DR. CHARLES A WETHERINGTON (NPI# 1326048935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326048935 |
| Entity Type | Individual |
| Full Name | DR. CHARLES A WETHERINGTON |
| Credential | M.D. |
| Practice Address |
6725 Chippewa St Saint Louis MO 63109-2534 |
| Mailing Address |
1055 Bowles Ave Suite 200 Fenton MO 63026-2308 |
| Practice Telephone | 3146447111 |
| Practice Fax Number | 3146443113 |
| Mailing Telephone | 6364963900 |
| Mailing Fax Number | 6364963939 |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2016-07-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 104062 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 204694509 | 05 |
| Street Address |
6725 CHIPPEWA ST |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63109-2534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013431907 | James Edward Trout | Community Health Worker | 3956 Wenzlick Ave, St Louis, MO 63109 | 2017-08-01 |
| 1750815023 | Andrea Hyde | Nurse Practitioner | 5302 Chippewa Street, Suite 301, St Louis, MO 63109 | 2017-04-13 |
| 1215362124 | Alex Sharifian Dds Francis Park Dentistry PC | Dentist | 6650 Chippewa Street, Saint Louis, MO 63109 | 2013-09-10 |
| 1881993962 | Rachel Elizabeth Hale Hasper | Counselor | 6555 Chippewa, St Louis, MO 63109 | 2011-03-15 |
| 1730369885 | Janis Marie Lampa | Physical Therapist | 5203 Chippewa, Suite 301, St. Louis, MO 63109 | 2007-11-06 |
| 1285753772 | James Matthew Jordan | Occupational Therapist | 32 Hampton Village Plaza, St Louis, MO 63109 | 2007-03-28 |
| 1730224478 | Mercy Health Services, LLC | Optometrist | 34 Hampton Village Plaza, St. Louis, MO 63109 | 2007-02-20 |
| 1801959903 | John Thomas Doyle | Dentist | 5400 Walsh St, St Louis, MO 63109 | 2006-12-19 |
| 1649339771 | Residencial Services Corporation | Assisted Living Facility | 5890 Eichelberger, St Louis, MO 63109 | 2006-12-06 |
| 1316039852 | Gary Raymond Rieser | Dentist | 3915 Watson Road, Suite 205, Saint Louis, MO 63109 | 2006-09-29 |
| Find all providers in zip 63109 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912276486 | Paul Edward Stohr | Neurological Surgery | 2 Kirken Knoll Dr, Saint Louis, MO 63131-2310 | 2011-12-29 |
| 1275801896 | George Emanuel Mendelsohn | Neurological Surgery | 24 Loren Woods, Saint Louis, MO 63124-1903 | 2011-12-09 |
| 1770802076 | Aneela Darbar | Neurological Surgery | 3635 Vista Ave, Grand Blvd, Saint Louis, MO 63110-0250 | 2010-05-26 |
| 1386850881 | David D Limbrick Jr. | Neurological Surgery | 1 Childrens Pl Ste 4e, Ste 4e, Saint Louis, MO 63110-1002 | 2007-05-14 |
| 1376560805 | Tae Sung Park | Neurological Surgery | 1 Childrens Pl Fl 1, 1st Fl, Saint Louis, MO 63110-1002 | 2006-07-17 |
| 1841218278 | Matthew D Smyth | Neurological Surgery | 1 Childrens Pl Ste 4s20, Ste 4s20, Saint Louis, MO 63110-1002 | 2006-07-17 |
| 1265420269 | Robert J Bernardi IIi | Neurological Surgery | 11605 Studt Ave, Suite One, Saint Louis, MO 63141-7052 | 2005-10-12 |
| 1457351926 | Gregory Joseph Bailey | Neurological Surgery | 1035 Bellevue Ave Ste 500, Saint Louis, MO 63117-1843 | 2005-07-27 |
| 1306846928 | Armond L Levy | Neurological Surgery | 13625 Big Bend Rd, Saint Louis, MO 63122-3915 | 2005-07-26 |
| 1972500981 | Joseph S Yazdi | Neurological Surgery | 7721 Clayton Rd, Saint Louis, MO 63117-1301 | 2005-07-05 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63109 |
Please comment or provide details below to improve the information on DR. CHARLES A WETHERINGTON.
| 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.