DR. JAMES ROBERT ETZKORN (NPI# 1124066253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124066253 |
| Entity Type | Individual |
| Full Name | DR. JAMES ROBERT ETZKORN |
| Credential | M.D. |
| Practice Address |
2821 N Ballas Rd Saint Louis MO 63131-2321 |
| Practice Telephone | 3149959718 |
| Practice Fax Number | 3149957196 |
| Mailing Telephone | 3149959718 |
| Mailing Fax Number | 3149957196 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
R5648 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275523904 | James Phillip Etzkorn | Psychologist | 400 Maynard St, Suite 603, Ann Arbor, MI 48104-2440 | 2005-10-25 |
| Street Address |
2821 N BALLAS RD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63131-2321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346236395 | United Home Health Services of St. Louis, Inc. | Home Health | 2821 N Ballas Rd, Suite 255, Saint Louis, MO 63131-2321 | 2005-09-26 |
| 1154945160 | Rachel Renee Ragsdale I | Dentist | 2821 N Ballas Rd, Saint Louis, MO 63131-2321 | 2020-06-04 |
| 1770028672 | Bryson Colt Wilbanks | Chiropractor | 2821 N Ballas Rd, Suite 105, Saint Louis, MO 63131-2321 | 2016-12-30 |
| 1528503026 | Stewart E Moreland, Dmd, LLC | Dentist | 2821 N Ballas Rd, Suite 225, Saint Louis, MO 63131-2321 | 2016-12-20 |
| 1487104600 | Bruce Cook Prosthetics | Durable Medical Equipment & Medical Supplies | 2821 N Ballas Rd, Suite 215, Saint Louis, MO 63131-2321 | 2016-10-12 |
| 1396176848 | Hyacinth Mcguire | Chiropractor | 2821 N Ballas Rd, Suite 105, Saint Louis, MO 63131-2321 | 2013-12-10 |
| 1992136907 | St. Louis Family Therapy | Marriage & Family Therapist | 2821 N Ballas Rd, Suite C-35, Saint Louis, MO 63131-2321 | 2013-12-02 |
| 1902156748 | Blake Thomas Eyres | Dentist | 2821 N Ballas Rd, Suite 160, Saint Louis, MO 63131-2321 | 2012-09-19 |
| 1073806568 | Kristina Brazier | Chiropractor | 2821 N Ballas Rd, Suite 105, Saint Louis, MO 63131-2321 | 2011-05-17 |
| 1336447564 | Psych Health LLC | Psychiatry & Neurology | 2821 N Ballas Rd, Suite 265, Saint Louis, MO 63131-2321 | 2011-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568097954 | Avalcare Inc | Pharmacy | 10431 Clayton Rd, Saint Louis, MO 63131 | 2020-03-06 |
| 1891331369 | Life Clinic of Mo Dc PC | Chiropractor | 2051 South Lindbergh Blvd, Frontenac, MO 63131 | 2019-11-20 |
| 1447892542 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 30 S Lindbergh Blvd, Saint Louis, MO 63131 | 2019-10-10 |
| 1336797026 | Justa Davis | Dietitian, Registered | 3015 North Ballas, Saint Louis, MO 63131 | 2019-08-27 |
| 1730695362 | Curators of The University of Missouri | Psychologist | 12837 Flushing Meadows Drive, Sutie 220, Town and Country, MO 63131 | 2017-12-19 |
| 1770012031 | Danielle Marie Hargate | Specialist/Technologist | 732 Timber Trail, Frontenac, MO 63131 | 2017-06-08 |
| 1285087429 | Kathryn Parker | Internal Medicine | 1000 Des Peres Rd Ste 300, Saint Louis, MO 63131 | 2016-07-22 |
| 1437524360 | Julie Ann Godefroid | Nurse Practitioner | 1010 Old Des Peres Road, St. Louis, MO 63131 | 2015-12-03 |
| 1073982435 | Rebecca Baum Rainbolt | Social Worker | 12210 Clayton Rd, Saint Louis, MO 63131 | 2015-09-16 |
| 1518217322 | Advanced Anesthesia and Pain Management, LLC | Anesthesiology | 12805 Topping Woods Estate Drive, St. Louis, MO 63131 | 2012-09-19 |
| Find all providers in zip 63131 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1992019921 | Jonathan David Bortz | Internal Medicine | 8117 Stanford Ave, Saint Louis, MO 63130-3617 | 2010-08-02 |
| 1538289343 | Rojanasathit,m.d.p.c. | Internal Medicine | 11155 Dunn Rd Ste 201e, Saint Louis, MO 63136-6149 | 2007-03-29 |
| 1124139845 | Lamice El-kholy | Internal Medicine | 1423 S Big Bend Blvd, Saint Louis, MO 63117-2203 | 2006-08-31 |
| 1134146640 | Lewis Robert Chase | Internal Medicine | 4921 Parkview Pl Ste 5b, Ste 5b, Saint Louis, MO 63110-1032 | 2006-07-17 |
| 1235168071 | Michael Peter Whyte | Internal Medicine | 4921 Parkview Pl Fl 5, 5th Fl, Saint Louis, MO 63110-1032 | 2006-07-02 |
| 1578508701 | Irini E Veronikis | Internal Medicine | 621 S New Ballas Rd Ste 3006b, Saint Louis, MO 63141-8282 | 2006-06-19 |
| 1720078843 | Bharathi Raju | Internal Medicine | 12900 Tesson Ferry Rd Ste 101, Saint Louis, MO 63128-3002 | 2005-10-28 |
| 1316945330 | James N Heins | Internal Medicine | 4921 Parkview Pl Ste 5c, Ste 5c, Saint Louis, MO 63110-1032 | 2005-07-13 |
| 1407487457 | Daniel Gaitan Healthcare, Inc | Internal Medicine | 425 N New Ballas Rd Ste 107, Saint Louis, MO 63141-6845 | 2020-01-29 |
| 1184112344 | Max Christian Petersen | Internal Medicine | 4921 Parkview Pl Ste 5c, Saint Louis, MO 63110-1032 | 2018-04-24 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63131 |
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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.