JOULE N STEVENSON MD LLC (NPI# 1407068851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407068851 |
| Entity Type | Organization |
| Organization Name | JOULE N STEVENSON MD LLC |
| Practice Address |
12277 De Paul Dr Suite 406 Bridgeton MO 63044-2516 |
| Practice Telephone | 3147317844 |
| Practice Fax Number | 3147313296 |
| Mailing Telephone | 3147317844 |
| Mailing Fax Number | 3147313296 |
| Enumeration Date | 2007-05-05 |
| Last Update Date | 2011-05-02 |
| Authorized Official Name | DR. JOULE N STEVENSON (PHYSICIAN OWNER) |
| Authorized Official Telephone | 3147317844 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
2002019263 | MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | HARMONY HEALTH PLAN | 321634 | 01 |
| MO | BLUECROSSBLUESHIELD | 165057 | 01 |
| MO | HEALTHCAREUSA | 40798V56535 | 01 |
| MO | HEALTHLINK | 520762 | 01 |
| MO | 507561801 | 05 |
| Street Address |
12277 DE PAUL DR SUITE 406 |
| City | BRIDGETON |
| State | MO |
| Zip Code | 63044-2516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124025416 | Melvin Boris Saltzman | Internal Medicine | 12277 De Paul Dr, Ste 404, Bridgeton, MO 63044-2536 | 2005-07-01 |
| 1639534654 | Waqar Ulislam Mirza Md | Psychiatry & Neurology | 12277 De Paul Dr, Suite 401, Bridgeton, MO 63044-2516 | 2015-12-17 |
| 1629366695 | Lauren Elizabeth Deichmann | Nurse Practitioner | 12277 De Paul Dr, Suite 504, Bridgeton, MO 63044-2516 | 2011-07-12 |
| 1427252501 | Raymond F. Mohrman Md PC | Internal Medicine | 12277 De Paul Dr, Suite 401, Bridgeton, MO 63044-2516 | 2007-06-13 |
| 1770791832 | Patrick B Mcdonough | Internal Medicine | 12277 De Paul Dr, Suite 401, Bridgeton, MO 63044-2516 | 2007-05-20 |
| 1285846055 | Dion Grant Fisher | Internal Medicine | 12277 De Paul Dr, Suite 504, Bridgeton, MO 63044-2516 | 2007-05-04 |
| 1760511901 | Alvaro Mora-perez | Obstetrics & Gynecology | 12277 De Paul Dr, Suite 402, Bridgeton, MO 63044-2516 | 2007-03-05 |
| 1639251978 | Gateway Pediatrics, Ltd | Pediatrics | 12277 De Paul Dr, Suite 506, Bridgeton, MO 63044-2516 | 2006-10-19 |
| 1821185216 | Frantz A Pierre | Obstetrics & Gynecology | 12277 De Paul Dr, Ste 400, Bridgeton, MO 63044 | 2006-10-06 |
| 1205932621 | Joule Natalie Stevenson | Family Medicine | 12277 De Paul Dr, Suite 406, Bridgeton, MO 63044-2516 | 2006-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073150017 | Zoe Marie Wadsworth | Nurse Practitioner | 12255 Depaul Dr Suite 300, Bridgeton, MO 63044 | 2019-12-10 |
| 1609412451 | Beyond Better, Best Home Health Care Services, Limited Liability Corpo | In Home Supportive Care | 3430 Mckelvey Road Ste B, Bridgeton, MO 63044 | 2019-11-26 |
| 1275189078 | Delicate Angels Home Health LLC | Home Health | 11726 St. Charles Rock Road Suite G, Bridgeton, MO 63044 | 2019-08-16 |
| 1588210082 | Nicholas Huber | Physical Therapist | 12349 Depaul Dr., Ste. 110, Bridgeton, MO 63044 | 2019-08-12 |
| 1124688858 | Michelle Bassett | Registered Nurse | 11520 St. Charles Rock Rd., Suite 106, Bridgeton, MO 63044 | 2019-06-14 |
| 1336703883 | Elena A Barrow | Nurse Practitioner | 12255 Depaul Dr, Suite 260, Bridgeton, MO 63044 | 2019-04-30 |
| 1487123105 | Laura N Steiner | Registered Nurse | Gateway Pediatrics, Ltd, 12255 Depaul Drive, Suite 460 North Medical Building, Bridgeton, MO 63044 | 2018-11-26 |
| 1205310950 | Danielle Mathis | Nurse Practitioner | 3440 Depaul Lane Suite 201, Bridgeton, MO 63044 | 2018-09-19 |
| 1588163570 | Thoughts Out Loud Counseling, LLC | Social Worker | 11520 St. Charles Rock Road Suite 101, Bridgeton, MO 63044 | 2018-02-06 |
| 1912411430 | Breanna Victoria Hayes | Counselor | 3165 Mckevley Road, Suite 200, Bridgeton, MO 63044 | 2017-11-20 |
| Find all providers in zip 63044 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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|---|---|---|---|---|
| 1326451782 | Sherrie Colaneriday Npc LLC | Clinic/Center | 700 N Pearl St, Bridgeton, NJ 08302-1208 | 2014-06-03 |
| 1619248853 | Chotchai Boonkham Md PC | Clinic/Center | 3478 Bridgeland Dr, Suite 1, Bridgeton, MO 63044-2619 | 2012-01-19 |
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| 1285118950 | Vera Whole Health, Wa PC | Clinic/Center | 8350 N. Church Road, Kansas City, MO 64158 | 2018-09-19 |
| 1003324542 | Quad/med, LLC | Clinic/Center | 2015 Ne Jefferson Street, Grain Valley, MO 64029 | 2018-01-18 |
| 1093267601 | Careatc-saint Peter | Clinic/Center | 4601 Executive Centre Pkwy, Saint Peters, MO 63376-1683 | 2016-10-30 |
| 1407303480 | Kerns Family Health Care LLC | Clinic/Center | 1335 Vilage Dr B, St. Joseph, MO 64506-2457 | 2016-09-07 |
| 1316491020 | Wecare Tlc - Wwt Mo Family Health Center | Clinic/Center | 58 Weldon Pkwy, Bldg 58, Maryland Heights, MO 63043-3237 | 2016-08-10 |
| 1255703500 | Community Hospital Association | Clinic/Center | 101 South Washington Street, Oregon, MO 64473 | 2015-10-27 |
| 1023485752 | Dennis E. Robinson D.o. | Clinic/Center | 487 Pomme De Terre Dr., Marshfield, MO 65706 | 2015-08-28 |
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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.