DANIEL HAFENRICHTER (NPI# 1063483139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063483139 |
| Entity Type | Individual |
| Full Name | DANIEL HAFENRICHTER |
| Credential | MD |
| Practice Address |
3023 N Ballas Rd Suite 210d Saint Louis MO 63131-2330 |
| Mailing Address |
Po Box 790056 Saint Louis MO 63179-0056 |
| Practice Telephone | 3149939229 |
| Practice Fax Number | 3149938398 |
| Mailing Telephone | 3149890300 |
| Mailing Fax Number | 3145697135 |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2014-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
103467 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
3023 N BALLAS RD SUITE 210D |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63131-2330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336149111 | David J. Sewall | Internal Medicine | 3023 N Ballas Rd, Suite 200d, Saint Louis, MO 63131-2330 | 2005-07-22 |
| 1679043665 | Elizabeth Anne Niederschulte | Nurse Practitioner | 3023 N Ballas Rd, Saint Louis, MO 63131-2330 | 2018-12-03 |
| 1891155768 | Brandy L Raich | Nurse Practitioner | 3023 N Ballas Rd, Ste 200d, Saint Louis, MO 63131-2330 | 2016-03-04 |
| 1750754446 | Emily Murphy | Nurse Practitioner | 3023 N Ballas Rd, Suite 600, Saint Louis, MO 63131-2330 | 2015-11-04 |
| 1285999508 | Juliana Carmi Verticchio | Obstetrics & Gynecology | 3023 N Ballas Rd, Suite 440d, Saint Louis, MO 63131-2330 | 2012-07-12 |
| 1235409277 | Terri Lynn Sippel | Nurse Practitioner | 3023 N Ballas Rd, Suite D 120, Saint Louis, MO 63131-2330 | 2012-01-09 |
| 1922381383 | Amanda Marie Botkin | Nurse Practitioner | 3023 N Ballas Rd, Ste 450 Bldg D, Saint Louis, MO 63131-2330 | 2011-09-22 |
| 1982995759 | Julia K Hoven | Nurse Practitioner | 3023 N Ballas Rd, Ste 440d, Saint Louis, MO 63131-2331 | 2011-04-27 |
| 1316241110 | Nicole L Chrisman | Nurse Practitioner | 3023 N Ballas Rd, Saint Louis, MO 63131-2330 | 2011-01-07 |
| 1144541392 | Maureen B. Riffle | Pathology | 3023 N Ballas Rd, Suite 520 D, Saint Louis, MO 63131-2330 | 2010-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568097954 | Avalcare Inc | Pharmacy | 10431 Clayton Rd, Saint Louis, MO 63131 | 2020-03-06 |
| 1891331369 | Life Clinic of Mo Dc PC | Chiropractor | 2051 South Lindbergh Blvd, Frontenac, MO 63131 | 2019-11-20 |
| 1447892542 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 30 S Lindbergh Blvd, Saint Louis, MO 63131 | 2019-10-10 |
| 1336797026 | Justa Davis | Dietitian, Registered | 3015 North Ballas, Saint Louis, MO 63131 | 2019-08-27 |
| 1730695362 | Curators of The University of Missouri | Psychologist | 12837 Flushing Meadows Drive, Sutie 220, Town and Country, MO 63131 | 2017-12-19 |
| 1770012031 | Danielle Marie Hargate | Specialist/Technologist | 732 Timber Trail, Frontenac, MO 63131 | 2017-06-08 |
| 1285087429 | Kathryn Parker | Internal Medicine | 1000 Des Peres Rd Ste 300, Saint Louis, MO 63131 | 2016-07-22 |
| 1437524360 | Julie Ann Godefroid | Nurse Practitioner | 1010 Old Des Peres Road, St. Louis, MO 63131 | 2015-12-03 |
| 1073982435 | Rebecca Baum Rainbolt | Social Worker | 12210 Clayton Rd, Saint Louis, MO 63131 | 2015-09-16 |
| 1518217322 | Advanced Anesthesia and Pain Management, LLC | Anesthesiology | 12805 Topping Woods Estate Drive, St. Louis, MO 63131 | 2012-09-19 |
| Find all providers in zip 63131 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 |
|---|---|---|---|---|
| 1376801548 | Matthew Raymond Abate | Surgery | 10012 Kennerly Rd Ste 305, Saint Louis, MO 63128-2197 | 2012-04-25 |
| 1518992429 | Ayaz A Malik | Surgery | 1035 Bellevue Ave Ste 212, Saint Louis, MO 63117-1846 | 2006-07-11 |
| 1083687859 | Vidal T Sheen | Surgery | 11144 Tesson Ferry Rd, Suite 100, Saint Louis, MO 63123-6965 | 2006-02-10 |
| 1770145401 | Brian Patrick Sullivan | Surgery | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2019-07-02 |
| 1467947382 | Momodou L Jammeh | Surgery | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 | 2018-06-22 |
| 1861912529 | Katherine Marie Holzem | Surgery | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2017-06-23 |
| 1922458892 | Bradley John Bowles | Surgery | 3635 Vista At Grand Boulevard, Saint Louis, MO 63110-4271 | 2016-06-21 |
| 1962852178 | Brandon D Downing | Surgery | 660 S Euclid Ave, Campus Box 8109, 5103a Queeny Tower, Saint Louis, MO 63110-1010 | 2016-06-18 |
| 1093078115 | John Westley Ohman | Surgery | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2012-06-22 |
| 1093946873 | Suaiman Syed Shoab | Surgery | 3655 Vista Ave, Saint Louis, MO 63110-2539 | 2009-07-28 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63131 |
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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.