DR. NICANOR D DEVERA


Address: 6150 Oakland Ave, Co Marilyn Kornberger, Saint Louis, MO 63139-3215
Phone: 3147683090

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine R8B11 MO Allopathic & Osteopathic Physicians

Office Location

Street Address 6150 OAKLAND AVE
CO MARILYN KORNBERGER
City SAINT LOUIS
State MO
Zip Code 63139-3215

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City SAINT LOUIS
Zip Code 63139

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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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