DR. LEIGH A DAGEFORDE (NPI# 1114193521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114193521 |
| Entity Type | Individual |
| Full Name | DR. LEIGH A DAGEFORDE |
| Credential | MD |
| Practice Address |
4921 Parkview Pl Ste 8c Ste 8c Saint Louis MO 63110-1032 |
| Mailing Address |
660 S Euclid Ave C B 8109 Saint Louis MO 63110-1010 |
| Practice Telephone | 3147473980 |
| Practice Fax Number | 3147474111 |
| Mailing Telephone | 3147473980 |
| Mailing Fax Number | 3147474111 |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2018-04-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 2016010387 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | ENROLLED | 05 | |
| MO | 1114193521 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 165 Cambridge St Ste 301, Boston, MA 021142751 | 6177265277 |
| Street Address |
4921 PARKVIEW PL STE 8C STE 8C |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-1032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013981737 | Alexandra Gutierrez | Internal Medicine | 4921 Parkview Pl Ste 8c, Ste 8c, Saint Louis, MO 63110-1032 | 2006-02-17 |
| 1649825902 | Sanket Srinivasa | Surgery | 4921 Parkview Pl Ste 8c, Saint Louis, MO 63110-1032 | 2019-08-05 |
| 1558805705 | Crystal Wolf | Physician Assistant | 4921 Parkview Pl Ste 8c, Ste 8c, Saint Louis, MO 63110-1032 | 2016-12-07 |
| 1467903518 | Brittany Leigh Brecklin | Nurse Practitioner | 4921 Parkview Pl Ste 8c, Ste 8c, Saint Louis, MO 63110-1032 | 2016-10-24 |
| 1669849402 | Rachel Eden Maday | Nurse Practitioner | 4921 Parkview Pl Ste 8c, Ste 8c, Saint Louis, MO 63110-1032 | 2015-08-27 |
| 1023422599 | Leticia Sian Cross | Nurse Practitioner | 4921 Parkview Pl Ste 8c, Ste 8c, Saint Louis, MO 63110-1032 | 2014-06-12 |
| 1235483447 | Jennifer Maria Schulze | Nurse Practitioner | 4921 Parkview Pl Ste 8c, Ste 8c, Saint Louis, MO 63110-1032 | 2012-11-09 |
| 1205117058 | Kelly Jean Dodds | Nurse Practitioner | 4921 Parkview Pl Ste 8c, Ste 8c, Saint Louis, MO 63110-1032 | 2011-09-07 |
| 1730405812 | Sara Holden | Surgery | 4921 Parkview Pl Ste 8c, Ste 8c, Saint Louis, MO 63110-1032 | 2010-04-14 |
| 1659567469 | Arghavan Salles | Surgery | 4921 Parkview Pl Ste 8c, Ste 8c, Saint Louis, MO 63110-1032 | 2007-09-15 |
| Find all providers in the same location | ||||
| 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 Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 |
|---|---|---|---|---|
| 1003336934 | Bradley Kushner | Surgery | 660 S Euclid Ave Fl 9, Saint Louis, MO 63110-1010 | 2017-06-21 |
| 1982088571 | Maxwell Tanyi Fohtung | Surgery | 4949 W Pine Blvd, Saint Louis, MO 63108 | 2015-07-14 |
| 1376920538 | Jordan M Kirsch | Surgery | 660 S. Euclid Ave, Cb 8109, Saint Louis, MO 63110-1020 | 2015-04-27 |
| 1003231002 | Mysorekar Surgical | Surgery | 8342 Delcrest Dr, Apt 303, Saint Louis, MO 63124-2100 | 2014-02-27 |
| 1962765974 | Lauren K. M. Barron | Surgery | 7421 Nottingham Ave, Saint Louis, MO 63119-3341 | 2012-06-25 |
| 1831452952 | Bola Gabriel Aladegbami | Surgery | 4901 Forest Park Ave Ste 630, Mail Stop 90-75-587, Saint Louis, MO 63108-1444 | 2012-06-22 |
| 1235491663 | Andrew Yeh | Surgery | 1 Childrens Pl Ste 6110, Saint Louis, MO 63110-1002 | 2012-06-12 |
| 1922310481 | Radhika Kausalya Smith | Surgery | 1040 N Mason Rd Ste 120, Ste 120, Saint Louis, MO 63141-6361 | 2010-07-12 |
| 1730316290 | Katherine Glover-collins | Surgery | 4921 Parkview Pl Ste 5f, Ste 5f, Saint Louis, MO 63110-1032 | 2009-06-11 |
| 1245473156 | Nishant Raj | Surgery | 11155 Dunn Rd Ste 108n, Saint Louis, MO 63136-6148 | 2009-04-08 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63110 |
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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.