DR. EDWARD W. HEIDBRIER (NPI# 1154373124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154373124 |
Entity Type | Individual |
Full Name | DR. EDWARD W. HEIDBRIER |
Credential | MD PC |
Practice Address |
6400 Clayton Rd Ste 107 Saint Louis MO 63117-1850 |
Practice Telephone | 3146452810 |
Practice Fax Number | 3146452220 |
Mailing Telephone | 3146452810 |
Mailing Fax Number | 3146452220 |
Enumeration Date | 2006-05-17 |
Last Update Date | 2012-06-29 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
36756 | MO | Allopathic & Osteopathic Physicians |
Street Address |
6400 CLAYTON RD STE 107 |
City | SAINT LOUIS |
State | MO |
Zip Code | 63117-1850 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518966431 | Deborah J Garbo | Nurse Practitioner | 6400 Clayton Rd, Suite 212, Saint Louis, MO 63117-1850 | 2005-07-21 |
1528593928 | Maria Winsor | Nurse Practitioner | 6400 Clayton Rd, Saint Louis, MO 63117-1850 | 2017-04-24 |
1528500766 | Lauren R Neier | Physician Assistant | 6400 Clayton Rd, Suite 110, Saint Louis, MO 63117-1850 | 2016-11-04 |
1861841694 | Francisco Silva | Registered Nurse | 6400 Clayton Rd, Suite 303, Saint Louis, MO 63117-1850 | 2016-06-13 |
1780053652 | Clayton Medical Center | Specialist | 6400 Clayton Rd, Suite 303, Saint Louis, MO 63117-1850 | 2015-09-21 |
1437555653 | Kimberly Harsy | Registered Nurse | 6400 Clayton Rd, Ste. 303, Saint Louis, MO 63117-1850 | 2014-11-16 |
1033484175 | Raymond A. Brickhouse, Dpm LLC | Podiatrist | 6400 Clayton Rd, Suite 412, Saint Louis, MO 63117-1850 | 2012-03-21 |
1366766735 | Jaclyn Nicole Gill | Emergency Medicine | 6400 Clayton Rd, Ste 110, Saint Louis, MO 63117-1850 | 2010-03-15 |
1205009552 | Sarah M Wilmsmeyer | Physician Assistant | 6400 Clayton Rd, Ste 110, Saint Louis, MO 63117-1850 | 2008-04-08 |
1336312693 | Lori A Mccullough | Physician Assistant | 6400 Clayton Rd, Ste 110, Saint Louis, MO 63117-1850 | 2008-04-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255956611 | Efehi Kelly Ogbomo | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Suite 2218, St. Louis, MO 63117 | 2020-06-11 |
1619533890 | Abdul Rauf | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road. Ssm Health St. Mary's Hospital, St. Louis, MO 63117 | 2019-05-14 |
1083278477 | Mohamed Maali Gumaa Mohamed | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road Ssm St. Mary's Hospital, Department of Internal Medicine, St. Louis, MO 63117 | 2019-05-01 |
1750945556 | Samrat Jun Jayanth | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm Health St Mary's Hospital, St. Louis, MO 63117 | 2019-04-26 |
1215491329 | Latonya Allen | Counselor | 1612 S. Big Bend Blvd, St. Louis, MO 63117 | 2019-01-23 |
1265917025 | Blue Stars Therapy, LLC | Occupational Therapist | 1101 Edward Terrace, Apt A, St. Louis, MO 63117 | 2018-09-27 |
1770060014 | Ultra Care Home Services LLC | Home Health | 7353 Dale Ave, Saint Louis, MO 63117 | 2018-07-19 |
1235623562 | Melissa Valerie Taylor | Counselor | Psychological Services of St Louis, LLC, 7110 Oakland Ave, St Louis, MO 63117 | 2018-06-20 |
1124517289 | Jideofor Ebony Obodozie | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm St. Mary's Hospital, St. Louis, MO 63117 | 2018-05-04 |
1770071706 | Sivaram Prabhuji Muppaneni | Student in an Organized Health Care Education/Training Program | Ssm St Mary's Hospital, 6420 Clayton Road, St. Louis, MO 63117 | 2018-04-25 |
Find all providers in zip 63117 |
Taxonomy Code | 207RG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Geriatric Medicine |
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
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 |
---|---|---|---|---|
1023592946 | Institute of Medicine LLC | Internal Medicine | 6824 Balson Ave, Saint Louis, MO 63143-2603 | 2018-09-17 |
1104235241 | Generation Clinical Partners LLC | Internal Medicine | 11500 Olive Blvd Ste 235, Saint Louis, MO 63141-7141 | 2014-08-02 |
1558563890 | Hassan Dawoud Elsiddig | Internal Medicine | 3660 Vista Ave # 204, Saint Louis, MO 63110-2540 | 2007-05-31 |
1871795104 | Shehla Sadiq | Internal Medicine | 3660 Vista Ave # 2104, Saint Louis, MO 63110-2540 | 2007-05-31 |
1184755118 | Geromed, LLC | Internal Medicine | 4675 S Grand Blvd, Saint Louis, MO 63111-1462 | 2007-03-09 |
1851446207 | Poonam M Jain | Internal Medicine | 1 Meadow Acres, Saint Louis, MO 63124-1460 | 2007-01-24 |
1154484673 | Miriam B Rodin | Internal Medicine | 1402 S Grand Blvd Rm 238, Division of Geriatric Medicine, Saint Louis, MO 63104-1004 | 2006-12-18 |
1992815906 | Susan Robinson Reeds | Internal Medicine | 8 Millstone Campus Dr, Ste 1500, Saint Louis, MO 63146-5766 | 2006-08-30 |
1780602417 | Monique Marie Williams | Internal Medicine | 969 N Mason Rd Ste 145, Saint Louis, MO 63141 | 2006-07-18 |
1124073630 | Rafi Thomas Kevorkian | Internal Medicine | 522 N New Ballas Rd Ste 317, Saint Louis, MO 63141-6840 | 2006-05-23 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63117 |
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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.