12 |
| City | SAINT PETERS |
| State | MO |
| Zip | 63376-1690 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph Levy | Urology | Urology of St. Louis, Inc | 112 Piper Hill Dr, Suite 12, Saint Peters, MO 63376-1690 |
| Beth K Levy | Pathology | Urology of St. Louis, Inc | 112 Piper Hill Dr, Saint Peters, MO 63376-1690 |
| Ronan Y Lev | Urology | Urology of St. Louis, Inc | 112 Piper Hill Dr, Suite 12, Saint Peters, MO 63376-1690 |
| Sarah R Lavy | Nurse Practitioner | Urology of St. Louis, Inc | 112 Piper Hill Dr, Suite 12, Saint Peters, MO 63376-1690 |
| Joy N Bittle | Physician Assistant | St Peters Bone and Joint Surgery Inc | 112 Piper Hill Dr, Suite 1, Saint Peters, MO 63376-1690 |
| Jennifer M Eickhoff | Nurse Practitioner | St Peters Bone and Joint Surgery Inc | 112 Piper Hill Dr, Suite 1, Saint Peters, MO 63376-1690 |
| Anthony M Lombardo | Podiatry | St Peters Bone and Joint Surgery Inc | 112 Piper Hill Dr, Suite 1, Saint Peters, MO 63376-1690 |
| Laura T Schmidt | Nurse Practitioner | St Peters Bone and Joint Surgery Inc | 112 Piper Hill Dr, Suite 1, Saint Peters, MO 63376-1690 |
| John W Mcallister | Orthopedic Surgery | St Peters Bone and Joint Surgery Inc | 112 Piper Hill Dr, Suite 1, Saint Peters, MO 63376-1690 |
| Brandon D Larkin | Sports Medicine | St Peters Bone and Joint Surgery Inc | 112 Piper Hill Dr, Suite 1, Saint Peters, MO 63376-1690 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary K Knight Macheca | Nurse Practitioner | Physician Groups Lc | 201 Bjc St Peters Dr, Suite 200, St Peters, MO 63376 |
| Stanley Mathew | Endocrinology | Physician Groups Lc | 201 Bjc St Peters Dr, Suite 200, St Peters, MO 63376 |
| Mei Chris Huang | Gastroenterology | Physician Groups Lc | 201 Bjc St Peters Dr, Suite 200, St Peters, MO 63376 |
| Ranjani P Ramanathan | Endocrinology | Physician Groups Lc | 201 Bjc St Peters Dr, Suite 200, St Peters, MO 63376 |
| Brittany Nicole Lyons | Nurse Practitioner | Physician Groups Lc | 201 Bjc St Peters Dr, Suite 200, St Peters, MO 63376 |
| Prajakta Mungikar | Internal Medicine | Physician Groups Lc | 201 Bjc St Peters Dr, Suite 200, St Peters, MO 63376 |
| Dianna J Ohlman | Nurse Practitioner | Physician Groups Lc | 201 Bjc St Peters Dr, Suite 200, St Peters, MO 63376 |
| Gary J Meltz | Internal Medicine | Boonslick Medical Group Inc | 201 Bjc St Peters Dr, Suite 100, Saint Peters, MO 63376 |
| Robert B Cusworth | Gastroenterology | Boonslick Medical Group Inc | 201 Bjc St Peters Dr, Saint Peters, MO 63376 |
| Penny L Richardson | Chiropractic | 8471 Mexico Rd, Saint Peters, MO 63376-1103 | |
| Find all physicians in zip 63376 | |||
| City | SAINT PETERS |
| Zip Code | 63376 |
| Specialty | UROLOGY |
| City + Specialty | SAINT PETERS + UROLOGY |
Please comment or provide details below to improve the information on Travis W Dum.
| 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.