DANIEL D BEKELE LLC (NPI# 1326524604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326524604 |
| Entity Type | Organization |
| Organization Name | DANIEL D BEKELE LLC |
| Other Organization Name | ST. GABRIEL CLINIC |
| Practice Address |
6113 Ridge Ave Saint Louis MO 63133 |
| Mailing Address |
6113 Ridge Ave Saint Louis MO 63133-2616 |
| Practice Telephone | 7202356443 |
| Mailing Telephone | 3142309050 |
| Mailing Fax Number | 8852818576 |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | DR. DANIEL DESTA BEKELE (MEDICAL DIRCTOR) |
| Authorized Official Telephone | 3142309050 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
MO | Ambulatory Health Care Facilities | |
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 830059014 | 05 |
| Other Name | Type Code |
|---|---|
| St. Gabriel Clinic | Doing Business As Name - Organization |
| Street Address |
6113 RIDGE AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902463029 | Wellhealth | Assistant Behavior Analyst | 6113 Ridge Ave, Saint Louis, MO 63133-2616 | 2019-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417512757 | Brandi Antoinette Currie | Home Health Aide | 6740 Schofied, Saint Louis, MO 63133 | 2019-05-02 |
| 1417358201 | Whitney Stallings | Nurse's Aide | 7122 El Tora Ave, Saint Louis, MO 63133 | 2014-09-11 |
| 1881085256 | Cassandra Elizabeth Rouse | Physician Assistant | 6763 Page Ave, Saint Louis, MO 63133 | 2015-02-06 |
| 1124220504 | Infiniti Home Care, Inc. | Technician | 1321 Pennsylvania Ave, Saint Louis, MO 63133-1035 | 2007-06-05 |
| 1861782898 | N/a | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1318 Pennsylvania Ave, Saint Louis, MO 63133-1036 | 2011-04-11 |
| 1114138260 | Shirley B. Dillard | Dentist | 7956 Page Ave, Saint Louis, MO 63133-1128 | 2007-05-24 |
| 1740815752 | Angela Steed | Home Health | 7737 Underhill Dr, Saint Louis, MO 63133-1133 | 2020-03-10 |
| 1255713038 | Crystal Renee Moseley | Mechanotherapist | 7809 Utica Dr, Saint Louis, MO 63133-1141 | 2015-06-29 |
| 1598371155 | Roshonda S Sanderson | Chore Provider | 1948 Raft Dr, Saint Louis, MO 63133-1152 | 2020-09-18 |
| 1780291005 | Bravehearts Loving Care LLC | Home Health | 1948 Raft Dr, Saint Louis, MO 63133-1152 | 2020-09-30 |
| Find all providers in zip 63133 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639782121 | Veterans Advantage Urgent Care,inc | Clinic/Center | 1901 Washington Ave, Saint Louis, MO 63103-1623 | 2020-08-25 |
| 1770042954 | Total Access Urgent Care, PC | Clinic/Center | 6940 S Lindbergh Blvd, Saint Louis, MO 63125-4219 | 2019-03-18 |
| 1245714849 | Total Access Urgent Care, PC | Clinic/Center | 1005 S Big Bend Blvd, Saint Louis, MO 63117-1605 | 2018-09-19 |
| 1356823397 | Total Access Urgent Care P.C. | Clinic/Center | 2060 Hampton Ave, Saint Louis, MO 63139-2903 | 2018-09-06 |
| 1477061166 | Total Access Urgent Care, PC | Clinic/Center | 2980 Dougherty Ferry Rd, Saint Louis, MO 63122 | 2018-01-16 |
| 1013440593 | Total Access Urgent Care, PC | Clinic/Center | 3114 S Grand Blvd, Saint Louis, MO 63118-1012 | 2017-04-11 |
| 1386081867 | American Current Care Pa | Clinic/Center | 6542 Manchester Ave, Saint Louis, MO 63139-3520 | 2013-05-24 |
| 1477897072 | Metro Urgent Care LLC | Clinic/Center | 123 Concord Plaza Shopping Ctr, Saint Louis, MO 63128-1307 | 2012-11-20 |
| 1740319284 | Integra Physicians Urgent Care Centers, LLC | Clinic/Center | 12161 Manchester Rd, Saint Louis, MO 63131-4310 | 2007-03-02 |
| 1164059556 | Virtualnicu | Clinic/Center | 10 Warridge Dr, Saint Louis, MO 63124-1166 | 2020-03-25 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63133 |
Please comment or provide details below to improve the information on DANIEL D BEKELE 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.