SPENCER FULLER (NPI# 1124513023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124513023 |
| Entity Type | Individual |
| Full Name | SPENCER FULLER |
| Credential | MD, MPH |
| Practice Address |
One Barnes-jewish Hospital Plaza St. Louis MO 63110 |
| Mailing Address |
660 S Euclid Ave Internal Medicine Campus Box 8121 Saint Louis MO 63110-1010 |
| Practice Telephone | 3153625000 |
| Mailing Telephone | 3143625000 |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 2018020280 | MO | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 2018020280 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
ONE BARNES-JEWISH HOSPITAL PLAZA |
| City | ST. LOUIS |
| State | MO |
| Zip Code | 63110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821583626 | Nathanael James Smith | Emergency Medicine | One Barnes-jewish Hospital Plaza, Mailstop # 90-29-928, St. Louis, MO 63110 | 2018-06-25 |
| 1972098820 | Haley Ellis | Internal Medicine | One Barnes-jewish Hospital Plaza, St. Louis, MO 63110 | 2018-06-24 |
| 1922592963 | Adam Baim | Ophthalmology | One Barnes-jewish Hospital Plaza, St. Louis, MO 63110 | 2018-06-21 |
| 1295229342 | Matthew C Santos | Internal Medicine | One Barnes-jewish Hospital Plaza, St. Louis, MO 63110 | 2018-06-20 |
| 1174029409 | Krishna Christopher Bhat | Anesthesiology | One Barnes-jewish Hospital Plaza, St. Louis, MO 63110 | 2018-04-04 |
| 1275708521 | Cheryl L. Richard | Nurse Practitioner | One Barnes-jewish Hospital Plaza, St. Louis, MO 63110 | 2008-04-28 |
| 1750595294 | Ryan Matthew Noble | Anesthesiology | One Barnes-jewish Hospital Plaza, Barnes-jewish Hospital, St. Louis, MO 63110 | 2007-05-10 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| 1104310192 | Brent Bruck | Internal Medicine | One Barnes-jewish Plaza, St. Louis, MO 63110 | 2018-06-21 |
| 1467987651 | Hinna Shahid | Internal Medicine | 3545 South Jefferson Ave, St. Louis, MO 63118 | 2017-04-25 |
| 1740635168 | Nikhil Malhotra | Internal Medicine | 3635 Vista Avenue At Grand Boulevard, 14th Floor, Desloge Towers, St. Louis, MO 73118 | 2016-05-04 |
| 1013392018 | Ali Raza Ghani | Internal Medicine | 3635 Vista Avenue, Desloge Towers, 13th Floor, St. Louis, MO 63310 | 2015-07-21 |
| 1487034674 | Daniel Chakos | Internal Medicine | 3655 Vista Avenue, West Pavilion Suite Heme/onc, 3rd Floor, St. Louis, MO 63110 | 2015-06-03 |
| 1659768133 | Veerakesari Subramanian | Internal Medicine | 6420 Clayton Road, Richmond Heights, Dept of Internal Medicine, St. Louis, MO 63117 | 2015-04-22 |
| 1477965176 | Robin Ann Kundra Md | Internal Medicine | 916 Olive Street #312, St. Louis, MO 63101 | 2014-05-29 |
| 1104171388 | Eric John Huselton | Internal Medicine | 1 Barnes-jewish Hospital Plaza, St. Louis, MO 63110 | 2012-07-13 |
| 1801150784 | Ryan Lee Kroeger | Internal Medicine | 615 S New Ballas, Mercy Hospital Internal Medicine Department, St. Louis, MO 63141-8277 | 2012-06-26 |
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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.