Sushruth Edla (NPI# 1821343179, PAC ID# 8224362603) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1821343179 |
| PAC ID by PECOS | 8224362603 |
| Professional Enrollment ID | I20190619002318 |
| Full Name | Sushruth Edla |
| Organization Legal Name | MERCY CLINIC HEART AND VASCULAR LLC |
| Address |
1390 Us Hwy 61 Suite N1500 Festus MO 63028-4137 |
| Phone Number | 6369335055 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 8820016207 |
| Number of Group Practice Members | 52 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260023 | MERCY HOSPITAL JEFFERSON |
| 260077 | ST ANTHONY'S MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1390 Us Hwy 61, Suite N1500, Festus, MO 63028-4137 | 6369335055 | MERCY CLINIC HEART AND VASCULAR LLC |
| Organization Legal Name | MERCY CLINIC HEART AND VASCULAR LLC |
| Physicians | 54 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Courtney R Gray | Nurse Practitioner | Mercy Clinic Heart and Vascular LLC | 620 Maple Valley Dr, Farmington, MO 63640-1976 |
| Denise P Blackburn | Nurse Practitioner | Mercy Clinic Heart and Vascular LLC | 20 The Legends Pkwy, Eureka, MO 63025-3801 |
| Frank L Bleyer | Cardiovascular Disease (cardiology) | Mercy Clinic Heart and Vascular LLC | 1000 E Cherry St, Fl 3, Troy, MO 63379-1513 |
| Bruce Czarnik | Cardiovascular Disease (cardiology) | Mercy Clinic Heart and Vascular LLC | 1203 Smizer Mill Rd, Suite 102, Fenton, MO 63026-3483 |
| Stacy Schroeder | Nurse Practitioner | Mercy Clinic Heart and Vascular LLC | 901 Patients 1st Dr, Washington, MO 63090-4700 |
| James A Stokes | Internal Medicine | Mercy Clinic Heart and Vascular LLC | 625 S New Ballas Rd, Suite 2030, Saint Louis, MO 63141-8253 |
| Seth N Barbanell | Cardiovascular Disease (cardiology) | Mercy Clinic Heart and Vascular LLC | 755 Dunn Rd, Suite 160, Hazelwood, MO 63042-1751 |
| Louis V Deane | Cardiovascular Disease (cardiology) | Mercy Clinic Heart and Vascular LLC | 625 S New Ballas Rd, Suite 2030, Saint Louis, MO 63141-8253 |
| Benjamin Robert Wiele | Cardiovascular Disease (cardiology) | Mercy Clinic Heart and Vascular LLC | 625 S New Ballas Rd, Suite 2015, Saint Louis, MO 63141-8253 |
| Kristin Louise Fisher | Nurse Practitioner | Mercy Clinic Heart and Vascular LLC | 901 Patients 1st Dr, Washington, MO 63090-4700 |
| Street Address |
1390 US HWY 61 SUITE N1500 |
| City | FESTUS |
| State | MO |
| Zip | 63028-4137 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Raethka | Physician Assistant | Mercy Clinic Surgical Specialists LLC | 1390 Us Hwy 61, Suite N1500, Festus, MO 63028-4137 |
| Jeffrey K Jenks | Orthopedic Surgery | Mercy Clinic Surgical Specialists LLC | 1390 Us Hwy 61, Suite N1500, Festus, MO 63028-4137 |
| Gregg A Ginsburg | General Surgery | Mercy Clinic Surgical Specialists LLC | 1390 Us Hwy 61, Suite N1500, Festus, MO 63028-4137 |
| Christopher M Speidel | Interventional Cardiology | Physician Groups Lc | 1390 Us Hwy 61, Suite 2300, Festus, MO 63028-4121 |
| Paul R Maynard | Orthopedic Surgery | Mercy Clinic Surgical Specialists LLC | 1390 Us Hwy 61, Suite N1500, Festus, MO 63028-4137 |
| Angela M Ware | Internal Medicine | Mercy Clinic Surgical Specialists LLC | 1390 Us Hwy 61, Suite N1500, Festus, MO 63028-4137 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah L Jensen | Dermatology | 1463 Hwy 61 B, Festus, MO 63028 | |
| Chandra B Dommaraju | Infectious Disease | 1400 Hwy 61 240b, Festus, MO 63028 | |
| Robert J Evens | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 1400 Hwy 61 S, Festus, MO 63028 |
| Paul H Wang | Psychologist, Clinical | 1400 Hwy 61 S, Festus, MO 63028 | |
| Kevin T Baumgartner | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 1400 Hwy 61 S, Festus, MO 63028 |
| Phillip J Ward | Physical Therapy | Central Missouri Physical Therapy LLC | 1405 N Truman Blvd, Festus, MO 63028-1177 |
| Ashley P Schwendeman | Physical Therapy | Central Missouri Physical Therapy LLC | 1405 N Truman Blvd, Festus, MO 63028-1177 |
| Mindy Kay Wortmann | Nurse Practitioner | Interventional Pain Institute, LLC | 1405 N Truman Blvd, Festus, MO 63028-1177 |
| Steven A Harvey | Psychiatry | 23 N 6th St, My Place Residential Facility, Festus, MO 63028-1301 | |
| William W Clendenin | Psychiatry | 705 Moore St, Festus, MO 63028-1339 | |
| Find all physicians in zip 63028 | |||
| City | FESTUS |
| Zip Code | 63028 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | FESTUS + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Sushruth Edla.
| 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.