CHESTERFIELD VALLEY INTERNAL MEDICINE & PEDIATRICS LLC (NPI# 1306222518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306222518 |
| Entity Type | Organization |
| Organization Name | CHESTERFIELD VALLEY INTERNAL MEDICINE & PEDIATRICS LLC |
| Practice Address |
121 Saint Lukes Center Dr Attn: Rick Sonne Chesterfield MO 63017-3509 |
| Practice Telephone | 3145762490 |
| Practice Fax Number | 3145762344 |
| Mailing Telephone | 3145762490 |
| Mailing Fax Number | 3145762344 |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2015-08-11 |
| Authorized Official Name | RICK SONNE (DIRECTOR) |
| Authorized Official Telephone | 3145762490 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST. LUKE'S MEDICAL GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
121 SAINT LUKES CENTER DR ATTN: RICK SONNE |
| City | CHESTERFIELD |
| State | MO |
| Zip Code | 63017-3509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750387510 | James E Walentynowicz | Orthopaedic Surgery | 121 Saint Lukes Center Dr, Ste 302, Chesterfield, MO 63017-3509 | 2005-06-24 |
| 1679014146 | Palliative Care At St Lukes LLC | Internal Medicine | 121 Saint Lukes Center Dr, Chesterfield, MO 63017-3518 | 2017-03-16 |
| 1356889182 | Kaitlin Doneff | Registered Nurse | 121 Saint Lukes Center Dr, Suite 406, Chesterfield, MO 63017-3518 | 2017-01-31 |
| 1225586936 | Anita Detchemendy | Nurse Practitioner | 121 Saint Lukes Center Dr, Suite 506, Chesterfield, MO 63017-3518 | 2016-09-12 |
| 1225446644 | Derrick Neuner | Specialist/Technologist | 121 Saint Lukes Center Dr, Chesterfield, MO 63017-3509 | 2014-07-29 |
| 1740697077 | Jamie Wilson | Nurse Practitioner | 121 Saint Lukes Center Dr, Suite 504, Chesterfield, MO 63017-3509 | 2014-07-18 |
| 1013329150 | Physician Affiliates of St. Luke's Medical Group, LLC | Family Medicine | 121 Saint Lukes Center Dr, Chesterfield, MO 63017-3518 | 2014-05-23 |
| 1073930780 | Dianna Gaffner | Nurse Practitioner | 121 Saint Lukes Center Dr, Suite 406, Chesterfield, MO 63017-3509 | 2014-03-20 |
| 1053756296 | Heart Health Specialists, LLC | Internal Medicine | 121 Saint Lukes Center Dr, Ste 303, Chesterfield, MO 63017-3518 | 2013-05-01 |
| 1275875908 | Daniel Michael Marion | Internal Medicine | 121 Saint Lukes Center Dr, Suite 402, Chesterfield, MO 63017-3518 | 2013-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549193 | Kathryn E Bos | Student in an Organized Health Care Education/Training Program | 873 Apt N Foxsprings Dr, Chesterfield, MO 63017 | 2020-05-12 |
| 1700415171 | Charles H. Edwards | Physical Therapist | 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 | 2020-04-07 |
| 1003454562 | Stephanie Henningsen | Physical Therapy Assistant | 307 S Woods Rd, Chesterfield, MO 63017 | 2019-12-16 |
| 1831746296 | Star Lynn Sutton | Occupational Therapy Assistant | 15207 Olive Boulevard, Chesterfield, MO 63017 | 2019-08-21 |
| 1639738438 | Van Amburg & Busiek Md's, LLC | Pharmacy | 232 S Woodsmill Road, Suite 330 East, Chesterfield, MO 63017 | 2019-06-06 |
| 1306306865 | Margaret Mary Wynn | Nurse Practitioner | 15740 South Outer Road, Chesterfield, MO 63017 | 2019-03-21 |
| 1205393089 | Kimberly Danielle | Nurse Practitioner | 744 Forest Trace Dr, Chesterfield, MO 63017 | 2019-02-27 |
| 1457823965 | Allison Joy Mcgrail | Dietitian, Registered | 45740 S Outer Forty Rd, Chesterfield, MO 63017 | 2018-12-21 |
| 1316418080 | Julie Lefere | Social Worker | Mercy Virtual Care Center, 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2018-12-06 |
| 1336629641 | Catherine Dolphin Smith | Nurse Practitioner | 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 | 2018-08-16 |
| Find all providers in zip 63017 | ||||
| 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 |
|---|---|---|---|---|
| 1154550630 | Kora Nicole Felsch | Pediatrics | 226 S Woods Mill Rd 32w, Chesterfield, MO 63017 | 2009-07-06 |
| 1740491141 | Kathryn Kerr Wade | Pediatrics | 13001 N Outer 40 Rd Ste 310, Ste 310, Chesterfield, MO 63017-5941 | 2007-05-25 |
| 1265656193 | Rosita Justo Guzon | Pediatrics | 1343 Conway Oaks Dr, Chesterfield, MO 63017-1960 | 2007-04-12 |
| 1164594883 | Santosh Gupta | Pediatrics | 16216 Baxter Road Suite 299, Chesterfield, MO 63017 | 2006-11-15 |
| 1073603189 | Robert James Profumo | Pediatrics | 1308 Westchester Manor Ln, Chesterfield, MO 63005-4355 | 2006-10-13 |
| 1215046263 | Julia M Mayer | Pediatrics | 226 S Woods Mill Rd Ste 32w, Chesterfield, MO 63017-3442 | 2006-08-30 |
| 1053351338 | Mohamad Al-hosni | Pediatrics | 14443 White Birch Valley Ln, Chesterfield, MO 63017-2415 | 2006-06-07 |
| 1104891274 | Anna P Huger | Pediatrics | 13001 N Outer 40 Rd Ste 330, Chesterfield, MO 63017-5941 | 2006-02-21 |
| 1154302131 | David E Hartenbach | Pediatrics | 13001 N Outer 40 Rd Ste 320, Chesterfield, MO 63017-5941 | 2005-11-08 |
| 1083601819 | Janet G Mueller | Pediatrics | 13001 N Outer 40 Rd, Ste 340, Chesterfield, MO 63017-5941 | 2005-10-06 |
| Find all providers in CHESTERFIELD | ||||
| City | CHESTERFIELD |
| Zip Code | 63017 |
Please comment or provide details below to improve the information on CHESTERFIELD VALLEY INTERNAL MEDICINE & PEDIATRICS LLC.
| 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.