DR. TARA MARIE BUDETTI (NPI# 1285811059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285811059 |
| Entity Type | Individual |
| Full Name | DR. TARA MARIE BUDETTI |
| Credential | M.D. |
| Practice Address |
4352 Manchester Ave Saint Louis MO 63110-2138 |
| Practice Telephone | 3144811310 |
| Mailing Telephone | 3144811310 |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2014-05-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 2008016533 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
4352 MANCHESTER AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-2138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245214394 | Harry Richard Scharf | Dentist | 4352 Manchester Ave, Saint Louis, MO 63110-2138 | 2005-12-02 |
| 1881291847 | Chelsea Marie Pierce | Nurse Practitioner | 4352 Manchester Ave, Saint Louis, MO 63110-2138 | 2020-10-02 |
| 1376058586 | Jordanna Riebel | Psychologist | 4352 Manchester Ave, Saint Louis, MO 63110-2138 | 2017-12-11 |
| 1184143596 | Vicki Swyers | Social Worker | 4352 Manchester Ave, Saint Louis, MO 63110-2138 | 2017-09-18 |
| 1407384902 | Alexia Marie Munter | Nurse Practitioner | 4352 Manchester Ave, Saint Louis, MO 63110-2138 | 2017-05-27 |
| 1770961492 | Bobbi Omori Lakin | Family Medicine | 4352 Manchester Ave, Saint Louis, MO 63110 | 2015-05-14 |
| 1760772966 | Kenneth Edmond Hemba | Family Medicine | 4352 Manchester Ave, Saint Louis, MO 63110-2138 | 2011-04-10 |
| 1053617407 | Coleen R. Jones | Nurse Practitioner | 4352 Manchester Ave, Saint Louis, MO 63110-2138 | 2011-02-02 |
| 1225358369 | Richard Gerald Bolanos Jr. | Obstetrics & Gynecology | 4352 Manchester Ave, Saint Louis, MO 63110-2138 | 2010-06-10 |
| 1588891576 | Treena Sturgeon | Internal Medicine | 4352 Manchester Ave, Saint Louis, MO 63110-2138 | 2009-06-17 |
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538786413 | Melissa An | Pediatrics | 1 Childrens Pl Ste 3s36, Saint Louis, MO 63110-1002 | 2020-06-26 |
| 1538795547 | Virtualnicu | Pediatrics | 10 Warridge Dr, Saint Louis, MO 63124-1166 | 2020-03-21 |
| 1174082887 | Kristen Steinmeyer | Pediatrics | 714 Peace Haven Ct, Saint Louis, MO 63125-5404 | 2019-03-13 |
| 1487149498 | Jessica Sims | Pediatrics | 1 Childrens Pl Ste 3s34, Saint Louis, MO 63110-1002 | 2018-06-22 |
| 1356835342 | Jerome Michael Molleston | Pediatrics | 1 Childrens Pl Cb8116, Saint Louis, MO 63110-1081 | 2018-06-21 |
| 1598259566 | Kylie Bushroe | Pediatrics | 1 Childrens Pl Ste 3n18, Saint Louis, MO 63110-1081 | 2018-06-21 |
| 1710492228 | Ideal Pediatric Wellness, LLC | Pediatrics | 10007 Kennerly Rd Ste C, Saint Louis, MO 63128-2179 | 2017-12-06 |
| 1578083424 | Michael Quinn | Pediatrics | Wusm Peds Infectious Diseases, 1 Childrens Pl Cb 8116, Saint Louis, MO 63110-1002 | 2017-06-21 |
| 1205367612 | Anchal Sethi | Pediatrics | 1234 S Kingshighway Blvd Ste 1200, Saint Louis, MO 63110-2170 | 2017-03-27 |
| 1831541895 | Lila Sarah Wahidi Nolan | Pediatrics | Wusm Peds Newborn Medicine, 1 Childrens Pl Cb 8116, Saint Louis, MO 63110 | 2016-07-01 |
| Find all providers in SAINT LOUIS | ||||
| 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.