DR. JONATHAN W HEUSEL (NPI# 1255329058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255329058 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN W HEUSEL |
| Credential | MD |
| Practice Address |
425 S Euclid Ave Saint Louis MO 63110-1005 |
| Mailing Address |
660 S Euclid Ave C B 8118 Saint Louis MO 63110-1010 |
| Practice Telephone | 3143625641 |
| Practice Fax Number | 3143620369 |
| Mailing Telephone | 3143625641 |
| Mailing Fax Number | 3143620369 |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2018-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0007X |
Pathology Specialization: Molecular Genetic Pathology |
108616 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | ENROLLED | 05 | |
| MO | 1043414113 | 05 |
| Street Address |
425 S EUCLID AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-1005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043662067 | Lulu Sun | Pathology | 425 S Euclid Ave, Saint Louis, MO 63110-1005 | 2016-07-02 |
| 1164842878 | Chieh-yu Lin | Pathology | 425 S Euclid Ave, Saint Louis, MO 63110-1005 | 2014-04-21 |
| 1417399676 | Kathleen Byrnes | Pathology | 425 S Euclid Ave, Saint Louis, MO 63110-1005 | 2013-07-29 |
| 1417399320 | Cody Weimholt | Pathology | 425 S Euclid Ave, Saint Louis, MO 63110-1005 | 2013-07-19 |
| 1528404696 | Deyali Chatterjee | Pathology | 425 S Euclid Ave, Saint Louis, MO 63110-1005 | 2013-05-16 |
| 1073958658 | Suzanne R Thibodeaux | Pathology | 425 S Euclid Ave, Saint Louis, MO 63110-1005 | 2013-05-08 |
| 1144562125 | Mena Mansour | Pathology | 425 S Euclid Ave, Saint Louis, MO 63110-1005 | 2013-03-18 |
| 1962690180 | Julie Ann Neidich | Pathology | 425 S Euclid Ave, Saint Louis, MO 63110-1005 | 2007-10-12 |
| 1407077852 | George Randolphe Wettach | Pathology | 425 S Euclid Ave, Saint Louis, MO 63110-1005 | 2007-05-02 |
| 1245386226 | Steven L Larue | Pathology | 425 S Euclid Ave, Saint Louis, MO 63110-1005 | 2007-01-25 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 63110 | ||||
| Taxonomy Code | 207ZP0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Molecular Genetic Pathology |
| A molecular genetic pathologist is expert in the principles, theory and technologies of molecular biology and molecular genetics. This expertise is used to make or confirm diagnoses of Mendelian genetic disorders, disorders of human development, infectious diseases and malignancies, and to assess the natural history of those disorders. A molecular genetic pathologist provides information about gene structure, function and alteration and applies laboratory techniques for diagnosis, treatment and prognosis for individuals with related disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate for MGG was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336482116 | Michael O Alberti | Pathology | 625 S Euclid Ave, Saint Louis, MO 63110 | 2013-03-31 |
| 1538315106 | Mai He | Pathology | 1 Barnes Jewish Hospital Plz Fl 3, 3rd Fl, Saint Louis, MO 63110-1003 | 2008-08-14 |
| 1962690180 | Julie Ann Neidich | Pathology | 425 S Euclid Ave, Saint Louis, MO 63110-1005 | 2007-10-12 |
| 1336357367 | Jochen Klaus Maria Lennerz | Pathology | 660 S Euclid Ave, North Suite B, Saint Louis, MO 63110-1010 | 2007-05-21 |
| 1306864822 | John David Pfeifer | Pathology | 216 S Kingshighway Blvd, Saint Louis, MO 63110-1026 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538216353 | Samuel K. Caughron | Pathology | 2750 Clay Edwards Dr, Suite 420, N Kansas City, MO 64116-3237 | 2007-01-04 |
| 1326053133 | Physicians Reference Laboratory LLC | Pathology | 201 W R D Mize Rd, Blue Springs, MO 64015-2518 | 2006-07-30 |
| City | SAINT LOUIS |
| Zip Code | 63110 |
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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.