DR. HARRY GUS GREDITZER IV (NPI# 1174753982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174753982 |
Entity Type | Individual |
Full Name | DR. HARRY GUS GREDITZER IV |
Credential | M.D. |
Practice Address |
7733 Forsyth Blvd Saint Louis MO 63105-1817 |
Mailing Address |
535 E 70th St New York NY 10021-4823 |
Practice Telephone | 2126061015 |
Mailing Telephone | 2126061015 |
Enumeration Date | 2009-07-15 |
Last Update Date | 2020-09-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 2009020446 | MO | Allopathic & Osteopathic Physicians |
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
2015043933 | MO | Allopathic & Osteopathic Physicians |
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME112133 | FL | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215941166 | Harry Glyn Greditzer Jr. | Radiology | 11133 Dunn Road, Saint Louis, MO 63136 | 2006-07-28 |
Street Address |
7733 FORSYTH BLVD |
City | SAINT LOUIS |
State | MO |
Zip Code | 63105-1817 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477539237 | Rehab Care Group East Inc | Clinical Neuropsychologist | 7733 Forsyth Blvd, Suite 2300, Saint Louis, MO 63105-1817 | 2005-12-22 |
1982193611 | Aileen Abistado Hughes | Physical Therapist | 7733 Forsyth Blvd, Saint Louis, MO 63105-1817 | 2018-05-08 |
1265897854 | Morgan Chapman | Speech-Language Pathologist | 7733 Forsyth Blvd, 1700, Saint Louis, MO 63105-1817 | 2015-12-23 |
1508243916 | Kimberly Kirby Buchholz | Dietitian, Registered | 7733 Forsyth Blvd, Ste 1100, Saint Louis, MO 63105-1878 | 2015-05-05 |
1245669696 | Alyshia Mcatee | Physical Therapist | 7733 Forsyth Blvd, Saint Louis, MO 63105-1817 | 2013-11-06 |
1700122603 | Ashley Gaines | Physical Therapist | 7733 Forsyth Blvd, Saint Louis, MO 63105-1817 | 2012-12-20 |
1811250202 | The Foundation for Applied Psychiatric Anthropology, Inc. | Social Worker | 7733 Forsyth Blvd, Ste 1100, Saint Louis, MO 63105-1817 | 2012-06-20 |
1578832820 | Vernice Lavern Watkins | Occupational Therapist | 7733 Forsyth Blvd, Suite 2300, Saint Louis, MO 63105-1817 | 2011-12-15 |
1144500786 | Christy Nicole Yamnitz | Speech-Language Pathologist | 7733 Forsyth Blvd, Saint Louis, MO 63105-1817 | 2011-08-26 |
1912294323 | Hannah Marie Harkins | Physical Therapy Assistant | 7733 Forsyth Blvd, Saint Louis, MO 63105-1817 | 2011-07-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861016545 | Amy Piontek | Registered Nurse | Habif Health and Wellness Center, 6643 Shepley Drive, St. Louis, MO 63105 | 2020-05-29 |
1427520634 | Justin Kelly | Chiropractor | 8011 Maryland Avenue, St. Louis, MO 63105 | 2018-12-28 |
1720576663 | St. Louis Center for Cognitive Health, LLC | Clinic/Center | 7711 Bonhomme Ave Ste 350, Clayton, MO 63105 | 2018-04-26 |
1457849317 | A Storied Life Counseling LLC | Social Worker | 8000 Bonhomme Ave Ste 321, Clayton, MO 63105 | 2018-04-26 |
1669984142 | Peter Bogart | Counselor | 7710 Carondelet, Suite #204, Saint Louis, MO 63105 | 2017-10-24 |
1356891162 | Medical West Respiratory Pharmacy, LLC | Pharmacy | 440 South Brentwood Blvd, Clayton, MO 63105 | 2016-10-05 |
1710435565 | James Breihan | Occupational Therapist | 401 Corporate Park Drive, Clayton, MO 63105 | 2016-09-21 |
1730566928 | Frank Theus | Counselor | 7710 Carondelet Ave Ste 220, Saint Louis, MO 63105 | 2015-04-27 |
1962895896 | John B Martin | Obstetrics & Gynecology | 312 N. Meramec #300, St. Louis, MO 63105 | 2015-03-17 |
1861814261 | Jesse Marie Civello | Physical Therapist | 222 S Meramec Avenue, Suite 100, Clayton, MO 63105 | 2014-01-20 |
Find all providers in zip 63105 |
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 | 63105 |
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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.