DR. KEIKO HIROSE (NPI# 1376506287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376506287 |
| Entity Type | Individual |
| Full Name | DR. KEIKO HIROSE |
| Credential | MD |
| Practice Address |
1 Childrens Pl Ste 3s Ste 3s Saint Louis MO 63110-1002 |
| Mailing Address |
660 S Euclid Ave C B 8115 Saint Louis MO 63110-1010 |
| Practice Telephone | 3144546162 |
| Practice Fax Number | 3144542174 |
| Mailing Telephone | 3144546162 |
| Mailing Fax Number | 3144542174 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2018-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YP0228X |
Otolaryngology Specialization: Pediatric Otolaryngology |
2007032257 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 207023805 | 05 | |
| IL | ENROLLED | 05 |
| Street Address |
1 CHILDRENS PL STE 3S STE 3S |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730398124 | Maithilee Denise Menezes | Otolaryngology | 1 Childrens Pl Ste 3s, Ste 3s, Saint Louis, MO 63110-1002 | 2007-05-22 |
| 1336165646 | Judith E Cho Lieu | Otolaryngology | 1 Childrens Pl Ste 3s, Ste 3s, Saint Louis, MO 63110-1002 | 2006-07-14 |
| 1043236276 | Richard A Chole | Otolaryngology | 1 Childrens Pl Ste 3s, Ste 3s, Saint Louis, MO 63110-1002 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| 1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
| 1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
| 1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
| 1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
| 1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
| Find all providers in zip 63110 | ||||
| Taxonomy Code | 207YP0228X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Pediatric Otolaryngology |
| A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396762803 | David W Molter | Otolaryngology | 1 Childrens Pl Ste 3s35, Ste 3s35, Saint Louis, MO 63110-1002 | 2006-07-17 |
| 1255842837 | Amber Hanephin | Otolaryngology | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2017-10-23 |
| 1649584616 | Katherine A Dunsky | Otolaryngology | 1 Childrens Pl Ste 3s35, Ste 3s35, Saint Louis, MO 63110-1002 | 2010-08-02 |
| 1427378900 | Adrienne Louise Childers | Otolaryngology | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2010-06-07 |
| 1740444041 | David Seamus Leonard | Otolaryngology | 1 Childrens Pl Ste 3s35, Ste 3s35, Saint Louis, MO 63110-1002 | 2008-07-15 |
| 1730398124 | Maithilee Denise Menezes | Otolaryngology | 1 Childrens Pl Ste 3s, Ste 3s, Saint Louis, MO 63110-1002 | 2007-05-22 |
| 1083832364 | St Louis University | Otolaryngology | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2007-04-23 |
| 1336165646 | Judith E Cho Lieu | Otolaryngology | 1 Childrens Pl Ste 3s, Ste 3s, Saint Louis, MO 63110-1002 | 2006-07-14 |
| 1255396636 | James W Forsen | Otolaryngology | 621 S New Ballas Rd, Ste 622a, Saint Louis, MO 63141-8232 | 2006-04-19 |
| 1306801600 | Randall A Clary | Otolaryngology | 621 S New Ballas Rd, Ste 622a, Saint Louis, MO 63141-8232 | 2006-04-19 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63110 |
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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.