ST LOUIS UNIVERSITY


Address: 3660 Vista Ave, Saint Louis, MO 63110-2540
Phone: 3149776125

ST LOUIS UNIVERSITY (NPI# 1043439672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043439672
Entity Type Organization
Organization Name ST LOUIS UNIVERSITY
Other Organization Name SLUCARE DEPT OF SURGERY-COLON & RECTAL
Practice Address 3660 Vista Ave
Saint Louis
MO 63110-2540
Mailing Address 1831 Chestnut St Ste 650
Saint Louis
MO 63103-2236
Practice Telephone 3149776125
Mailing Telephone 3149776828
Enumeration Date 2007-04-24
Last Update Date 2019-06-20
Authorized Official Name ALYCE LANXON (EXECUTIVE DIRECTOR)
Authorized Official Telephone 3149776828
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208C00000X Colon & Rectal Surgery Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
SLUCARE DEPT OF SURGERY-COLON & RECTAL Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1487869863 St Louis University Eyewear Supplier (Equipment, not the service) 1755 South Grand, St Louis, MO 63104 2007-05-11
1194892463 St Louis University Orthopaedic Surgery 1831 Chestnut St Ste 650, Saint Louis, MO 63103 2006-11-29
1093894842 St Louis University Internal Medicine 10 Franklin, Washington, MO 63090 2006-11-03
1417035759 St Louis University Audiologist 3750 Lindell, St Louis, MO 63108 2006-11-02
1992778237 St Louis University Urology 3655 Vista Ave, Saint Louis, MO 63110-2539 2006-02-08
1164495412 St Louis University Pathology 1402 South Grand, St Louis, MO 63104 2006-02-08
1801869136 St Louis University Psychiatry & Neurology 1438 S Grand Blvd, Saint Louis, MO 63104-1027 2006-02-08
1740253095 St Louis University Dermatology 1755 S Grand Blvd, Saint Louis, MO 63104-1540 2006-02-08
1184266413 St Louis University Pediatrics 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2019-10-08
1184908865 St Louis University Urology 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2011-09-29

Office Location

Street Address 3660 VISTA AVE
City SAINT LOUIS
State MO
Zip Code 63110-2540

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871582692 Alan P K Wild Otolaryngology 3660 Vista Ave, Ste. 312, Saint Louis, MO 63110 2005-10-14
1922627207 Emily Bayliss Worrall Student in an Organized Health Care Education/Training Program 3660 Vista Ave, Saint Louis, MO 63110-2540 2020-04-16
1508485988 Jackson Jeffrey Meland Student in an Organized Health Care Education/Training Program 3660 Vista Ave, Saint Louis, MO 63110-2540 2020-04-15
1316566748 Katherine Elizabeth Oberhelman Student in an Organized Health Care Education/Training Program 3660 Vista Ave, Saint Louis, MO 63110-2540 2020-04-15
1063031664 Elizabeth Jane De Quetteville Robin Student in an Organized Health Care Education/Training Program 3660 Vista Ave, Saint Louis, MO 63110-2540 2020-04-14
1053930586 Tim Brotherton Jr. Student in an Organized Health Care Education/Training Program 3660 Vista Ave, Saint Louis, MO 63110-2540 2020-04-14
1285253328 Eugene Chiemeka Nwankwo Jr. Student in an Organized Health Care Education/Training Program 3660 Vista Ave, Saint Louis, MO 63110-2540 2020-04-09
1124647318 Christian Hendrix Student in an Organized Health Care Education/Training Program 3660 Vista Ave, Saint Louis, MO 63110-2540 2020-04-08
1851920730 Kellen J Smutz Student in an Organized Health Care Education/Training Program 3660 Vista Ave, Saint Louis, MO 63110-2540 2020-04-03
1487283172 Abhinav Reddy Student in an Organized Health Care Education/Training Program 3660 Vista Ave, Saint Louis, MO 63110-2540 2020-04-03
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 208C00000X
Grouping Allopathic & Osteopathic Physicians
Classification Colon & Rectal Surgery

Taxonomy Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811932502 Lawrence G Mendelow Colon & Rectal Surgery 555 N. New Ballas, Suite 265, Saint Louis, MO 63141-2330 2006-06-18
1881668564 Steven Mark Abbadessa Colon & Rectal Surgery 456 N New Ballas Rd Ste 154, Saint Louis, MO 63141-6827 2006-02-17
1588142657 Tiffany Chan Colon & Rectal Surgery 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 2018-08-01
1386900884 Zhifei Sun Colon & Rectal Surgery 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 2012-04-09
1598958787 Physician Groups Lc Colon & Rectal Surgery 11155 Dunn Rd, Ste. 312e Bldg. 1, Saint Louis, MO 63136-6150 2007-08-22
1295869824 Rectal Diagnostics & Treatment Center Colon & Rectal Surgery 2315 Dougherty Ferry Rd, Suite 107, Saint Louis, MO 63122-3313 2007-03-15
1659415578 Physician Groups Lc Colon & Rectal Surgery 11155 Dunn Rd, Suite 312e Building 1, Saint Louis, MO 63136-6150 2007-02-16
1790876027 Florissant Valley Surgical Specialists Colon & Rectal Surgery 11125 Dunn Rd, Suite 402, Saint Louis, MO 63136-6132 2006-09-28
1205853835 Steven R Hunt Colon & Rectal Surgery 4921 Parkview Pl Ste 8c, Ste 8c, Saint Louis, MO 63110-1032 2006-07-17
1760408983 Ira Joe Kodner Colon & Rectal Surgery 1040 N Mason Rd, Ste 120, Saint Louis, MO 63141-6399 2006-07-14
Find all providers in SAINT LOUIS

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City SAINT LOUIS
Zip Code 63110

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Dataset Information

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.

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