DR. NICOLE MARIE DUCHARME (NPI# 1346208394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346208394 |
| Entity Type | Individual |
| Full Name | DR. NICOLE MARIE DUCHARME |
| Credential | DO |
| Practice Address |
5201 Mid America Plz Saint Louis MO 63129-0002 |
| Mailing Address |
660 S Euclid Ave Cb 8127 Saint Louis MO 63110-1010 |
| Practice Telephone | 3143623500 |
| Practice Fax Number | 3142301119 |
| Mailing Telephone | 3143623500 |
| Mailing Fax Number | 3142301119 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2019-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 2009008025 | MO | Allopathic & Osteopathic Physicians |
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
2009008025 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 209421601 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972841278 | Nicole Ducharme | Chiropractor | 4866 Carya Rd, Black Earth, WI 53515-9508 | 2013-01-21 |
| Street Address |
5201 MID AMERICA PLZ |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63129-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780180497 | John Lucas Runde | Specialist/Technologist | 5201 Mid America Plz, Saint Louis, MO 63129-0002 | 2018-04-02 |
| 1699290122 | Kristen Caroline Kemper | Nurse Practitioner | 5201 Mid America Plz, Ste 1500, Saint Louis, MO 63129-0002 | 2017-08-05 |
| 1750817342 | Anna M Guimbarda | Occupational Therapist | 5201 Mid America Plz, Suite 2600, Saint Louis, MO 63129-0002 | 2017-05-03 |
| 1700230646 | Prorehab PC | Physical Therapist | 5201 Mid America Plz, Suite 2600, Saint Louis, MO 63129-0002 | 2016-04-18 |
| 1649631425 | Washington University | Durable Medical Equipment & Medical Supplies | 5201 Mid America Plz, Suite 1500, Saint Louis, MO 63129-0002 | 2016-03-08 |
| 1902265994 | Washington University | Clinic/Center | 5201 Mid America Plz, Suite 2200, Saint Louis, MO 63129-0002 | 2016-02-18 |
| 1831469188 | Patricia R Gorenc | Physician Assistant | 5201 Mid America Plz, Ste 1500, Saint Louis, MO 63129-0002 | 2012-01-04 |
| 1194013086 | Angela Joann Demetrulias | Optometrist | 5201 Mid America Plz, Saint Louis, MO 63129-0002 | 2011-07-13 |
| 1811208267 | Anubha Mutneja | Internal Medicine | 5201 Mid America Plz, Ste 2300, Saint Louis, MO 63129-0002 | 2010-06-30 |
| 1275561086 | Steven A Lauter | Internal Medicine | 5201 Mid America Plz, Saint Louis, MO 63129-0002 | 2006-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447730742 | Total Access Urgent Care, PC | Clinic/Center | 4400 Telegraph Road, 4400 Telegraph Road, St. Louis, MO 63129 | 2018-08-16 |
| 1679061808 | Susan Swyers Grogan | Occupational Therapist | 2806 Flamewood Drive, St. Louis, MO 63129 | 2018-04-24 |
| 1376073981 | Eric Piatchek | Specialist/Technologist | 2661 Bluff Ridge Drive, St. Louis, MO 63129 | 2017-06-15 |
| 1033647144 | Keona E Smith | Nurse Practitioner | 7334 Lindbergh Blvd, Ballwin, MO 63129 | 2017-06-02 |
| 1588036966 | Sarah Michelle Corry | Occupational Therapist | 5043 Telegraph Rd, St Louis, MO 63129 | 2015-10-26 |
| 1598169120 | Vivian Carr | Counselor | 5266 Sir Bors Drive, St. Louis, MO 63129 | 2014-10-10 |
| 1982044327 | Andrew Michael Bryant | Family Medicine | 4280 Mid America Lane, Saint Louis, MO 63129 | 2013-06-30 |
| 1306185533 | John Alexander Miller | Registered Nurse | 4220 Robert Koch Hospital Rd, Saint Louis, MO 63129 | 2013-02-07 |
| 1346597457 | Pain and Performance Relief LLC | Physical Medicine & Rehabilitation | 4175 Crescent Dr Ste A, Saint Louis, MO 63129 | 2012-08-08 |
| 1366721516 | Teresa Lyn Bitter | Speech-Language Pathologist | 7325 Summerview Manor Lane, St. Louis, MO 63129 | 2011-08-05 |
| Find all providers in zip 63129 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992019921 | Jonathan David Bortz | Internal Medicine | 8117 Stanford Ave, Saint Louis, MO 63130-3617 | 2010-08-02 |
| 1538289343 | Rojanasathit,m.d.p.c. | Internal Medicine | 11155 Dunn Rd Ste 201e, Saint Louis, MO 63136-6149 | 2007-03-29 |
| 1124139845 | Lamice El-kholy | Internal Medicine | 1423 S Big Bend Blvd, Saint Louis, MO 63117-2203 | 2006-08-31 |
| 1134146640 | Lewis Robert Chase | Internal Medicine | 4921 Parkview Pl Ste 5b, Ste 5b, Saint Louis, MO 63110-1032 | 2006-07-17 |
| 1235168071 | Michael Peter Whyte | Internal Medicine | 4921 Parkview Pl Fl 5, 5th Fl, Saint Louis, MO 63110-1032 | 2006-07-02 |
| 1578508701 | Irini E Veronikis | Internal Medicine | 621 S New Ballas Rd Ste 3006b, Saint Louis, MO 63141-8282 | 2006-06-19 |
| 1720078843 | Bharathi Raju | Internal Medicine | 12900 Tesson Ferry Rd Ste 101, Saint Louis, MO 63128-3002 | 2005-10-28 |
| 1316945330 | James N Heins | Internal Medicine | 4921 Parkview Pl Ste 5c, Ste 5c, Saint Louis, MO 63110-1032 | 2005-07-13 |
| 1407487457 | Daniel Gaitan Healthcare, Inc | Internal Medicine | 425 N New Ballas Rd Ste 107, Saint Louis, MO 63141-6845 | 2020-01-29 |
| 1184112344 | Max Christian Petersen | Internal Medicine | 4921 Parkview Pl Ste 5c, Saint Louis, MO 63110-1032 | 2018-04-24 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63129 |
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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.