DR. SAMUEL A CHANDRA (NPI# 1124010772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124010772 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL A CHANDRA |
| Credential | MD |
| Practice Address |
11133 Dunn Rd Saint Louis MO 63136 |
| Mailing Address |
660 S Euclid Ave Cb 8054 Saint Louis MO 63110-1010 |
| Practice Telephone | 3147473581 |
| Practice Fax Number | 3147471710 |
| Mailing Telephone | 3147473581 |
| Mailing Fax Number | 3147471710 |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2018-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
036.109888 | IL | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
114178 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
11133 DUNN RD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659376390 | John Oldham | Emergency Medicine | 11133 Dunn Rd, Rm H2241, Saint Louis, MO 63136-6119 | 2005-06-18 |
| 1750988499 | Lindsey Onate | Dietitian, Registered | 11133 Dunn Rd, Saint Louis, MO 63136-6163 | 2020-10-06 |
| 1548878705 | Christian Hospital Northeast Northwest | Clinical Medical Laboratory | 11133 Dunn Rd, Saint Louis, MO 63136-6163 | 2020-07-14 |
| 1962028555 | Wayne Joseph Parks | Spec/Tech, Pathology | 11133 Dunn Rd, Saint Louis, MO 63136-6163 | 2020-06-19 |
| 1295368504 | Rebecca Lynne Mooshegian Brewer | Nurse Practitioner | 11133 Dunn Rd, Saint Louis, MO 63136-6163 | 2020-02-14 |
| 1114568821 | Kelly Ann Blanner | Nurse Practitioner | 11133 Dunn Rd, Saint Louis, MO 63136-6163 | 2019-10-03 |
| 1235790957 | Kelly Anderson Erlinger | Anesthesiologist Assistant | 11133 Dunn Rd, Saint Louis, MO 63136-6163 | 2019-06-24 |
| 1053896654 | Hermance Fortune | Nurse Practitioner | 11133 Dunn Rd, Saint Louis, MO 63136-6163 | 2018-09-28 |
| 1801376884 | Andrea Lynn Thurm | Nurse Practitioner | 11133 Dunn Rd, Saint Louis, MO 63136-6163 | 2018-08-18 |
| 1831675545 | Kyle Patrick Mclafferty | Physician Assistant | 11133 Dunn Rd, Saint Louis, MO 63136-6163 | 2018-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565993 | Dorothy Smith | Home Health | 2531 Nathan Drive, St Louis, MO 63136 | 2020-10-16 |
| 1538784459 | Rita D Wilson | Technician | 9597 Jacobi Ave Bldg 33 Apt 7, Saint Louis, MO 63136 | 2020-06-16 |
| 1922646728 | Eduhealth Personal Care Services | Technician | 5843 Eagle Valley Dr Saint Louis Mo 63136, Saint Louis, MO 63136 | 2019-12-12 |
| 1558912964 | Homers Haven Home Care LLC | Home Health | 5636 Pamplin Pl, St Louis, MO 63136 | 2019-09-26 |
| 1366096703 | Chloe Suzanne Datillo | Nurse Practitioner | 2865 Netherton Dr., St Louis, MO 63136 | 2019-07-24 |
| 1053976431 | U Auto Be Quik LLC | Non-emergency Medical Transport (VAN) | 10352 Castle Drive, St. Louis, MO 63136 | 2019-05-01 |
| 1164945895 | A Plus Home Health Services LLC | Home Health | 9517 Wilson Bridge Drive, Saint Louis, MO 63136 | 2017-07-25 |
| 1184150302 | Fairview Village Adult Day Care LLC | Clinic/Center | 8449 Jennings Station Rd, Fairview Village Adult Day Care, Saint Louis, MO 63136 | 2017-05-08 |
| 1023541182 | Lots of Love Home Health Services | In Home Supportive Care | 4144 Lindell Blvd. Suite 218, Saint Louis, MO 63136 | 2017-04-06 |
| 1912440876 | Carestl Health | Clinic/Center | 7047 Emma Ave, Jennings, MO 63136 | 2016-11-28 |
| Find all providers in zip 63136 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275845208 | Jimmy L Moss | Internal Medicine | 12634 Olive Blvd Dept Of, Saint Louis, MO 63141-6337 | 2010-07-07 |
| 1871585356 | Salvador Lobianco | Internal Medicine | 11155 Dunn Rd, Ste: 315e, Saint Louis, MO 63136-6150 | 2005-08-19 |
| 1235121013 | Nadeem D Parkar | Internal Medicine | 3635 Vista At Grand, Radiology Dept - Sluh, Saint Louis, MO 63110-0250 | 2005-08-18 |
| 1376546804 | Nadeem Ahmed | Internal Medicine | 777 Craig Rd Ste 130, Saint Louis, MO 63141-7133 | 2005-05-30 |
| 1194255455 | Christopher David Coriasso | Internal Medicine | 625 S New Ballas Rd Ste 7020, Saint Louis, MO 63141-8218 | 2017-06-19 |
| 1669882205 | Justin Grady | Internal Medicine | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2014-05-05 |
| 1760815740 | Inpatient Consultants of Missouri Inc | Internal Medicine | 12125 Woodcrest Executive Dr Ste 220, Saint Louis, MO 63141-5010 | 2013-08-14 |
| 1083977367 | Peter Kang | Internal Medicine | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2012-06-21 |
| 1861758526 | Keith Timothy Ferguson | Internal Medicine | 3660 Vista Ave, Saint Louis, MO 63110-2540 | 2012-04-06 |
| 1013203454 | Karthik Iyer | Internal Medicine | 1100 S Grand Blvd, Drc 831, Saint Louis, MO 63104-1015 | 2011-06-23 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63136 |
Please comment or provide details below to improve the information on DR. SAMUEL A CHANDRA.
| 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.