KATHARINE PONZILLO (NPI# 1184678625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184678625 |
| Entity Type | Individual |
| Full Name | KATHARINE PONZILLO |
| Credential | M.D. |
| Practice Address |
3009 N Ballas Rd Ste 383c Saint Louis MO 63131 |
| Mailing Address |
3009 N Ballas Rd Ste 383c Saint Louis MO 63131-2324 |
| Practice Telephone | 3149964545 |
| Practice Fax Number | 3149964546 |
| Mailing Telephone | 3149964545 |
| Mailing Fax Number | 3149964546 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2018-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
102328 | MO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10010 Kennerly Rd, Saint Louis, MO 631282106 | 3145254100 |
| Street Address |
3009 N BALLAS RD STE 383C |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144754995 | Bridget E Doerr Openlander | Nurse Practitioner | 3009 N Ballas Rd Ste 383c, Saint Louis, MO 63131-2324 | 2017-04-19 |
| 1104225648 | Mweemba Chipepo | Nurse Practitioner | 3009 N Ballas Rd Ste 383c, Saint Louis, MO 63131 | 2014-08-21 |
| 1508273533 | Courtney Erin Amin | Physician Assistant | 3009 N Ballas Rd Ste 383c, Saint Louis, MO 63131-2324 | 2014-07-22 |
| 1841611746 | Dava M Mcgougan | Nurse Practitioner | 3009 N Ballas Rd Ste 383c, Saint Louis, MO 63131-2324 | 2013-12-18 |
| 1295049146 | Chiniya Thapa | Family Medicine | 3009 N Ballas Rd Ste 383c, Saint Louis, MO 63131 | 2010-08-03 |
| 1144406323 | Amrita Singh | Internal Medicine | 3009 N Ballas Rd Ste 383c, Saint Louis, MO 63131 | 2008-01-17 |
| 1740481142 | Gina Iheonu Uzendu | Nurse Practitioner | 3009 N Ballas Rd Ste 383c, Saint Louis, MO 63131-2324 | 2007-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568097954 | Avalcare Inc | Pharmacy | 10431 Clayton Rd, Saint Louis, MO 63131 | 2020-03-06 |
| 1891331369 | Life Clinic of Mo Dc PC | Chiropractor | 2051 South Lindbergh Blvd, Frontenac, MO 63131 | 2019-11-20 |
| 1447892542 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 30 S Lindbergh Blvd, Saint Louis, MO 63131 | 2019-10-10 |
| 1336797026 | Justa Davis | Dietitian, Registered | 3015 North Ballas, Saint Louis, MO 63131 | 2019-08-27 |
| 1730695362 | Curators of The University of Missouri | Psychologist | 12837 Flushing Meadows Drive, Sutie 220, Town and Country, MO 63131 | 2017-12-19 |
| 1770012031 | Danielle Marie Hargate | Specialist/Technologist | 732 Timber Trail, Frontenac, MO 63131 | 2017-06-08 |
| 1285087429 | Kathryn Parker | Internal Medicine | 1000 Des Peres Rd Ste 300, Saint Louis, MO 63131 | 2016-07-22 |
| 1437524360 | Julie Ann Godefroid | Nurse Practitioner | 1010 Old Des Peres Road, St. Louis, MO 63131 | 2015-12-03 |
| 1073982435 | Rebecca Baum Rainbolt | Social Worker | 12210 Clayton Rd, Saint Louis, MO 63131 | 2015-09-16 |
| 1518217322 | Advanced Anesthesia and Pain Management, LLC | Anesthesiology | 12805 Topping Woods Estate Drive, St. Louis, MO 63131 | 2012-09-19 |
| Find all providers in zip 63131 | ||||
| Taxonomy Code | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659793305 | St. Anthony's Physician Organization | Internal Medicine | 12700 Southfork Rd Ste 200, Saint Louis, MO 63128-3201 | 2014-01-15 |
| 1114954708 | Michelle Z Schultz | Internal Medicine | 621 S New Ballas Rd Ste 6017b, Saint Louis, MO 63141-8274 | 2006-06-27 |
| 1346503935 | Lindsay Hinkle-johnston | Internal Medicine | 621 S New Ballas Rd Ste 6017b, Saint Louis, MO 63141-8274 | 2012-06-19 |
| 1215198601 | Allison Elizabeth Jordan | Internal Medicine | 11133 Dunn Rd, Ste 2427, Saint Louis, MO 63136-6163 | 2008-06-19 |
| 1215123427 | St Anthony's Physician Organization Private Practices Lc | Internal Medicine | 10010 Kennerly Rd, 3rd Floor, Saint Louis, MO 63128-2106 | 2007-09-20 |
| 1366643884 | Kerry Catherine Will | Internal Medicine | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2007-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689010266 | Taylor D Cordonnier | Internal Medicine | 1 Hospital Dr # Dc032.00, Columbia, MO 65212-0001 | 2013-05-22 |
| 1548584394 | Groves Community Hospice, LLC | Internal Medicine | 15600 Woods Chapel Rd Ste A, Kansas City, MO 64139-1355 | 2010-03-23 |
| 1174665392 | Amy Lou Clarkson | Internal Medicine | 9221 Ward Pkwy Ste 100, Kansas City, MO 64114-3332 | 2007-02-13 |
| 1134227473 | Van Amburg & Busiek Mds, LLC | Internal Medicine | 232 S Woods Mill Rd Ste 330e, Chesterfield, MO 63017-3467 | 2006-09-20 |
| 1740232578 | Amber Lea Wollesen | Internal Medicine | 9229 Ward Pkwy Ste 380, Kansas City, MO 64114-5471 | 2006-05-17 |
| 1083605083 | Janis M Steinbrecher | Internal Medicine | 506 Nw Murray Rd, Lees Summit, MO 64081-1403 | 2005-10-31 |
| 1023624558 | Community Hospices of America, LLC | Internal Medicine | 1602c N Main St, Mountain Grove, MO 65711-1010 | 2020-09-21 |
| 1518484534 | Serenity Home Hospice LLC | Internal Medicine | 9270 Olive Blvd Ste B, Olivette, MO 63132-3204 | 2017-08-30 |
| 1679014146 | Palliative Care At St Lukes LLC | Internal Medicine | 121 Saint Lukes Center Dr, Chesterfield, MO 63017-3518 | 2017-03-16 |
| 1326598764 | Community Hospices of America LLC | Internal Medicine | 600 Monroe St, Suite 100, Jefferson City, MO 65101-3145 | 2016-10-10 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS |
| Zip Code | 63131 |
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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.