ADVANCED ICU CARE (NPI# 1346579281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346579281 |
| Entity Type | Organization |
| Organization Name | ADVANCED ICU CARE |
| Practice Address |
999 Executive Parkway Dr Ste 210 Saint Louis MO 63141-6336 |
| Mailing Address |
16444 Westknoll Cv Chesterfield MO 63017-4668 |
| Practice Telephone | 3145146000 |
| Mailing Telephone | 4143310089 |
| Enumeration Date | 2009-12-23 |
| Last Update Date | 2009-12-23 |
| Authorized Official Name | DR. ISABELLE KOPEC (V.P. MEDICAL AFFAIRS) |
| Authorized Official Telephone | 3145146000 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
2009009197 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | ADVANCED ICU CARE INC. | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615-6417 |
| Massachusetts Corporations | ADVANCED ICU CARE, INC. | One Cityplace Dr., Ste. 570, St. Louis, MO 63141 |
| Street Address |
999 EXECUTIVE PARKWAY DR STE 210 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63141-6336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063858090 | Suzanne Elaine Bohnker | Nurse Practitioner | 999 Executive Parkway Dr, Suite 210, Saint Louis, MO 63141-6336 | 2013-05-16 |
| 1932543527 | Kimberly J Phelps | Nurse Practitioner | 999 Executive Parkway Dr, Suite 210, Saint Louis, MO 63141-6336 | 2013-04-25 |
| 1164741138 | Sunah Connors | Nurse Practitioner | 999 Executive Parkway Dr, Suite 210, Saint Louis, MO 63141-6336 | 2010-05-28 |
| 1336470129 | Critical Care Services Inc | Nurse Practitioner | 999 Executive Parkway Dr, Suite 210, Saint Louis, MO 63141-6336 | 2010-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841897394 | Lara Kang | Nurse Practitioner | 7354 S Yorkshire Dr, Saint Louis, MO 63123-2111 | 2020-10-07 |
| 1265064703 | Kelsey Elizabeth Ortmann | Nurse Practitioner | 4962 Tyrolean Ave, Saint Louis, MO 63109-3760 | 2020-02-11 |
| 1427606250 | Erin Kate Adlon | Nurse Practitioner | 1 Barnes Jewish Hospital Plz # 10400, Saint Louis, MO 63110-1003 | 2019-08-26 |
| 1164993622 | Alexandra Nicole Shero | Nurse Practitioner | 660 South Euclid Avenue #8054, Saint Louis, MO 63110-1010 | 2018-12-10 |
| 1932647302 | Lorena Zerwig | Nurse Practitioner | 3219 Portis Ave, Saint Louis, MO 63116-2025 | 2017-02-06 |
| 1780011023 | Elvisa Kurtovic | Nurse Practitioner | 4921 Parkview Pl Fl 6, 6 Fl, Saint Louis, MO 63110-1032 | 2013-10-01 |
| 1275863441 | Katheryne Tifuh Amba | Nurse Practitioner | 999 Executive Parkway Dr Ste 210, Saint Louis, MO 63141-6336 | 2010-01-11 |
| 1235135237 | Loretta Jane Colvin | Nurse Practitioner | 2531 S Big Bend Blvd, Saint Louis, MO 63143-2112 | 2005-06-23 |
| 1295335966 | Tracy Novak | Nurse Practitioner | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-10-30 |
| 1861092108 | John Michael Luker | Nurse Practitioner | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-10-27 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63141 |
Please comment or provide details below to improve the information on ADVANCED ICU CARE.
| 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.