DR. NICANOR D DEVERA (NPI# 1295853802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295853802 |
Entity Type | Individual |
Full Name | DR. NICANOR D DEVERA |
Credential | MD |
Practice Address |
6150 Oakland Ave Co Marilyn Kornberger Saint Louis MO 63139-3215 |
Mailing Address |
531 Pebble Brook Ln Hmai Belleville IL 62221-7609 |
Practice Telephone | 3147683090 |
Practice Fax Number | 3147683031 |
Mailing Telephone | 6187795508 |
Mailing Fax Number | 6182068588 |
Enumeration Date | 2007-03-26 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207P00000X | Emergency Medicine | R8B11 | MO | Allopathic & Osteopathic Physicians |
Street Address |
6150 OAKLAND AVE CO MARILYN KORNBERGER |
City | SAINT LOUIS |
State | MO |
Zip Code | 63139-3215 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629061403 | Herbert Norman Shapiro | Surgery | 6150 Oakland Ave, 2nd Floor, Wcc, Saint Louis, MO 63139-3215 | 2005-08-26 |
1295968873 | Forest Park Emergency Physicians LLC | Emergency Medicine | 6150 Oakland Ave, Saint Louis, MO 63139-3215 | 2009-08-28 |
1073748828 | Forest Park Critical Care LLC | Internal Medicine | 6150 Oakland Ave, Saint Louis, MO 63139-3215 | 2009-05-22 |
1689818643 | Brenda Kay Eslinger | Emergency Medical Technician, Paramedic | 6150 Oakland Ave, Saint Louis, MO 63139-3215 | 2009-04-21 |
1992962674 | Consultants In General Surgery, Inc. | Surgery | 6150 Oakland Ave, 2nd Floor Wcc, Saint Louis, MO 63139-3215 | 2008-05-20 |
1346392420 | Forest Park Hospital Corpporation #1 | Rehabilitation Unit | 6150 Oakland Ave, Saint Louis, MO 63139-3215 | 2007-01-17 |
1144372780 | Forest Park Hospital Corporation #1 | Psychiatric Unit | 6150 Oakland Ave, Saint Louis, MO 63139-3215 | 2007-01-16 |
1003920836 | Jose I Alvarez | Emergency Medicine | 6150 Oakland Ave, Saint Louis, MO 63139-3215 | 2006-08-18 |
1962432914 | Forest Park Anesthesia, Inc | Anesthesiology | 6150 Oakland Ave, Saint Louis, MO 63139-3215 | 2006-07-04 |
1720022429 | Jeffrey Carter | Anesthesiology | 6150 Oakland Ave, Saint Louis, MO 63139-3215 | 2006-06-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174160337 | Dawn Martina Clark | Social Worker | 1150 Graham Road, St. Louis, MO 63139 | 2019-12-06 |
1013479716 | Cerner Health Connections, Inc. | Pharmacy | 1403 Hampton Avenue, St. Louis, MO 63139 | 2019-04-02 |
1447699335 | Beth Renee Groenke | Dentist | 1403 Hampton Ave, St. Louis, MO 63139 | 2013-06-24 |
1295866648 | Occupational Health Centers of Kansas Pa | Clinic/Center | 6726 Manchester Road, St. Louis, MO 63139 | 2007-03-08 |
1912069733 | Daniel G Armbruster Dc PC | Acupuncturist | 2730 Watson Rd, St Louis, MO 63139 | 2006-12-15 |
1831250125 | Kathia Denise Betts | Counselor | 3309 S. Kingshighway Blvd., St.louis, MO 63139 | 2006-12-12 |
1841350220 | Denzel Dean Jines II | Dentist | 2340 Hampton Avenue, Suite 3, St. Louis, MO 63139 | 2006-12-08 |
1285718163 | Rakhshanda Hassan | Psychiatry & Neurology | St Louis Psychiatric Rehabilitation Center, 5300 Arsenal, St Louis, MO 63139 | 2006-10-25 |
1952490682 | City of St. Louis | Ambulance | 2634 Hampton Avenue, City of St Louis Emergency Medical Services, St Louis, MO 63139 | 2006-10-12 |
1104917434 | Select Physical Therapy Holdings Inc | Clinic/Center | 1900 South Hampton, St Louis, MO 63139 | 2006-09-28 |
Find all providers in zip 63139 |
Taxonomy Code | 207P00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649628454 | Sphere Medical Group | Emergency Medicine | 916 Olive St Fl 4, Saint Louis, MO 63101-1459 | 2016-06-02 |
1922448000 | Scott Birdwell | Emergency Medicine | 1st Floor Em Administration, Saint Louis University Hospital 3635 Vista, Saint Louis, MO 63110 | 2013-07-03 |
1174963052 | John Blakeney Morrison | Emergency Medicine | 4946 Buckingham Ct, Apt 2w, Saint Louis, MO 63108-1430 | 2013-06-25 |
1598109001 | Total Access Urgent Care, PC | Emergency Medicine | 12616 Lamplighter Square Shpg Ctr, Saint Louis, MO 63128-2746 | 2013-04-26 |
1003179151 | Sean Oliver Cavanaugh | Emergency Medicine | 660 S Euclid Ave # 8072, Washington University Emergency Medicine, Saint Louis, MO 63110-1010 | 2012-06-22 |
1730476573 | Yonitte Kinsella | Emergency Medicine | 660 S. Euclid Ave., Campus Box 8072, Saint Louis, MO 63110 | 2011-06-30 |
1023304524 | Mary Samantha Jones | Emergency Medicine | 5733 Mcpherson Ave, Saint Louis, MO 63112-1620 | 2011-06-22 |
1851527469 | Kimberly Ann Hess | Emergency Medicine | 621 S New Ballas Rd Ste 1001, Tower B, Saint Louis, MO 63141-8264 | 2009-06-09 |
1710130919 | Lee Hunter Young | Emergency Medicine | 5168 Amberglow Dr, Saint Louis, MO 63129-3204 | 2008-10-31 |
1306019914 | Stephan Brenner | Emergency Medicine | 4628 Mcpherson Ave, Saint Louis, MO 63108-1937 | 2008-04-04 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63139 |
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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.