Panduranga R Koya (NPI# 1427151323, PAC ID# 9537292958) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1427151323 |
| PAC ID by PECOS | 9537292958 |
| Professional Enrollment ID | I20140610001329 |
| Full Name | Panduranga R Koya |
| Organization Legal Name | ST ANTHONY'S PHYSICIAN ORGANIZATION |
| Address |
313 Augustine Rd Eureka MO 63025-1935 |
| Phone Number | 6369386770 |
| Gender | M |
| Graduation Year | 1990 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 4880588938 |
| Number of Group Practice Members | 104 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140242 | CENTRAL DUPAGE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 313 Augustine Rd, Eureka, MO 63025-1935 | 6369386770 | ST ANTHONY'S PHYSICIAN ORGANIZATION |
| 12700 Southfork Rd, Suite 280, Saint Louis, MO 63128-3287 | 3145254990 | ST ANTHONY'S PHYSICIAN ORGANIZATION |
| 2900 Lemay Ferry Rd, Saint Louis, MO 63125-3915 | ST ANTHONY'S PHYSICIAN ORGANIZATION | |
| 4005 Ripa Ave, Saint Louis, MO 63125-2378 | 3145441111 | ST ANTHONY'S PHYSICIAN ORGANIZATION |
| 5425 Southfield Ctr, Saint Louis, MO 63123-5984 | 3145435258 | 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 |
| 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 |
| Yazan A Abdalla | Gastroenterology | St Anthony's Physician Organization | 10012 Kennerly Rd, Suite 404, Saint Louis, MO 63128-2197 |
| Street Address |
313 AUGUSTINE RD |
| City | EUREKA |
| State | MO |
| Zip | 63025-1935 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vanee Wongsurawat | Internal Medicine | 313 Augustine Rd, Eureka, MO 63025-1935 | |
| Jacqueline B Chen | Podiatry | Preferred Podiatry Group PC | 313 Augustine Rd, Eureka, MO 63025-1935 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin W Hicks | Optometry | 131 Eureka Towne Ctr, Eureka, MO 63025-1031 | |
| Shawn D Patton | Chiropractic | Comprehensive Chiropractic PC | 113 W 5th St, Eureka, MO 63025-1109 |
| Patrick D Feder | Chiropractic | Comprehensive Chiropractic PC | 113 W 5th St, Eureka, MO 63025-1109 |
| Julia Partin | Podiatry | Metro Foot Specialists LLC | 521 N Virginia Ave, Eureka, MO 63025-1115 |
| Kara M Kozlowski | Podiatry | Metro Foot Specialists LLC | 521 N Virginia Ave, Eureka, MO 63025-1115 |
| Mykle A Jacobs | Maxillofacial Surgery | Michael W Noble Dmd PC | 60 E N St, Oral Facial Surgery Institute, Eureka, MO 63025-1205 |
| Andrew Ludwig | Physical Therapy | Prorehab PC | 217 E 5th St, Eureka, MO 63025-1223 |
| Lauren E Westen | Physical Therapy | Prorehab PC | 217 E 5th St, Eureka, MO 63025-1223 |
| David R Jackson | Physical Therapy | Prorehab PC | 217 E 5th St, Eureka, MO 63025-1223 |
| Amanda E Peters | Physical Therapy | Prorehab PC | 217 E 5th St, Eureka, MO 63025-1223 |
| Find all physicians in zip 63025 | |||
| City | EUREKA |
| Zip Code | 63025 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | EUREKA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Panduranga R Koya.
| 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.