DR. MARK HOUSTON HOOFNAGLE (NPI# 1033344759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033344759 |
| Entity Type | Individual |
| Full Name | DR. MARK HOUSTON HOOFNAGLE |
| Credential | MD |
| Practice Address |
4921 Parkview Pl Saint Louis MO 63110-1032 |
| Mailing Address |
660 S Euclid Ave Cb 8109 Saint Louis MO 63110-1010 |
| Practice Telephone | 3143625298 |
| Practice Fax Number | 3143625743 |
| Mailing Telephone | 3143625298 |
| Mailing Fax Number | 3143625743 |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2018-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 2018021845 | MO | Allopathic & Osteopathic Physicians |
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
2018021845 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
4921 PARKVIEW PL |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-1032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679576359 | Peter D Weiss | Internal Medicine | 4921 Parkview Pl, Ste 14b, Saint Louis, MO 63110-1032 | 2005-05-24 |
| 1881291284 | Brandy R Boyle | Nurse Practitioner | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2020-10-08 |
| 1225635527 | Faith Fields | Nurse Practitioner | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2020-10-08 |
| 1912528100 | Kaitlin J Portz | Psychologist | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2020-04-29 |
| 1437785979 | Jodi Granger | Internal Medicine | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2020-03-17 |
| 1174159701 | Grace Catherine Keane | Student in an Organized Health Care Education/Training Program | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2020-03-16 |
| 1740828581 | Michelle Anne Maurer | Nurse Practitioner | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2019-12-11 |
| 1205472487 | Sarah Bohme | Nurse Practitioner | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2019-11-21 |
| 1972145787 | Emily Sarah Cherry | Nurse Practitioner | 4921 Parkview Pl, Ste 11c, Saint Louis, MO 63110-1032 | 2019-10-14 |
| 1871144832 | Sara Ranae Kellahan | Nurse Practitioner | 4921 Parkview Pl, Ste 5c, Saint Louis, MO 63110-1032 | 2019-09-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| 1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
| 1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
| 1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
| 1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
| 1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
| Find all providers in zip 63110 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144563230 | Anne Elizabeth Wyman | Surgery | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2013-03-27 |
| 1063704070 | Michelle Leah Medintz | Surgery | 4901 Forest Park Ave, Ste 340, Saint Louis, MO 63108-1495 | 2011-05-10 |
| 1073740890 | Chun-cheng Chen | Surgery | 4901 Forest Park Ave Ste 420, Ste 420, Saint Louis, MO 63108-1453 | 2009-06-18 |
| 1477651867 | Paolo Masetti | Surgery | 11133 Dunn Rd, Saint Louis, MO 63136-6163 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326074006 | Sean Allen Nix | Surgery | 4320 Wornall Rd Ste 530, Kansas City, MO 64111-5942 | 2006-06-24 |
| 1518935568 | Ann Lutzeier Peick | Surgery | 621 S. New Ballas Rd., Suite 560a, St Louis, MO 63141-8232 | 2006-03-08 |
| 1801115530 | Richard Sola Jr. | Surgery | 2401 Gillham Rd, Kansas City, MO 64108 | 2010-05-20 |
| 1679739544 | David Juang | Surgery | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2008-07-31 |
| 1225220106 | Samar Suehela Fatima Muzaffar | Surgery | One Hospital Drive, Columbia, MO 65212-0001 | 2007-08-14 |
| 1649474685 | Jeffrey Scott Litt | Surgery | One Hospital Dr, Columbia, MO 65212-0001 | 2007-06-13 |
| 1043308083 | Rosa Elizabeth Turcios | Surgery | 2330 E Meyer Blvd, Ste T209, Kansas City, MO 64132-1132 | 2006-10-11 |
| 1629187505 | Pamela Sue Peigh | Surgery | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 | 2006-08-30 |
| 1083638225 | Salman Ahmad | Surgery | One Hospital Drive, Columbia, MO 65212-0001 | 2006-07-27 |
| 1013941202 | Steven L Glorsky | Surgery | 2301 Holmes St, Kansas City, MO 64108-2640 | 2006-07-11 |
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| City | SAINT LOUIS |
| Zip Code | 63110 |
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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.