IQRA ANSARI (NPI# 1063903482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063903482 |
Entity Type | Individual |
Full Name | IQRA ANSARI |
Credential | MD |
Practice Address |
2415 N Kingshighway Blvd Saint Louis MO 63113 |
Mailing Address |
31 Sunnen Dr Apt 410 Saint Louis MO 63143-3835 |
Practice Telephone | 3143671083 |
Mailing Telephone | 4697851217 |
Enumeration Date | 2018-05-21 |
Last Update Date | 2018-05-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 2018008808 | MO | Allopathic & Osteopathic Physicians |
Street Address |
2415 N KINGSHIGHWAY BLVD |
City | SAINT LOUIS |
State | MO |
Zip Code | 63113 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538108469 | Northview Village, Inc. | Skilled Nursing Facility | 2415 N Kingshighway Blvd, Saint Louis, MO 63113-1109 | 2006-06-06 |
1215269675 | Michael Gonzales | Physical Therapist | 2415 N Kingshighway Blvd, Saint Louis, MO 63113-1109 | 2010-02-09 |
1083758742 | Alphonse Louis Beauboeuf | Specialist | 2415 N Kingshighway Blvd, Saint Louis, MO 63113-1109 | 2007-02-16 |
1487713871 | Alta Primier Health Services Inc314 | Internal Medicine | 2415 N Kingshighway Blvd, Saint Louis, MO 63113-1109 | 2006-12-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487139937 | Kaniya Kashell Smotherman | In Home Supportive Care | 3834a Cotebrilliante Ave., St Louis, Mo, MO 63113 | 2018-10-01 |
1124530977 | Unique Diamonds, LLC | Counselor | 4068 Maffitt, St. Louis, MO 63113 | 2017-11-02 |
1821507831 | Another Day At Life LLC | Home Health | 1515 N Warson Rd Suite 103, St. Louis, MO 63113 | 2017-09-21 |
1124570999 | Carestl Health | Clinic/Center | 4248 Cottage Ave, Saint Louis, MO 63113 | 2016-10-27 |
1164801528 | Brittany Ashcraft | Social Worker | 1220 N Linbergh Blvd, Apt A, Saint Louis, MO 63113 | 2015-05-19 |
1538596465 | Enduring Heart In Home Care Services | Home Health | 1012 Sarah, Saint Louis, MO 63113 | 2013-10-10 |
1386989127 | Friends of African Amer. Family Service Center | Community/Behavioral Health | 1033 Whittier Avenue, Room 118, Saint Louis, MO 63113 | 2012-12-05 |
1598018202 | Shelia Latrese Bradford | Home Health | 3637 North Market St, St. Louis, MO 63113 | 2012-10-18 |
1043587736 | Angels Adult Day Care | Custodial Care Facility | 5021 Northland Avenue, Saint Louis, MO 63113 | 2011-11-23 |
1154575033 | Debra Lynn Miller | Occupational Therapist | 3645 Cook Ave., St. Louis, MO 63113 | 2008-11-05 |
Find all providers in zip 63113 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790205854 | Zachary Avital Goodman | General Practice | 6642 Clayton Rd # 278, Saint Louis, MO 63117-1602 | 2017-06-20 |
1174926224 | Anita Dewan | General Practice | 9917 Grandview Forest Ct, Saint Louis, MO 63127-0046 | 2014-10-03 |
1356755201 | Jessica Ellie Ma | General Practice | 216 S Kingshighway Blvd Fl 6, 6th Floor, Saint Louis, MO 63110-1026 | 2014-06-19 |
1235550385 | Doctor's On The Way, Inc | General Practice | 712 N 2nd St, Ste 310, Saint Louis, MO 63102-2550 | 2013-12-16 |
1518398916 | John Allen Cooper | General Practice | 40 N Kingshighway Blvd Apt 13f, Saint Louis, MO 63108-1343 | 2013-12-10 |
1417382821 | Hyung T Kim | General Practice | 11 Crestwood Dr, Saint Louis, MO 63105-3032 | 2013-09-05 |
1356617443 | Kirsten Frances Dunn | General Practice | 1040 N Mason Rd Ste 103, Ste 103, Saint Louis, MO 63141-6361 | 2012-03-22 |
1902199623 | Care Plus Medical Group LLC | General Practice | 10650 Gateway Blvd, Saint Louis, MO 63132-1802 | 2011-05-27 |
1437474202 | Debra Lynne Moss | General Practice | 12929 Ballantine Ct, Saint Louis, MO 63146-3701 | 2010-04-05 |
1558538850 | Patrice Lynn Wakefield | General Practice | 514 Donne Ave, Saint Louis, MO 63130-3918 | 2008-05-15 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63113 |
Please comment or provide details below to improve the information on IQRA ANSARI.
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.