ADNAN SIDDIQUI (NPI# 1134194327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134194327 |
| Entity Type | Individual |
| Full Name | ADNAN SIDDIQUI |
| Credential | MD |
| Practice Address |
12776 Boenker Ln Bridgeton MO 63044 |
| Mailing Address |
12776 Boenker Ln Bridgeton MO 63044-2436 |
| Practice Telephone | 3142917997 |
| Mailing Telephone | 3142917997 |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2020-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 2005009473 | MO | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 207582008 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 400 Maple Summit Rd, Jerseyville, IL 620522028 | 1618498840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508093899 | Adnan Siddiqui | Pathology | 4831 Tesla Dr Ste F, Bowie, MD 20715 | 2009-06-15 |
| 1457709354 | Adnan Muddassir Siddiqui | Student in an Organized Health Care Education/Training Program | 750 E. Adams Street, Syracuse, NY 13210 | 2016-06-01 |
| 1336320506 | Adnan Siddiqui | Internal Medicine | 601 River Pointe Dr, Conroe, TX 77304-2945 | 2007-11-16 |
| 1558325951 | Adnan H Siddiqui | Neurological Surgery | 40 George Karl Blvd, Williamsville, NY 14221-7183 | 2006-04-13 |
| Street Address |
12776 BOENKER LN |
| City | BRIDGETON |
| State | MO |
| Zip Code | 63044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972924900 | Manpreet Kaur Budhan | Nurse Practitioner | 12776 Boenker Ln, Bridgeton, MO 63044-2436 | 2013-12-17 |
| 1831486364 | Julie Ann Shapiro-schere | Internal Medicine | 12776 Boenker Ln, Bridgeton, MO 63044-2436 | 2011-07-05 |
| 1750346904 | Phillip G Zinser | Internal Medicine | 12776 Boenker Ln, Bridgeton, MO 63044-2436 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073150017 | Zoe Marie Wadsworth | Nurse Practitioner | 12255 Depaul Dr Suite 300, Bridgeton, MO 63044 | 2019-12-10 |
| 1609412451 | Beyond Better, Best Home Health Care Services, Limited Liability Corpo | In Home Supportive Care | 3430 Mckelvey Road Ste B, Bridgeton, MO 63044 | 2019-11-26 |
| 1275189078 | Delicate Angels Home Health LLC | Home Health | 11726 St. Charles Rock Road Suite G, Bridgeton, MO 63044 | 2019-08-16 |
| 1588210082 | Nicholas Huber | Physical Therapist | 12349 Depaul Dr., Ste. 110, Bridgeton, MO 63044 | 2019-08-12 |
| 1124688858 | Michelle Bassett | Registered Nurse | 11520 St. Charles Rock Rd., Suite 106, Bridgeton, MO 63044 | 2019-06-14 |
| 1336703883 | Elena A Barrow | Nurse Practitioner | 12255 Depaul Dr, Suite 260, Bridgeton, MO 63044 | 2019-04-30 |
| 1487123105 | Laura N Steiner | Registered Nurse | Gateway Pediatrics, Ltd, 12255 Depaul Drive, Suite 460 North Medical Building, Bridgeton, MO 63044 | 2018-11-26 |
| 1205310950 | Danielle Mathis | Nurse Practitioner | 3440 Depaul Lane Suite 201, Bridgeton, MO 63044 | 2018-09-19 |
| 1588163570 | Thoughts Out Loud Counseling, LLC | Social Worker | 11520 St. Charles Rock Road Suite 101, Bridgeton, MO 63044 | 2018-02-06 |
| 1912411430 | Breanna Victoria Hayes | Counselor | 3165 Mckevley Road, Suite 200, Bridgeton, MO 63044 | 2017-11-20 |
| Find all providers in zip 63044 | ||||
| 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 |
|---|---|---|---|---|
| 1780078360 | H3 Hair Health Happiness LLC | Specialist | 3159 Fee Fee Rd Ste 207, Bridgeton, MO 63044-3299 | 2015-03-23 |
| 1679817381 | Melody Marie Topolewski | Specialist | 12258 St. Charles Rock Road, Bridgeton, MO 63044 | 2012-11-19 |
| 1568593978 | Hahn Obgyn Associates | Specialist | 12255 De Paul Dr Ste 320, Bridgeton, MO 63044-2510 | 2007-03-08 |
| 1881795219 | St Louis County Otolaryngology Ltd | Specialist | 12255 De Paul Dr Ste 160, Bridgeton, MO 63044-2513 | 2006-09-26 |
| 1063522597 | Jason Matthew Hanson | Specialist | 12255 De Paul Dr Ste 830n, Bridgeton, MO 63044-2510 | 2006-08-30 |
| 1043204845 | Carlos A. Maitz | Specialist | 12277 Depaul Dr, Suite 303 South, Bridgeton, MO 63044 | 2005-09-07 |
| 1184077653 | Ella L Heritage | Specialist | 7 Bridgeton Ave, Bridgeton, NJ 08302-1218 | 2016-07-19 |
| 1033427257 | Patricia Bozzi | Specialist | 12266 Depaul Drive, Suite 115, Bridgeton, MO 63044 | 2010-09-22 |
| 1558507921 | Sleepcare Centers Inc. | Specialist | 333 Irving Ave, Bridgeton, NJ 08302-2123 | 2009-01-06 |
| 1578747408 | Northwest Otolaryngology, Inc | Specialist | 12255 De Paul Dr Ste 830n, Bridgeton, MO 63044-2510 | 2007-12-27 |
| Find all providers in BRIDGETON | ||||
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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.