EDMOND B CABBABE (NPI# 1437126489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437126489 |
| Entity Type | Individual |
| Full Name | EDMOND B CABBABE |
| Credential | M.D. |
| Practice Address |
10004 Kennerly Rd Suite 365b Saint Louis MO 63128-2178 |
| Mailing Address |
10004 Kennerly Rd Suite 367b Saint Louis MO 63128-2178 |
| Practice Telephone | 3148425885 |
| Practice Fax Number | 3148427792 |
| Mailing Telephone | 3142720864 |
| Mailing Fax Number | 3142720866 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2011-04-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | R8454 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
10004 KENNERLY RD SUITE 365B |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63128-2178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053317313 | Sylvia Ann Steiling | Surgery | 10004 Kennerly Rd, Ste 137a, Saint Louis, MO 63128-2140 | 2005-06-22 |
| 1376166066 | Nhs South LLC | Internal Medicine | 10004 Kennerly Rd, Saint Louis, MO 63128-2141 | 2020-05-28 |
| 1932690567 | Kristin Leigh Wall | Registered Nurse | 10004 Kennerly Rd, Saint Louis, MO 63128-2141 | 2018-05-18 |
| 1447795695 | Laura Michler | Nurse Practitioner | 10004 Kennerly Rd, Ste 115a, Saint Louis, MO 63128-2141 | 2016-12-27 |
| 1346796562 | Jennifer Lynn Seib | Nurse Practitioner | 10004 Kennerly Rd, Ste. 255a, Saint Louis, MO 63128-2141 | 2016-08-28 |
| 1528415536 | Community & Long-term Care Psychiatry LLC | Behavioral Analyst | 10004 Kennerly Rd, Ste 362b, Saint Louis, MO 63128-2141 | 2016-05-19 |
| 1083081004 | Frank H Gafford Md, PC | Internal Medicine | 10004 Kennerly Rd, Suite 283b, Saint Louis, MO 63128-2141 | 2015-08-25 |
| 1710375340 | Sabina Smajis | Nurse Practitioner | 10004 Kennerly Rd, Saint Louis, MO 63128-2141 | 2015-01-05 |
| 1962810952 | St. Anthony's Physician Organization | Internal Medicine | 10004 Kennerly Rd, Suite 200a, Saint Louis, MO 63128-2141 | 2014-07-23 |
| 1457766255 | St. Anthony's Physician Organization | Obstetrics & Gynecology | 10004 Kennerly Rd, Ste 395b, Saint Louis, MO 63128-2141 | 2014-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
| 1326504655 | Nikodem Dental Holdings | Dentist | 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 | 2019-02-12 |
| 1932678505 | Michelle Anne Arvidson | Physical Therapy Assistant | Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2018-11-13 |
| 1245726710 | Kristen Rider | Nurse Practitioner | 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 | 2018-07-07 |
| 1306217427 | Sophia Bednarski | Dentist | 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2015-10-15 |
| 1427434224 | Darcie Burrus | Counselor | 12523 Old Tesson Rd G, St Louis, MO 63128 | 2015-08-04 |
| 1710368584 | Sara Hawatmeh | Internal Medicine | 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 | 2015-06-17 |
| 1871989590 | Celia Grace Montes-kolence | Speech-Language Pathologist | 12335 W Bend Drive, Saint Louis, MO 63128 | 2015-04-09 |
| 1245629302 | Marius Antonio Evans | Dentist | 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 | 2015-01-13 |
| 1801230313 | Sarah Elizabeth Walsh | Emergency Medicine | 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 | 2013-04-26 |
| Find all providers in zip 63128 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972954345 | Bryce Decidue Stash | Plastic Surgery | 1720 Chouteau Ave, Saint Louis, MO 63103-3112 | 2016-06-28 |
| 1972732089 | Michael Joseph Franco | Plastic Surgery | 4100 Forest Park Ave Apt 410, Saint Louis, MO 63108-2891 | 2009-07-09 |
| 1942211065 | Midwest Plastic & Hand Surgery Inc | Plastic Surgery | 621 South New Ballas Road, Suite 6003b, Saint Louis, MO 63141 | 2006-08-11 |
| 1790766186 | Kamlesh B Patel | Plastic Surgery | 4921 Parkview Pl Ste 6g, Ste 6g, Saint Louis, MO 63110-1032 | 2005-11-11 |
| 1942811435 | Stahs Pripotnev | Plastic Surgery | 4921 Parkview Pl Ste 6g, Saint Louis, MO 63110-1032 | 2020-08-10 |
| 1821614652 | Erin Peterson | Plastic Surgery | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-06-17 |
| 1871147876 | Blair Peters | Plastic Surgery | 4921 Parkview Pl Ste 6g, Saint Louis, MO 63110-1032 | 2019-07-29 |
| 1346801891 | Damini Tandon | Plastic Surgery | 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110-1003 | 2019-06-25 |
| 1639739717 | Alexandra Marie Keane | Plastic Surgery | 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110-1003 | 2019-06-19 |
| 1275027328 | Danielle Jere Brown | Plastic Surgery | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2018-06-20 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63128 |
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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.