DR. DAVID JOHN WESTRICH (NPI# 1114051661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114051661 |
| Entity Type | Individual |
| Full Name | DR. DAVID JOHN WESTRICH |
| Credential | M.D. |
| Practice Address |
360 S Mount Auburn Rd Cape Girardeau MO 63703-4920 |
| Practice Telephone | 5733353577 |
| Practice Fax Number | 5733351559 |
| Mailing Telephone | 5733353577 |
| Mailing Fax Number | 5733351559 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2017-12-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 036084634 | IL | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 29233 | KY | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | MDR4H61 | MO | Allopathic & Osteopathic Physicians |
| N | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
036084634 | IL | Allopathic & Osteopathic Physicians |
| N | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
29233 | KY | Allopathic & Osteopathic Physicians |
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
MDR4H61 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RAILROAD MEDICARE | 180035397 | 01 |
| MO | BLUE CROSS BLUE SHIELD MO | 4624 | 01 |
| KY | 64038219 | 05 | |
| HEALTHLINK | 179261 | 01 | |
| MO | 208079111 | 05 | |
| MO | RAILROAD MEDICARE | 180034566 | 01 |
| KY | RAILROAD MEDICARE | 180035396 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396752044 | David J. Westrich | Anesthesiology | 223 N. Van Dien Ave., The Valley Hospital, Ridgewood, NJ 07450 | 2006-08-02 |
| 1679927230 | David John Westrich Jr. | Student in an Organized Health Care Education/Training Program | 1402 S Grand Blvd, Fdt 14, Saint Louis, MO 63104-1004 | 2016-04-20 |
| Street Address |
360 S MOUNT AUBURN RD |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63703-4920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700850500 | Derrall Shawn Parker | Ophthalmology | 360 S Mount Auburn Rd, Cape Girardeau, MO 63703-4920 | 2006-02-16 |
| 1033365663 | Tatyana Igorevna Metelitsina | Internal Medicine | 360 S Mount Auburn Rd, Cape Girardeau, MO 63703-4920 | 2008-08-14 |
| 1316071780 | Eye Care Specialists, LLC | Ophthalmology | 360 S Mount Auburn Rd, Cape Girardeau, MO 63703-4920 | 2007-03-15 |
| 1154359826 | David D Kim | Ophthalmology | 360 S Mount Auburn Rd, Cape Girardeau, MO 63703-4920 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720566102 | Christian Torres Diaz | Dentist | 3070 William Street, Cape Girardeau, MO 63703 | 2018-07-30 |
| 1457758153 | Broadway Ltc, LLC | Pharmacy | 37 Doctors Park Ste 7, Cape Girardeau, MO 63703 | 2014-11-24 |
| 1336562263 | Rachel Speer | Community Health Worker | 20 South Sprigg St, Cape Girardeau, MO 63703 | 2014-01-29 |
| 1245653120 | Mary Wilburn | Community Health Worker | 20 S Spigg, Cape Girardeau, MO 63703 | 2014-01-28 |
| 1831523695 | Saint Francis Medical Center | General Acute Care Hospital | 150 South Mount Auburn Road, Suite 342, Cape Girardeau, MO 63703 | 2013-08-29 |
| 1033481163 | J K Essmyer Medical Services LLC | Clinic/Center | 300 Mt Auburn Rd, Auburn Surgery Center, Inc, Cape Girardeau, MO 63703 | 2012-02-06 |
| 1477867844 | Drx - East Missouri Providers, P.C. | Family Medicine | 465 S Mount Auburn Road, Suite 103, Cape Girardeau, MO 63703 | 2010-07-28 |
| 1346564879 | Richard William Tobey | Family Medicine | 3250 Gordonville Rd Ste 301, Cape Girardeau, MO 63703 | 2010-03-26 |
| 1144413568 | Stephanie Danette Miller | Family Medicine | 817 S. Mount Auburn, Suite 100, Southeast Primary Care, Cape Gerardeau, MO 63703 | 2007-08-20 |
| 1437349305 | Shanaree Mae Muzinich | Radiology | 70 Doctor's Park, Cape Girardeau, MO 63703 | 2007-07-27 |
| Find all providers in zip 63703 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971620 | Missouri Retina Consultants PC | Ophthalmology | 105 N Keene St Ste 102, Columbia, MO 65201-8131 | 2020-10-29 |
| 1669476560 | Kevin J Blinder | Ophthalmology | 17 The Boulevard Saint Louis, Saint Louis, MO 63117-1118 | 2005-06-08 |
| 1427439298 | Bliss Elizabeth O'bryhim | Ophthalmology | 517 S Euclid Ave, Saint Louis, MO 63110-1007 | 2015-06-17 |
| 1700175395 | Retina Consultants, Ltd | Ophthalmology | 17 The Boulevard Saint Louis, Saint Louis, MO 63117-1118 | 2011-04-04 |
| 1073778460 | Clayton Greer Scanlon | Ophthalmology | 1224 Graham Rd, 3011, Florissant, MO 63031-8028 | 2008-07-24 |
| 1750581666 | Retina Associates of St Louis, Inc | Ophthalmology | 1224 Graham Rd, Suite 3011, Florissant, MO 63031-8028 | 2007-07-19 |
| 1003019019 | Blonie Wayne Dudney Jr. | Ophthalmology | 1224 Graham Rd, 3011, Florissant, MO 63031-8028 | 2007-06-07 |
| 1891807137 | David A. Glaser | Ophthalmology | 1224 Graham Rd, Suite 3011, Florissant, MO 63031-8028 | 2006-08-31 |
| 1851403190 | Carla Territo | Ophthalmology | 1224 Graham Rd, Suite 3011, Florissant, MO 63031-8028 | 2006-08-31 |
| 1588608970 | Bradley Thomas Smith | Ophthalmology | 17 The Boulevard Saint Louis, Saint Louis, MO 63117-1118 | 2006-06-15 |
| Find all providers with the same taxonomy | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63703 |
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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.