JAY S PEPOSE (NPI# 1134111446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134111446 |
| Entity Type | Individual |
| Full Name | JAY S PEPOSE |
| Credential | M.D. |
| Practice Address |
1815 Clarkson Rd Chesterfield MO 63017-5065 |
| Mailing Address |
1125 Templeton Pl Chesterfield MO 63017-8412 |
| Practice Telephone | 6367280111 |
| Practice Fax Number | 6367281262 |
| Mailing Telephone | 6369265262 |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2008-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | R5H83 | MO | Other Service Providers |
| Street Address |
1815 CLARKSON RD |
| City | CHESTERFIELD |
| State | MO |
| Zip Code | 63017-5065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831197557 | Nancy Holekamp | Ophthalmology | 1815 Clarkson Rd, Chesterfield, MO 63017-5065 | 2005-07-07 |
| 1316359524 | Caleb Morris | Ophthalmology | 1815 Clarkson Rd, Chesterfield, MO 63017-5065 | 2014-05-22 |
| 1134481393 | Jonathan Wesley Crews | Internal Medicine | 1815 Clarkson Rd, Chesterfield, MO 63017-5065 | 2012-06-13 |
| 1124010434 | Mujtaba A Qazi | Ophthalmology | 1815 Clarkson Rd, Chesterfield, MO 63017-5065 | 2005-08-22 |
| 1205828514 | James C Rieger | Optometrist | 1815 Clarkson Rd, Chesterfield, MO 63017-5065 | 2005-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549193 | Kathryn E Bos | Student in an Organized Health Care Education/Training Program | 873 Apt N Foxsprings Dr, Chesterfield, MO 63017 | 2020-05-12 |
| 1700415171 | Charles H. Edwards | Physical Therapist | 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 | 2020-04-07 |
| 1003454562 | Stephanie Henningsen | Physical Therapy Assistant | 307 S Woods Rd, Chesterfield, MO 63017 | 2019-12-16 |
| 1831746296 | Star Lynn Sutton | Occupational Therapy Assistant | 15207 Olive Boulevard, Chesterfield, MO 63017 | 2019-08-21 |
| 1639738438 | Van Amburg & Busiek Md's, LLC | Pharmacy | 232 S Woodsmill Road, Suite 330 East, Chesterfield, MO 63017 | 2019-06-06 |
| 1306306865 | Margaret Mary Wynn | Nurse Practitioner | 15740 South Outer Road, Chesterfield, MO 63017 | 2019-03-21 |
| 1205393089 | Kimberly Danielle | Nurse Practitioner | 744 Forest Trace Dr, Chesterfield, MO 63017 | 2019-02-27 |
| 1457823965 | Allison Joy Mcgrail | Dietitian, Registered | 45740 S Outer Forty Rd, Chesterfield, MO 63017 | 2018-12-21 |
| 1316418080 | Julie Lefere | Social Worker | Mercy Virtual Care Center, 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2018-12-06 |
| 1336629641 | Catherine Dolphin Smith | Nurse Practitioner | 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 | 2018-08-16 |
| Find all providers in zip 63017 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710263108 | Lisa Ann Peoples | Specialist | 14219 Kinderhook Dr, Chesterfield, MO 63017-2921 | 2011-10-29 |
| 1437466729 | Cathy Mccredie | Specialist | 830 Wellesley Place Dr, Chesterfield, MO 63017-0745 | 2010-09-08 |
| 1588827224 | Central Orthopedics and Sports Medicine PC | Specialist | 121 Saint Lukes Center Dr Ste 502, Chesterfield, MO 63017-3519 | 2008-07-02 |
| 1942486055 | Mark D Miller | Specialist | 14825 N Outer 40 Ste 200, Chesterfield, MO 63017-2152 | 2008-01-18 |
| 1477694248 | Leigh Douglas Hagan | Specialist | 10003 Courtview Ln, Chesterfield, VA 23832-6682 | 2007-02-12 |
| 1851437594 | Patricia Elizabeth Hamill | Specialist | 25 La Gorce Dr, Chesterfield, MO 63017-3233 | 2007-01-29 |
| 1962554758 | St. Luke's Breast Care Center | Specialist | 232 S Woods Mill Rd Ste 200e, Chesterfield, MO 63017-3417 | 2007-01-18 |
| 1679682512 | James J Coyle, Md LLC | Specialist | 226 S Woods Mill Rd Ste 35, Chesterfield, MO 63017-3662 | 2006-08-30 |
| 1518994482 | Christian Arturo Prada | Specialist | 17300 North Outer 40 Road, Suite 300, Chesterfield, MO 63005-1361 | 2006-06-27 |
| 1962406207 | Matthew F Gornet | Specialist | 14825 N Outer 40 Rd, Ste 200, Chesterfield, MO 63017-2152 | 2005-06-01 |
| Find all providers in CHESTERFIELD | ||||
| City | CHESTERFIELD |
| Zip Code | 63017 |
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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.