DR. TODD J NEUBERGER (NPI# 1225098619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225098619 |
| Entity Type | Individual |
| Full Name | DR. TODD J NEUBERGER |
| Credential | M.D. |
| Practice Address |
400 1st Capitol Dr Ste 100a Saint Charles MO 63301-2881 |
| Mailing Address |
Po Box 955534 Saint Louis MO 63195-5534 |
| Practice Telephone | 6369405710 |
| Practice Fax Number | 6366692401 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2020-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 109902 | MO | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
109902 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 208298901 | 05 |
| Street Address |
400 1ST CAPITOL DR STE 100A |
| City | SAINT CHARLES |
| State | MO |
| Zip Code | 63301-2881 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376189910 | Kelsey Fix | Occupational Therapist | 3228 Silvertrail Dr, Saint Charles, MO 63301 | 2019-11-19 |
| 1063056307 | Compass Health, Inc. | Clinic/Center | 3075 New Town Blvd, Saint Charles, MO 63301 | 2019-10-30 |
| 1558921361 | Next Steps Therapy & Coaching, LLC | Clinic/Center | 1040 Fairgrounds Road, St. Charles, MO 63301 | 2019-06-14 |
| 1093297426 | Delia Smith | Specialist/Technologist | 209 S Kingshighway, St. Charles, MO 63301 | 2018-09-01 |
| 1285136754 | Helping Hand Home Healthcare, LLC | Home Health | 1360 S 5th Street, Suite 278, Saint Charles, MO 63301 | 2018-03-01 |
| 1972043107 | Robert Christopher Loynd | Otolaryngology | 301 N. 2nd Street, St. Charles, MO 63301 | 2017-03-07 |
| 1457807067 | Angela Thro | Occupational Therapist | 3489 Boschertown Road, Saint Charles, MO 63301 | 2016-09-01 |
| 1487060570 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2100 1st Capitol Dr, St. Charles, MO 63301 | 2014-07-09 |
| 1114337102 | Nucrown,inc. | Optometrist | 1910 First Capital Drive, St. Charles, MO 63301 | 2014-04-30 |
| 1780922476 | Kristen James | Counselor | 120 1st Capitol Dr Ste 5, Saint Charles, MO 63301 | 2013-01-30 |
| Find all providers in zip 63301 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700824547 | Thomas Aquinas Schneider Jr. | Surgery | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619375300 | Curt Milton Vogel II | Surgery | 3707 Woodridge Ct, Columbia, MO 65201-6532 | 2014-12-11 |
| 1376801548 | Matthew Raymond Abate | Surgery | 10012 Kennerly Rd Ste 305, Saint Louis, MO 63128-2197 | 2012-04-25 |
| 1366771446 | Daniel E. Cox, M.d., LLC | Surgery | 1400 Hwy. 61 South, Suite 240, Festus, MO 63028 | 2009-12-18 |
| 1659526689 | Vp Medical, LLC | Surgery | 3308 W Edgewood Dr Ste D, Jefferson City, MO 65109-6891 | 2008-11-18 |
| 1508053026 | Noks Corporation PC | Surgery | 1147b E Gannon Dr, Festus, MO 63028-2611 | 2007-09-28 |
| 1275753923 | George Fraklin Rendleman Jr. | Surgery | 12723 Topping Acres, St Louis, MO 63131 | 2007-04-26 |
| 1346467420 | Marcus A. Barber | Surgery | 2750 Clay Edwards Dr Ste 304, Kansas City, MO 64116-3256 | 2007-04-19 |
| 1841367380 | Kent James Blanke | Surgery | 1408 Crown Drive, Kirksville, MO 63501 | 2006-11-29 |
| 1801974787 | Edwin Tutt Long | Surgery | 4550 Warwick Blvd, Ste # 1209, Kansas City, MO 64111-7725 | 2006-11-01 |
| 1518992429 | Ayaz A Malik | Surgery | 1035 Bellevue Ave Ste 212, Saint Louis, MO 63117-1846 | 2006-07-11 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CHARLES |
| Zip Code | 63301 |
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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.