SAINT LOUIS RENAL CARE, LLC (NPI# 1013029982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013029982 |
Entity Type | Organization |
Organization Name | SAINT LOUIS RENAL CARE, LLC |
Other Organization Name | ST. LOUIS RENAL CARE - DES PERES |
Practice Address |
2325 Dougherty Ferry Rd Medical Arts Pavillon Suite 103 Saint Louis MO 63122-3356 |
Practice Telephone | 3148228963 |
Enumeration Date | 2006-08-31 |
Last Update Date | 2012-12-31 |
Authorized Official Name | MARK FAWCETT (TREASURER) |
Authorized Official Telephone | 7816999000 |
Is Organization Subpart | Y |
Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
ST. LOUIS RENAL CARE - DES PERES | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215083043 | Saint Louis Renal Care, LLC | Clinic/Center | 13134 Tesson Ferry Road, St. Louis, MO 63128 | 2007-01-26 |
1982764387 | Saint Louis Renal Care, LLC | Clinic/Center | 5901 Delmar Blvd, Saint Louis, MO 63112-2028 | 2006-12-08 |
1598867772 | Saint Louis Renal Care, LLC | Clinic/Center | Drummond Hall, 3691 Rutger, Suite 222, Saint Louis, MO 63110 | 2006-09-01 |
1104938075 | Saint Louis Renal Care, LLC | Clinic/Center | 1400 Strassner Dr, Brentwood, MO 63144-1871 | 2006-08-31 |
1174630909 | Saint Louis Renal Care, LLC | Clinic/Center | 1400 Strassner Road, Brentwood, MO 63144 | 2006-08-25 |
1790845196 | Saint Louis Renal Care, LLC | Clinic/Center | 4411 N Newstead Ave, 2nd Floor, Saint Louis, MO 63115 | 2006-12-08 |
Street Address |
2325 DOUGHERTY FERRY RD MEDICAL ARTS PAVILLON SUITE 103 |
City | SAINT LOUIS |
State | MO |
Zip Code | 63122-3356 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366440042 | Oliver A Mckee | Dermatology | 2325 Dougherty Ferry Rd, Ste 201, Saint Louis, MO 63122-3356 | 2005-07-07 |
1053845909 | Rebecca Ella Seabaugh | Nurse Practitioner | 2325 Dougherty Ferry Rd, Saint Louis, MO 63122-3356 | 2017-04-18 |
1003280652 | Midwest Urogynecology, LLC | Obstetrics & Gynecology | 2325 Dougherty Ferry Rd, Suite 206, Saint Louis, MO 63122-3356 | 2015-11-19 |
1700275286 | Eric Sincoff LLC | Neurological Surgery | 2325 Dougherty Ferry Rd, Saint Louis, MO 63122-3356 | 2015-01-21 |
1588088009 | Loren Suzanne Vandergriff | Clinical Nurse Specialist | 2325 Dougherty Ferry Rd, Suite 100, Saint Louis, MO 63122-3356 | 2014-02-05 |
1184900409 | University Hematology Oncology Inc | Specialist | 2325 Dougherty Ferry Rd, Suite 204, Saint Louis, MO 63122-3356 | 2011-11-01 |
1376848481 | Laboratory Corporation of America | Clinical Medical Laboratory | 2325 Dougherty Ferry Rd, Map1 Suite 103, Saint Louis, MO 63122-3356 | 2011-01-20 |
1740435304 | Des Peres Family Medicine PC | Family Medicine | 2325 Dougherty Ferry Rd, Suite 104, Saint Louis, MO 63122-3356 | 2008-11-24 |
1174728893 | Robert Anthony Armbruster | Internal Medicine | 2325 Dougherty Ferry Rd, Suite 200, Saint Louis, MO 63122-3356 | 2007-06-21 |
1477758241 | Heart Care Consultants, LLC | Internal Medicine | 2325 Dougherty Ferry Rd, Suite 203, Saint Louis, MO 63122-3356 | 2007-06-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659933174 | Keela Rushing | Physical Therapist | 439 S Kirkwood Rd Ste 200, Kirkwood, MO 63122 | 2019-07-04 |
1730643461 | Kirkwood Family Dental | Dentist | 333 S Kirkwood Road, Suite 105, Kirkwood, MO 63122 | 2019-01-28 |
1477061166 | Total Access Urgent Care, PC | Clinic/Center | 2980 Dougherty Ferry Rd, Saint Louis, MO 63122 | 2018-01-16 |
1760933469 | Missouri Cvs Pharmacy, L.l.c | Durable Medical Equipment & Medical Supplies | 10820 Manchester Rd, Kirkwood, MO 63122 | 2016-10-18 |
1518321041 | M. Kathleen Blanchard | Counselor | 11042 Manchester Rd., Kirkwood, MO 63122 | 2016-04-11 |
1265801914 | Kim Grega | Counselor | 700 S Kirkwood Rd, Kirkwood, MO 63122 | 2015-09-23 |
1245617943 | Mark Edward Taylor | Dentist | 610 North Geyer, Kirkwood, MO 63122 | 2015-05-01 |
1467843094 | Mary Elizabeth Boomgarden | Physical Therapist | 9645 Big Bend Boulevard, Saint Louis, MO 63122 | 2015-02-18 |
1760725717 | Michael Diller Counseling | Counselor | 144 W Madison Avenue, Kirkwood, MO 63122 | 2013-03-28 |
1427309954 | Anne Marie Delaplain | Dentist | 725 Laclede Station Road, Webster Groves, MO 63122 | 2012-09-24 |
Find all providers in zip 63122 |
Taxonomy Code | 261QE0700X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | End-Stage Renal Disease (ESRD) Treatment |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871049411 | Total Renal Care Inc | Clinic/Center | 8980 Natural Bridge Rd, Saint Louis, MO 63121-3917 | 2016-09-01 |
1295139459 | Meadows Dialysis LLC | Clinic/Center | 1554 Sierra Vista Plz, Saint Louis, MO 63138-2040 | 2014-10-17 |
1245580570 | Rainer Dialysis LLC | Clinic/Center | 3740 S Jefferson Ave, Saint Louis, MO 63118-3905 | 2012-09-13 |
1881980498 | Tugman Dialysis LLC | Clinic/Center | 10241 Lewis and Clark Blvd, Saint Louis, MO 63136-5505 | 2011-06-22 |
1497074520 | Gateway St Louis Dialysis LLC | Clinic/Center | 4100 Union Blvd, Saint Louis, MO 63115-1225 | 2010-05-28 |
1316173966 | Total Renal Care Inc | Clinic/Center | 3660 Gustine Ave, Saint Louis, MO 63116-3617 | 2009-06-09 |
1770719700 | Total Renal Care Inc | Clinic/Center | 9030 Saint Charles Rock Rd, Saint Louis, MO 63114 | 2009-06-04 |
1982764387 | Saint Louis Renal Care, LLC | Clinic/Center | 5901 Delmar Blvd, Saint Louis, MO 63112-2028 | 2006-12-08 |
1598867772 | Saint Louis Renal Care, LLC | Clinic/Center | Drummond Hall, 3691 Rutger, Suite 222, Saint Louis, MO 63110 | 2006-09-01 |
1457463325 | Metro Dialysis Center - Normandy, Inc. | Clinic/Center | 101 N Oaks Plz, Saint Louis, MO 63121-2925 | 2006-08-31 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63122 |
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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.