DR. KEVIN T. MINNIHAN (NPI# 1356338537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356338537 |
| Entity Type | Individual |
| Full Name | DR. KEVIN T. MINNIHAN |
| Credential | M.D. |
| Practice Address |
10 Hospital Dr St Peters MO 63376-1659 |
| Mailing Address |
Po Box 5 Hazelwood MO 63042-0005 |
| Practice Telephone | 3148953828 |
| Practice Fax Number | 3148953827 |
| Mailing Telephone | 3148953828 |
| Mailing Fax Number | 3148953827 |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2010-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | R5P29 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 203716923 | 05 | |
| MO | RAILROAD MEDICARE | 050059529 | 01 |
| Street Address |
10 HOSPITAL DR |
| City | ST PETERS |
| State | MO |
| Zip Code | 63376-1659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528031473 | Andrea Holthaus | Internal Medicine | 10 Hospital Dr, St Peters, MO 63376-1659 | 2006-02-10 |
| 1922071877 | Felipe Orellana | Internal Medicine | 10 Hospital Dr, St Peters, MO 63376-1659 | 2006-02-10 |
| 1043208572 | Nancy E. Tran | Anesthesiology | 10 Hospital Dr, St Peters, MO 63376-1659 | 2005-10-10 |
| 1235127705 | Terry L. Ward | Registered Nurse | 10 Hospital Dr, St Peters, MO 63376-1659 | 2005-10-10 |
| 1932197480 | Mary Ellen Colyer | Nurse Anesthetist, Certified Registered | 10 Hospital Dr, St Peters, MO 63376-1659 | 2005-10-10 |
| 1679560759 | Eric J. W. Bader | Anesthesiology | 10 Hospital Dr, St Peters, MO 63376-1659 | 2005-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275047946 | Nicholas Christian Schultz | Dentist | 100 Piper Hill Dr Ste A, Saint Peters, MO 63376 | 2017-11-16 |
| 1982120093 | Carol Weber | Speech-Language Pathologist | 166 Boone Hills Dr., St Peters, MO 63376 | 2017-08-21 |
| 1619424744 | Forefront Dermatology, S.c. | Dermatology | 5700 Mexico Rd, Suite 14, Saint Peters, MO 63376 | 2016-09-07 |
| 1508310632 | Preferred Family Healthcare, Inc. | Counselor | 2120 Parkway Dr, Saint Peters, MO 63376 | 2016-08-05 |
| 1598130676 | Delta Center Personal Attendant Services | In Home Supportive Care | 3833 Mcclay, Suite 61, St. Peters, MO 63376 | 2015-12-01 |
| 1427420314 | Barbara Marlene Edelman | Counselor | 1286 Jungerman Rd. Suite G, St. Peters, MO 63376 | 2015-10-30 |
| 1255740247 | Claire Williams | Dentist | 340 Mid Rivers Mall Drive, Suite E, St. Peters, MO 63376 | 2014-08-05 |
| 1184042855 | Keith Wickenhauser | Internal Medicine | 201 Bjc Saint Peters Dr Ste 100, Saint Peters, MO 63376 | 2014-03-31 |
| 1821415233 | Abby Link | Physician Assistant | 107 Piper Parkway, #150, St. Peters, MO 63376 | 2014-03-24 |
| 1225452105 | Ashley Gagel | Physical Therapist | 7055 Mexico Rd Suite 1601, St. Peters, MO 63376 | 2014-02-12 |
| Find all providers in zip 63376 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043208572 | Nancy E. Tran | Anesthesiology | 10 Hospital Dr, St Peters, MO 63376-1659 | 2005-10-10 |
| 1679560759 | Eric J. W. Bader | Anesthesiology | 10 Hospital Dr, St Peters, MO 63376-1659 | 2005-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316552433 | West Park Anesthesia, LLC | Anesthesiology | 300 S Mount Auburn Rd Ste 200b, Cape Girardeau, MO 63703-4902 | 2020-09-15 |
| 1780244731 | Matthew Hobart Mardis | Anesthesiology | Department of Anesthesiology 1 Hospital Drive, Columbia, MO 65212-0001 | 2019-06-20 |
| 1366937674 | Jason Arthur Bryce Barnes | Anesthesiology | 1 Hospital Dr # Dc00.500, Columbia, MO 65212-1000 | 2018-06-28 |
| 1699260919 | Suzanne Elizabeth Mundhenke | Anesthesiology | 1 Hospital Dr # Dc005.00, Columbia, MO 65212-1000 | 2018-06-28 |
| 1427569151 | Xenon Health of Missouri LLC | Anesthesiology | 121 Saint Lukes Center Dr Ste 403, Chesterfield, MO 63017-3519 | 2017-10-20 |
| 1174048250 | Austin Lohse | Anesthesiology | 660 S Euclid Ave Dept Of, Saint Louis, MO 63110-1010 | 2017-08-09 |
| 1003346552 | Ryan Daniel Montgomery | Anesthesiology | Department of Anesthesiology One Hospital Dr, Columbia, MO 65212-0001 | 2017-06-18 |
| 1245766641 | Joshua Douglas Blanchard | Anesthesiology | 2302 Oak Ln, Kirksville, MO 63501-2146 | 2017-05-04 |
| 1063947075 | Nilesh Jambhekar | Anesthesiology | University Hospital Ma421 Med Sciences Bldg Dc043.00, Columbia, MO 65212-0001 | 2017-04-27 |
| 1952844557 | Robert M Clemens | Anesthesiology | 3102 Erica, Sedalia, MO 65301-7984 | 2016-11-30 |
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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.