DR. RAYMOND B FOHTUNG


Address: 216 S Kingshighway Blvd, Saint Louis, MO 63110-1026
Phone: 3143625060

DR. RAYMOND B FOHTUNG (NPI# 1205240520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205240520
Entity Type Individual
Full Name DR. RAYMOND B FOHTUNG
Credential MD
Practice Address 216 S Kingshighway Blvd
Saint Louis
MO 63110-1026
Mailing Address 660 S Euclid Ave
C B 8121
Saint Louis
MO 63110-1010
Practice Telephone 3143625060
Practice Fax Number 3143626959
Mailing Telephone 3144548082
Mailing Fax Number 3143627491
Enumeration Date 2014-06-13
Last Update Date 2018-01-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 2017015418 MO Allopathic & Osteopathic Physicians

Office Location

Street Address 216 S KINGSHIGHWAY BLVD
City SAINT LOUIS
State MO
Zip Code 63110-1026

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598769986 Donald Craig Allred Pathology 216 S Kingshighway Blvd, Saint Louis, MO 63110-1026 2005-06-13
1457832404 Sudhir Bhimaniya Radiology 216 S Kingshighway Blvd, Saint Louis, MO 63110-1026 2018-08-28
1164926846 Anup K. Bhattacharya Student in an Organized Health Care Education/Training Program 216 S Kingshighway Blvd, Saint Louis, MO 63110-1026 2018-03-19
1902349947 Rebecca Jo Petersen Nurse Practitioner 216 S Kingshighway Blvd, Saint Louis, MO 63110-1026 2016-11-23
1467811893 Kathleen Dienst Stockmann Dietitian, Registered 216 S Kingshighway Blvd, Mailstop 90-32-612, Saint Louis, MO 63110-1026 2016-02-12
1770941775 Gina Jorel Dietitian, Registered 216 S Kingshighway Blvd, Mailstop: 90-32-612, Saint Louis, MO 63110-1026 2016-02-04
1508224676 Kayli Hemphill Dietitian, Registered 216 S Kingshighway Blvd, Mailstop 90-32-612, Saint Louis, MO 63110-1026 2016-02-04
1912389404 Ann-marcia Comfort Tukpah General Practice 216 S Kingshighway Blvd, 6th Fl, Saint Louis, MO 63110-1026 2015-06-22
1750787289 Andrea Mcdonald Nurse Practitioner 216 S Kingshighway Blvd, Cancer Care Clinic, Saint Louis, MO 63110-1026 2014-11-11
1578977963 Jacqueline Wenjia Chen General Practice 216 S Kingshighway Blvd, Saint Louis, MO 63110-1026 2014-06-13
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790205854 Zachary Avital Goodman General Practice 6642 Clayton Rd # 278, Saint Louis, MO 63117-1602 2017-06-20
1174926224 Anita Dewan General Practice 9917 Grandview Forest Ct, Saint Louis, MO 63127-0046 2014-10-03
1356755201 Jessica Ellie Ma General Practice 216 S Kingshighway Blvd Fl 6, 6th Floor, Saint Louis, MO 63110-1026 2014-06-19
1235550385 Doctor's On The Way, Inc General Practice 712 N 2nd St, Ste 310, Saint Louis, MO 63102-2550 2013-12-16
1518398916 John Allen Cooper General Practice 40 N Kingshighway Blvd Apt 13f, Saint Louis, MO 63108-1343 2013-12-10
1417382821 Hyung T Kim General Practice 11 Crestwood Dr, Saint Louis, MO 63105-3032 2013-09-05
1356617443 Kirsten Frances Dunn General Practice 1040 N Mason Rd Ste 103, Ste 103, Saint Louis, MO 63141-6361 2012-03-22
1902199623 Care Plus Medical Group LLC General Practice 10650 Gateway Blvd, Saint Louis, MO 63132-1802 2011-05-27
1437474202 Debra Lynne Moss General Practice 12929 Ballantine Ct, Saint Louis, MO 63146-3701 2010-04-05
1558538850 Patrice Lynn Wakefield General Practice 514 Donne Ave, Saint Louis, MO 63130-3918 2008-05-15
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Competitor

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City SAINT LOUIS
Zip Code 63110

Improve Information

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Dataset Information

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.

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