W. Richard Sylvanovich (NPI# 1053356840, PAC ID# 9638434335) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1053356840 |
| PAC ID by PECOS | 9638434335 |
| Professional Enrollment ID | I20180530001898 |
| Full Name | W. Richard Sylvanovich |
| Organization Legal Name | MIDWEST THERAPEUTIC ENDOSCOPY CONSULTANTS LLC |
| Address |
2821 N Ballas Rd Suite 110 Saint Louis MO 63131-2314 |
| Phone Number | 3146289000 |
| Gender | M |
| Graduation Year | 1962 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 9234160946 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260108 | MISSOURI BAPTIST MEDICAL CENTER |
| 140145 | ST JOSEPHS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 9515 Holy Cross Ln, Breese, IL 62230-3618 | 3146289000 | MIDWEST THERAPEUTIC ENDOSCOPY CONSULTANTS LLC |
| 9515 Holy Cross Ln, Breese, IL 62230-3618 | 6185264511 | ST JOSEPHS HOSPITAL BREESE OF THE HOSPITAL SISTERS OF THE THIRD ORDER |
| 2821 N Ballas Rd, Suite 110, Saint Louis, MO 63131-2314 | 3146289000 | MIDWEST THERAPEUTIC ENDOSCOPY CONSULTANTS LLC |
| 88 Broadway Plz, Sparta, IL 62286-1800 | 8662365566 | MIDWEST THERAPEUTIC ENDOSCOPY CONSULTANTS LLC |
| Organization Legal Name | MIDWEST THERAPEUTIC ENDOSCOPY CONSULTANTS LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nichole M Lewis | Physician Assistant | Midwest Therapeutic Endoscopy Consultants LLC | 2821 N Ballas Rd, Suite 110, Saint Louis, MO 63131-2314 |
| Street Address |
2821 N BALLAS RD SUITE 110 |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63131-2314 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James R Etzkorn | Internal Medicine | 2821 N Ballas Rd, Suite 116, St Louis, MO 63131-2314 | |
| Hyacinth Jana Mcguire | Chiropractic | Joseph F Unger Jr Dc A Professional Corporation | 2821 N Ballas Rd, Suite 105, St Louis, MO 63131-2314 |
| John B Costello | Internal Medicine | 2821 N Ballas Rd, Suite 165, St Louis, MO 63131-2320 | |
| Patrick J Bronder Jr. | Chiropractic | Joseph F Unger Jr Dc A Professional Corporation | 2821 N Ballas Rd, Suite 105, St Louis, MO 63131-2314 |
| Bayla M Myer | Psychologist, Clinical | 2821 N Ballas Rd, C35, Saint Louis, MO 63131-2393 | |
| Frank O Petkovich | Orthopedic Surgery | 2821 N Ballas Rd, C70, St Louis, MO 63131-2391 | |
| John T Anstey | Obstetrics/gynecology | St Ann Ob Gyn Inc | 2821 N Ballas Rd, Suite 255, St Louis, MO 63131-2380 |
| Nichole M Lewis | Physician Assistant | Midwest Therapeutic Endoscopy Consultants LLC | 2821 N Ballas Rd, Suite 110, Saint Louis, MO 63131-2314 |
| Bryson Colt Wilbanks | Chiropractic | Joseph F Unger Jr Dc A Professional Corporation | 2821 N Ballas Rd, Suite 105, St Louis, MO 63131-2314 |
| Joseph F Unger Jr. | Chiropractic | Joseph F Unger Jr Dc A Professional Corporation | 2821 N Ballas Rd, Suite 105, St Louis, MO 63131-2314 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sajid Zafar | Gastroenterology | 12950 Woodlark Ln, Saint Louis, MO 63131-1314 | |
| Kira S Mailey | Nephrology | 18 Chapel Hill Est, Saint Louis, MO 63131-1315 | |
| Laura A Baldridge | Nurse Practitioner | Superior Healthcare Physical Medicine of West County LLC | 2121 Barrett Station Rd, Saint Louis, MO 63131-1606 |
| Megan M Cox | Nurse Practitioner | Superior Healthcare Physical Medicine of West County LLC | 2121 Barrett Station Rd, Saint Louis, MO 63131-1606 |
| Daniel P Gogliotti | Chiropractic | Superior Healthcare Physical Medicine of West County LLC | 2121 Barrett Station Rd, Saint Louis, MO 63131-1606 |
| Jessica L Hilgedick | Chiropractic | Superior Healthcare Physical Medicine of West County LLC | 2121 Barrett Station Rd, Saint Louis, MO 63131-1606 |
| Robert Becker | Psychologist, Clinical | 2190 S Mason Rd, Suite 200, Saint Louis, MO 63131-1637 | |
| Lauren Christine Sanderson | Nurse Practitioner | West County Rheumatology LLC | 13100 Manchester Rd, Saint Louis, MO 63131-1703 |
| Sona Kamat | Internal Medicine | West County Rheumatology LLC | 13100 Manchester Rd, Saint Louis, MO 63131-1703 |
| Allison Anne Krull | Nurse Practitioner | West County Rheumatology LLC | 13100 Manchester Rd, Saint Louis, MO 63131-1703 |
| Find all physicians in zip 63131 | |||
| City | SAINT LOUIS |
| Zip Code | 63131 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | SAINT LOUIS + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on W. Richard Sylvanovich.
| 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.