MR. JOHN DAVID BOUHASIN


Address: 7629 Bracken Circle, St. Louis, MO 63123
Phone: 3148427629

MR. JOHN DAVID BOUHASIN (NPI# 1083858336) 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) 1083858336
Entity Type Individual
Full Name MR. JOHN DAVID BOUHASIN
Credential M.D.
Practice Address 7629 Bracken Circle
St. Louis
MO 63123
Practice Telephone 3148427629
Practice Fax Number 3148427529
Enumeration Date 2009-04-29
Last Update Date 2009-04-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0207X Pediatrics
Specialization: Pediatric Hematology-Oncology
26684 MO Allopathic & Osteopathic Physicians

Office Location

Street Address 7629 BRACKEN CIRCLE
City ST. LOUIS
State MO
Zip Code 63123

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770002610 Peter Brown Home Health Aide 9530 Antigo Dr, St Louis, MO 63123 2017-09-12
1346629748 Emily Murray Community/Behavioral Health 7556 Genesta Street, Saint Louis, MO 63123 2015-05-19
1730566183 Family Home & Health Care Services Home Health 9124 Lemona Drive, Saint Louis, MO 63123 2015-05-05
1114319092 Kathi Wallace Counselor 11166 Tesson Ferry Rd., Suite #203 Alpha Omega Christian Counseling, St. Louis, MO 63123 2015-03-02
1982981098 Robert Arthur Bilzing Pharmacist 9949 Tesson Ferry Rd, St. Louis, MO 63123 2011-11-03
1760767198 Valentina Jovic Pharmacist 5764 South Lindbergh Blvd, St. Louis, MO 63123 2011-10-17
1033423504 Margaret L Shields Inc Podiatrist 11132 South Towne Square, Ste 105, St Louis, MO 63123 2010-07-27
1326288929 Erica J Fahrner Occupational Therapist 6022 S. Lindbergh, Suite 100, Saint Louis, MO 63123 2009-02-23
1629248158 Maria Ramona Eppler Nurse Practitioner 4217 Bayless Ave., St. Louis, MO 63123 2008-03-12
1528251337 Affton Medical Clinic Internal Medicine 84 Grasso Plaza, St Louis, MO 63123 2007-08-24
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Taxonomy Information

Taxonomy Code 2080P0207X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Hematology-Oncology

Taxonomy Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043500416 Lauren Rhae Draper Pediatrics 1465 S Grand Blvd, Department of Pediatrics Division of Heme/onc, St. Louis, MO 63104 2011-04-19
1396849907 Gordon B Gale Pediatrics 1465 S Grand Blvd, St. Louis, MO 63104-1003 2006-09-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1952737066 Emily Jane Guyer Pediatrics 2015 Wolcott Dr, Columbia, MO 65202-1902 2013-09-20
1477908432 Kayeleigh Higgerson Pediatrics 2401 Gillham Rd, Kansas City, MO 64108-4619 2016-04-27
1720326150 Ashish Risal Pediatrics 181 N Kentucky Ave Ste 100, West Plains, MO 65775-2092 2013-01-18
1518278480 Amanda Jo Graul-conroy Pediatrics 2401 Gillham Rd, Kansas City, MO 64108 2010-06-25
1225352297 Joel C Thompson Pediatrics 2401 Gillham Rd, Kansas City, MO 64108-4619 2010-03-19
1043454713 Jaszianne Ashtrelle Tolbert Pediatrics 2401 Gillham Rd, Kansas City, MO 64108-4619 2009-04-26
1336386341 Terrie G Flatt Pediatrics 2401 Gillham Rd, Kansas City, MO 64108 2009-01-13
1588825509 Melanie A Villanueva Pediatrics 2401 Gillham Rd, Division of Hematology/oncology, Kansas City, MO 64108-4619 2008-06-23
1598924508 Rael Caspari Pediatrics 2401 Gillham Rd, Kansas City, MO 64108-4619 2008-06-04
1659545259 Erin Marie Guest Pediatrics 2401 Gillham Rd, Kansas City, MO 64108-4619 2008-04-15
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Competitor

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City ST. LOUIS
Zip Code 63123

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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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