Christian Jon Wunderlich (NPI# 1528015070, PAC ID# 8527141142) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1528015070 |
| PAC ID by PECOS | 8527141142 |
| Professional Enrollment ID | I20080205000671 |
| Full Name | Christian Jon Wunderlich |
| Organization Legal Name | MID-WEST PODIATRY AND ASSOCIATES, LLC |
| Address |
141 E Madison Ave Suite 100 Kirkwood MO 63122-4331 |
| Phone Number | 3148218855 |
| Gender | M |
| Graduation Year | 1981 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 4688566029 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 141 E Madison Ave, Suite 100, Kirkwood, MO 63122-4331 | 3148218855 | MID-WEST PODIATRY AND ASSOCIATES, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | MID-WEST PODIATRY AND ASSOCIATES, LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Harry John Visser I | Podiatry | Mid-west Podiatry and Associates, LLC | 11709 Old Ballas Rd, Suite 201, Creve Coeur, MO 63141-7029 |
| Robert Kelso Duddy I | Podiatry | Mid-west Podiatry and Associates, LLC | 1015 Bowles Ave, Fenton, MO 63026-2394 |
| Carmina Quiroga | Podiatry | Mid-west Podiatry and Associates, LLC | 1015 Bowles Ave, Fenton, MO 63026-2394 |
| Street Address |
141 E MADISON AVE SUITE 100 |
| City | KIRKWOOD |
| State | MO |
| Zip | 63122-4331 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank J Mistretta | Chiropractic | 11229 Manchester Rd, Saint Louis, MO 63122-1122 | |
| Deborah G Lavender | Physical Therapy | 11247 Manchester Rd, Kirkwood, MO 63122-1122 | |
| Linda Patton Walsh | Physical Therapy | Transfiguration Inc | 11247 Manchester Rd, Kirkwood, MO 63122-1122 |
| James W Hankinson | Chiropractic | 11216 Manchester Rd, Kirkwood, MO 63122-1123 | |
| John T Scarlas | Qualified Audiologist | Greentree Audiology Inc | 10900 Manchester Rd, Suite 202, Kirkwood, MO 63122-1200 |
| Russell W Pickett | Qualified Audiologist | Greentree Audiology Inc | 10900 Manchester Rd, Suite 202, Kirkwood, MO 63122-1200 |
| Sherry K Pickett | Qualified Audiologist | Greentree Audiology Inc | 10900 Manchester Rd, Suite 202, Kirkwood, MO 63122-1200 |
| Dawn Gross | Clinical Social Worker | 11042 Manchester Rd, Kirkwood, MO 63122-1244 | |
| Lorie M Mcreynolds | Optometry | 11023 Manchester Rd, Kirkwood, MO 63122-1254 | |
| Sidney D Ybarra | Chiropractic | 11029 Manchester Rd, Saint Louis, MO 63122-1254 | |
| Find all physicians in zip 63122 | |||
| City | KIRKWOOD |
| Zip Code | 63122 |
| Specialty | PODIATRY |
| City + Specialty | KIRKWOOD + PODIATRY |
Please comment or provide details below to improve the information on Christian Jon Wunderlich.
| 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.