SHANNON MICHELLE GRABOSCH (NPI# 1003136151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003136151 |
| Entity Type | Individual |
| Full Name | SHANNON MICHELLE GRABOSCH |
| Credential | M.D. |
| Practice Address |
1031 Bellevue Ave Ste 400 Saint Louis MO 63117-1858 |
| Practice Telephone | 3147814772 |
| Practice Fax Number | 3146458771 |
| Mailing Telephone | 3147814772 |
| Mailing Fax Number | 3146458771 |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2020-11-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 2010021063 | MO | Allopathic & Osteopathic Physicians |
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
2018006396 | MO | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1031 BELLEVUE AVE STE 400 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63117-1858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518963859 | Amy Jo Ravin | Obstetrics & Gynecology | 1031 Bellevue Ave Ste 400, Saint Louis, MO 63117-1858 | 2005-06-22 |
| 1063884799 | Shannon Waller Davis | Advanced Practice Midwife | 1031 Bellevue Ave Ste 400, Saint Louis, MO 63117-1858 | 2015-10-21 |
| 1386079481 | Melissa Schwartz | Obstetrics & Gynecology | 1031 Bellevue Ave Ste 400, Saint Louis, MO 63117-1858 | 2013-09-08 |
| 1952645087 | Carolyn Leigh Mank | Registered Nurse | 1031 Bellevue Ave Ste 400, Saint Louis, MO 63117-1858 | 2012-11-15 |
| 1164786166 | Kia S Lannaman | Obstetrics & Gynecology | 1031 Bellevue Ave Ste 400, Saint Louis, MO 63117-1858 | 2012-06-25 |
| 1316238041 | Amy Christine Bilyeu | Obstetrics & Gynecology | 1031 Bellevue Ave Ste 400, Saint Louis, MO 63117-1858 | 2011-04-28 |
| 1225291636 | Jennifer Goldkamp | Obstetrics & Gynecology | 1031 Bellevue Ave Ste 400, Saint Louis, MO 63117-1858 | 2008-07-07 |
| 1558562355 | Pericles Xynos | Obstetrics & Gynecology | 1031 Bellevue Ave Ste 400, Saint Louis, MO 63117-1858 | 2007-05-30 |
| 1932134053 | Jill K Powell | Obstetrics & Gynecology | 1031 Bellevue Ave Ste 400, Saint Louis, MO 63117-1858 | 2006-07-11 |
| 1073540951 | John Theodore Hoff | Obstetrics & Gynecology | 1031 Bellevue Ave Ste 400, Saint Louis, MO 63117-1858 | 2006-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956611 | Efehi Kelly Ogbomo | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Suite 2218, St. Louis, MO 63117 | 2020-06-11 |
| 1619533890 | Abdul Rauf | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road. Ssm Health St. Mary's Hospital, St. Louis, MO 63117 | 2019-05-14 |
| 1083278477 | Mohamed Maali Gumaa Mohamed | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road Ssm St. Mary's Hospital, Department of Internal Medicine, St. Louis, MO 63117 | 2019-05-01 |
| 1750945556 | Samrat Jun Jayanth | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm Health St Mary's Hospital, St. Louis, MO 63117 | 2019-04-26 |
| 1215491329 | Latonya Allen | Counselor | 1612 S. Big Bend Blvd, St. Louis, MO 63117 | 2019-01-23 |
| 1265917025 | Blue Stars Therapy, LLC | Occupational Therapist | 1101 Edward Terrace, Apt A, St. Louis, MO 63117 | 2018-09-27 |
| 1770060014 | Ultra Care Home Services LLC | Home Health | 7353 Dale Ave, Saint Louis, MO 63117 | 2018-07-19 |
| 1235623562 | Melissa Valerie Taylor | Counselor | Psychological Services of St Louis, LLC, 7110 Oakland Ave, St Louis, MO 63117 | 2018-06-20 |
| 1124517289 | Jideofor Ebony Obodozie | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm St. Mary's Hospital, St. Louis, MO 63117 | 2018-05-04 |
| 1770071706 | Sivaram Prabhuji Muppaneni | Student in an Organized Health Care Education/Training Program | Ssm St Mary's Hospital, 6420 Clayton Road, St. Louis, MO 63117 | 2018-04-25 |
| Find all providers in zip 63117 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255395687 | Alaa A Elbendary | Obstetrics & Gynecology | 11652 Studt Ave, Saint Louis, MO 63141-7025 | 2006-04-13 |
| 1154393411 | Dan-arin Silasi | Obstetrics & Gynecology | 607 S New Ballas Rd Ste 2350, Saint Louis, MO 63141-0001 | 2006-02-02 |
| 1366423360 | Leslie S Massad | Obstetrics & Gynecology | 4921 Parkview Pl Ste 13c, Ste 13c, Saint Louis, MO 63110-1032 | 2005-11-08 |
| 1104813633 | Nishan Chobanian Jr. | Obstetrics & Gynecology | 607 S New Ballas Rd, Saint Louis, MO 63141-8222 | 2005-09-30 |
| 1386079481 | Melissa Schwartz | Obstetrics & Gynecology | 1031 Bellevue Ave Ste 400, Saint Louis, MO 63117-1858 | 2013-09-08 |
| 1740462316 | Katherine Cynthia Fuh | Obstetrics & Gynecology | 4921 Parkview Pl Ste 13c, Ste 13c, Saint Louis, MO 63110-1032 | 2007-12-05 |
| 1669671541 | Mercy Clinic Gyn Oncology, LLC | Obstetrics & Gynecology | 607 S New Ballas Rd, Suite 2350, Saint Louis, MO 63141-8219 | 2007-07-12 |
| 1619195922 | St Louis University | Obstetrics & Gynecology | 1031 Bellevue Ave, Saint Louis, MO 63117-1818 | 2007-04-23 |
| 1699818658 | Chotchai Srisuro | Obstetrics & Gynecology | 533 Couch Ave, Suite 287, Saint Louis, MO 63122-5561 | 2007-02-15 |
| 1578645263 | Women's Oncology Care, Inc. | Obstetrics & Gynecology | 12855 N 40 Dr, Ste 325 North Tower, Saint Louis, MO 63141-8657 | 2006-10-20 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63117 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.