MIDWEST MEDICAL ASSOCIATES, INC. (NPI# 1417941584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417941584 |
Entity Type | Organization |
Organization Name | MIDWEST MEDICAL ASSOCIATES, INC. |
Other Organization Name | SOUTHWEST MEDICAL CENTER |
Practice Address |
7345 Watson Rd Saint Louis MO 63119-4405 |
Practice Telephone | 3147527100 |
Practice Fax Number | 3147523284 |
Mailing Telephone | 3147527100 |
Mailing Fax Number | 3147523284 |
Enumeration Date | 2005-09-06 |
Last Update Date | 2007-12-20 |
Authorized Official Name | PATRICK F GARRETT (PRESIDENT / MEDICAL DIRECTOR) |
Authorized Official Telephone | 3147527100 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | RR MEDICARE | CH3968 | 01 |
Other Name | Type Code |
---|---|
Southwest Medical Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841765559 | Midwest Medical Associates, Inc. | Durable Medical Equipment & Medical Supplies | 211 King St Ste 103, Charleston, SC 29401-3184 | 2018-10-09 |
1487801692 | Midwest Medical Associates, Inc. | Durable Medical Equipment & Medical Supplies | 2295 Parklake Drive, Suite 100, Atlanta, GA 30345-2816 | 2008-08-20 |
Street Address |
7345 WATSON RD |
City | SAINT LOUIS |
State | MO |
Zip Code | 63119-4405 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376547802 | Robert Prophete | Urology | 7345 Watson Rd, Southwest Medical Center, Saint Louis, MO 63119-4405 | 2005-06-13 |
1023435534 | Signature Medical Group, Inc | Durable Medical Equipment & Medical Supplies | 7345 Watson Rd, Suite Ll3, Saint Louis, MO 63119-4405 | 2014-03-21 |
1720352768 | St. Anthony's Physician Organization Private Practices, L.c. | Clinic/Center | 7345 Watson Rd, Saint Louis, MO 63119-4405 | 2012-03-07 |
1962776005 | St. Anthony's Physician Organization | Clinic/Center | 7345 Watson Rd, Saint Louis, MO 63119-4405 | 2012-03-07 |
1457689531 | G P Katsantonis Inc | Otolaryngology | 7345 Watson Rd, Saint Louis, MO 63119-4405 | 2009-11-30 |
1144473364 | Foot & Ankle Center, LLC | Podiatrist | 7345 Watson Rd, Saint Louis, MO 63119-4405 | 2008-10-31 |
1225200769 | Babul Ram Kulkarni | Family Medicine | 7345 Watson Rd, Saint Louis, MO 63119-4405 | 2008-03-25 |
1952347049 | Midwest Medical Associates Inc. | Clinic/Center | 7345 Watson Rd, Saint Louis, MO 63119-4405 | 2006-06-20 |
1497701569 | Matthew Robert Hill | Internal Medicine | 7345 Watson Rd, Saint Louis, MO 63119-4405 | 2006-05-26 |
1770533184 | Roohi Desai | Family Medicine | 7345 Watson Rd, Saint Louis, MO 63119-4405 | 2006-05-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114525631 | Kaylen A Howard | Specialist/Technologist | No, No, MO 63119 | 2020-10-16 |
1053887612 | St. Gianna Pediatrics, LLC | Pediatrics | 7387 Watson Road, Shrewsbury, MO 63119 | 2018-10-22 |
1982140265 | Forefront Dermatology, S.c. | Dermatology | 8567 Watson Rd, Webster Groves, MO 63119 | 2017-01-11 |
1407308018 | Tyler Clark | Student in an Organized Health Care Education/Training Program | 7785 Keswick Pl, Saint Louis, MO 63119 | 2016-10-30 |
1396109880 | Ritesh Gandhi | Family Medicine | 7345 Watson Rd Ste 203, Saint Louis, MO 63119 | 2016-04-11 |
1568834489 | Antonio Robinson | Counselor | 330 N. Gore, Great Circle, Saint Louis, MO 63119 | 2015-10-30 |
1922484039 | Odessa Baker X | Dietary Manager | 525 N. Laclede Station Road, St. Louis, MO 63119 | 2015-07-31 |
1194114694 | Laura Maher | Social Worker | 201 W. Lockwood Ave, Suite 201, St. Louis, MO 63119 | 2015-01-21 |
1427314046 | Dick (richard) Ralph Brummett | Family Medicine | 711 S Laclede Sta Rd, # 2111, St Louis, MO 63119 | 2012-04-09 |
1972872935 | Dolliene A. Raabe | Social Worker | 8050 Watson Road, Suite 201, St. Louis, MO 63119 | 2011-12-21 |
Find all providers in zip 63119 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275014953 | Arch Pediatrics LLC | Clinic/Center | 3844 S Lindbergh Blvd Ste 216, Saint Louis, MO 63127-1369 | 2018-08-22 |
1174015515 | Washington University Physicians In Illinois, Inc | Clinic/Center | 4511 Forest Park Ave, Saint Louis, MO 63108-2138 | 2018-06-01 |
1073022000 | Fairview Heights Medical Group Sc | Clinic/Center | 670 Mason Ridge Center Dr Ste 300, Saint Louis, MO 63141-8573 | 2017-09-21 |
1174830640 | Washington University School of Medicine | Clinic/Center | 4921 Parkview Pl Lowr Level, Center for Advanced Medicine, Saint Louis, MO 63110-1032 | 2010-09-07 |
1013542877 | Washington University | Clinic/Center | 4921 Parkview Pl Ste 5a, Saint Louis, MO 63110-1032 | 2020-03-11 |
1760946156 | Washington University Physicians In Illinois, Inc | Clinic/Center | 660 S Euclid Ave, Saint Louis, MO 63110-1010 | 2019-01-30 |
1003387689 | Victus Physician Services, LLC | Clinic/Center | 12345 West Bend Drive, Suite 201, Saint Louis, MO 63128 | 2018-12-08 |
1356822993 | Washington University Physicians In Illinois, Inc | Clinic/Center | 660 S Euclid Ave, Saint Louis, MO 63110-1010 | 2018-08-22 |
1972091825 | Wuca Southwest Pediatrics LLC | Clinic/Center | 6526 Lansdowne Ave, Saint Louis, MO 63109-2654 | 2018-04-26 |
1669995403 | Washington University | Clinic/Center | 11125 Dunn Rd Ste 100, Saint Louis, MO 63136-6132 | 2017-07-24 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63119 |
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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.