DR. CAMERON MANSFIELD KOCH (NPI# 1134658743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134658743 |
Entity Type | Individual |
Full Name | DR. CAMERON MANSFIELD KOCH |
Credential | MD |
Practice Address |
1 Barnes Jew Hosp Plz Saint Louis MO 63110-1003 |
Mailing Address |
510 S Kingshighway Blvd Campus Box 8131 Saint Louis MO 63110-1016 |
Practice Telephone | 3145658167 |
Mailing Telephone | 3145658167 |
Enumeration Date | 2017-06-07 |
Last Update Date | 2019-03-10 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | R10888 | IA | Allopathic & Osteopathic Physicians |
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
2018012279 | MO | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
1415 Woodland Ave Ste 140, Des Moines, IA 503093203 | (515) 241-8595 | 5152414080 |
Street Address |
1 BARNES JEW HOSP PLZ |
City | SAINT LOUIS |
State | MO |
Zip Code | 63110-1003 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639283286 | Carolyn Downey Kelly | Nurse Practitioner | 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110 | 2006-08-19 |
1710584081 | Amber Hayes | Orthopaedic Surgery | 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110-1003 | 2020-10-08 |
1710592423 | Khatera Najrabi | Registered Nurse | 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110-1003 | 2020-09-10 |
1649880121 | Brian James Bertschi | Registered Nurse | 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110-1003 | 2020-08-09 |
1083230593 | David Michael Leander | Internal Medicine | 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110-1003 | 2020-06-20 |
1619593134 | Benjamin Hoemann | Internal Medicine | 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110-1003 | 2020-06-20 |
1104442748 | Aashray Singareddy | Internal Medicine | 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110-1003 | 2020-06-19 |
1124644927 | Lauren Marie Van Buren | Internal Medicine | 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110-1003 | 2020-06-18 |
1679199327 | Sneha Narasimhan | Internal Medicine | 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110-1003 | 2020-06-18 |
1033735758 | Amandeep Singh Kataria | Internal Medicine | 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110-1003 | 2020-06-18 |
Find all providers in the same location |
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 | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609130566 | Kristin Harris Drake | Radiology | 621 S New Ballas Rd Ste 23a, Saint Louis, MO 63141 | 2012-06-26 |
1093083016 | William G Crawford | Radiology | 61 Crestwood Dr, Saint Louis, MO 63105-3020 | 2011-12-05 |
1558657643 | Joseph Gary Livingston | Radiology | One Barnes-jewsih Hospital Plaza, Mailstop 90-09-355, Saint Louis, MO 63110 | 2011-06-27 |
1013219344 | Pure Imaging LLC | Radiology | 12345 West Bend Drive, Saint Louis, MO 63128-2104 | 2010-11-18 |
1881884658 | Zhengming Gu | Radiology | 9240 Radiom Dr, Saint Louis, MO 63123-5545 | 2007-07-27 |
1306057310 | Mohammed Ali Abbas | Radiology | 1402 S Grand Blvd Rm 260, Saint Louis, MO 63104-1004 | 2007-05-24 |
1104040963 | Saadoon Kadir | Radiology | 2909 Netherton Dr, Saint Louis, MO 63136-4677 | 2007-04-12 |
1376612739 | Carl Joseph Aschkenasi | Radiology | 898 Alanson Dr, Saint Louis, MO 63132-5039 | 2006-11-07 |
1629182829 | Jeffery A Hardy | Radiology | 2344 Hampton Ave, Saint Louis, MO 63139-2909 | 2006-08-18 |
1124132436 | Alfred D Shaplin | Radiology | 1034 S Brentwood Blvd Ste 280, Saint Louis, MO 63117-1221 | 2006-08-17 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63110 |
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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.