LESLEY HUFFMAN-DILG (NPI# 1164523197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164523197 |
Entity Type | Individual |
Full Name | LESLEY HUFFMAN-DILG |
Other Name | LESLEY HUFFMAN |
Credential | PA |
Practice Address |
13303 Tesson Ferry Rd Ste 45 Saint Louis MO 63128-4062 |
Mailing Address |
12655 Olive Blvd Ste 400 Saint Louis MO 63141-6386 |
Practice Telephone | 3147485917 |
Practice Fax Number | 3147485919 |
Mailing Telephone | 3148511075 |
Mailing Fax Number | 3148514477 |
Enumeration Date | 2006-09-25 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2005004539 | MO | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BLUE CROSS OF MO | 196559 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
5425 Southfield Ctr, Saint Louis, MO 631235984 | 3145435258 | 3145435262 |
Street Address |
13303 TESSON FERRY RD STE 45 |
City | SAINT LOUIS |
State | MO |
Zip Code | 63128-4062 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083614960 | Catherine L Lowder | Internal Medicine | 13303 Tesson Ferry Rd Ste 45, Saint Louis, MO 63128-4062 | 2005-07-21 |
1093123028 | Maureen E Huber | Registered Nurse | 13303 Tesson Ferry Rd Ste 45, Saint Louis, MO 63128-4062 | 2014-07-22 |
1689002990 | Sarah C Guillaume | Nurse Practitioner | 13303 Tesson Ferry Rd Ste 45, Saint Louis, MO 63128-4062 | 2013-10-23 |
1902042930 | Jessica Ann Thomure | Nurse Practitioner | 13303 Tesson Ferry Rd Ste 45, Saint Louis, MO 63128 | 2008-12-22 |
1750589263 | Dana Claire Galbraith | Family Medicine | 13303 Tesson Ferry Rd Ste 45, Saint Louis, MO 63128-4062 | 2007-07-05 |
1588874366 | Bryan Patrick Burns | Internal Medicine | 13303 Tesson Ferry Rd Ste 45, Saint Louis, MO 63128-4062 | 2007-05-23 |
1649373440 | Jack Anthony Galbraith | Family Medicine | 13303 Tesson Ferry Rd Ste 45, Saint Louis, MO 63128-4062 | 2006-09-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
1326504655 | Nikodem Dental Holdings | Dentist | 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 | 2019-02-12 |
1932678505 | Michelle Anne Arvidson | Physical Therapy Assistant | Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2018-11-13 |
1245726710 | Kristen Rider | Nurse Practitioner | 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 | 2018-07-07 |
1306217427 | Sophia Bednarski | Dentist | 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2015-10-15 |
1427434224 | Darcie Burrus | Counselor | 12523 Old Tesson Rd G, St Louis, MO 63128 | 2015-08-04 |
1710368584 | Sara Hawatmeh | Internal Medicine | 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 | 2015-06-17 |
1871989590 | Celia Grace Montes-kolence | Speech-Language Pathologist | 12335 W Bend Drive, Saint Louis, MO 63128 | 2015-04-09 |
1245629302 | Marius Antonio Evans | Dentist | 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 | 2015-01-13 |
1801230313 | Sarah Elizabeth Walsh | Emergency Medicine | 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 | 2013-04-26 |
Find all providers in zip 63128 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891227393 | Hollis Smith | Physician Assistant | 2015 Maplewood Commons Dr, Saint Louis, MO 63143-1003 | 2017-04-03 |
1649397894 | Rachel S Tarr | Physician Assistant | 2208 Richert Pl, Saint Louis, MO 63143-2522 | 2007-03-23 |
1528198439 | Jonathan Adam Pellechia | Physician Assistant | 11155 Dunn Rd Ste 315e, Saint Louis, MO 63136-6111 | 2007-03-07 |
1376174417 | Robert Cory Proffer | Physician Assistant | 607 S New Ballas Rd Ste 2300, Saint Louis, MO 63141-8234 | 2020-01-28 |
1881246502 | Ariel Ashley Schnell | Physician Assistant | 3655 Vista Ave, Saint Louis, MO 63110-2539 | 2019-07-12 |
1194296186 | Jacob Bast | Physician Assistant | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2018-12-17 |
1508335779 | Gerard Forster | Physician Assistant | 12647 Olive Blvd Ste 600, Saint Louis, MO 63141-6346 | 2018-11-17 |
1124509773 | Sara Burke Connolly | Physician Assistant | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2018-08-22 |
1831675545 | Kyle Patrick Mclafferty | Physician Assistant | 11133 Dunn Rd, Saint Louis, MO 63136-6163 | 2018-07-16 |
1649768995 | Paul Thomas Mrotek | Physician Assistant | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2018-04-23 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63128 |
Please comment or provide details below to improve the information on LESLEY HUFFMAN-DILG.
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.