WARREN M BREITE (NPI# 1457355372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457355372 |
| Entity Type | Individual |
| Full Name | WARREN M BREITE |
| Other Name | W MARK BREITE |
| Credential | MD |
| Practice Address |
1390 Highway 61 Suite 2300 Festus MO 63028-4137 |
| Mailing Address |
1390 Highway 61 Ste 2300 Festus MO 63028-4121 |
| Practice Telephone | 6369373121 |
| Practice Fax Number | 6369374423 |
| Mailing Telephone | 6369373121 |
| Mailing Fax Number | 6369374423 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2019-01-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
075585 | GA | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
G9264 | TX | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
01038424A | IN | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
106261 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 207728601 | 05 | |
| MO | MEDICARE RAILROAD | 110093731 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 601 W 2nd St, Bloomington, IN 474032317 | 8123313400 | 8123327265 |
| Street Address |
1390 HIGHWAY 61 SUITE 2300 |
| City | FESTUS |
| State | MO |
| Zip Code | 63028-4137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548532062 | Julia Ann Werner | Dietitian, Registered | 1390 Highway 61, Festus, MO 63028-4137 | 2012-01-30 |
| 1437399771 | Twin City Internal Medicine Specialists, Inc. | Internal Medicine | 1390 Highway 61, Suite 2200, Festus, MO 63028-4137 | 2009-02-26 |
| 1902045156 | Ryan T. Miller,m.d.,llc | Urology | 1390 Highway 61, Medical Office Center North Ste 3200, Festus, MO 63028-4137 | 2009-02-11 |
| 1518130814 | Occupational & Pain Management Professionals | Specialist | 1390 Highway 61, Suite G100, Festus, MO 63028-4137 | 2008-04-08 |
| 1306025622 | Signature Medical Group,inc | Durable Medical Equipment & Medical Supplies | 1390 Highway 61, North G1000, Festus, MO 63028-4137 | 2007-11-02 |
| 1558490383 | Nicole Renee Guerrero | Nurse Practitioner | 1390 Highway 61, Suite 3300, Festus, MO 63028-4137 | 2007-03-05 |
| 1770534158 | Kasey L Carnes | Physician Assistant | 1390 Highway 61, Suite G1000, Festus, MO 63028-4137 | 2006-05-12 |
| 1467402867 | Craig Richard Ruble | Orthopaedic Surgery | 1390 Highway 61, Jhm Moc Suite G1000, Festus, MO 63028-4137 | 2006-05-10 |
| 1225023955 | Kenneth Richard Kilian | Family Medicine | 1390 Highway 61, Suite 2200, Festus, MO 63028-4137 | 2005-09-19 |
| 1912908161 | James Dean Gould | Specialist | 1390 Highway 61, Suite 3100, Festus, MO 63028-4137 | 2005-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952943268 | Lauryn E Morris | Occupational Therapist | 3657 Baptist Park Rd, Mapaville, MO 63028 | 2019-10-09 |
| 1912557547 | Rena Robinson | Technician | 150 Brandon Wallace Way Suite 1014, Suite 1014, Festus, MO 63028 | 2019-09-16 |
| 1780232264 | Cynthia L James | Technician | 110 Juliet Place, Festus, MO 63028 | 2019-08-28 |
| 1700377009 | Akr Endodontics, LLC | Dentist | 1431 Us Hwy 61, Festus, MO 63028 | 2018-05-22 |
| 1962869990 | Fatma Esen Antakli | Nurse Practitioner | Advanced Pain Centers 190 Industrial Drive, Festus, MO 63028 | 2016-01-21 |
| 1083088744 | Megan Schomer | Counselor | 2675 Meyer Rd, Festus, MO 63028 | 2015-11-18 |
| 1043608144 | Elka Follmer | Physical Therapist | 1349 Us Hwy 61, Festus, MO 63028 | 2014-12-26 |
| 1811394729 | Ashley Schwendeman | Physical Therapist | 1403 N. Truman Blvd, Fesuts, MO 63028 | 2014-11-21 |
| 1073871257 | Staurla Chantel Waun | Counselor | 10719 Buckeye Rd, Festus, MO 63028 | 2012-04-25 |
| 1639444086 | Jeffrey Steitz | Otolaryngology | 1390 Us Highway 61 Ste 3100, Festus, MO 63028 | 2012-03-19 |
| Find all providers in zip 63028 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255641684 | Ashwin Mani | Internal Medicine | 999 Executive Parkway, Ste 210, St. Louis, MO 63141 | 2010-10-19 |
| 1275845208 | Jimmy L Moss | Internal Medicine | 12634 Olive Blvd Dept Of, Saint Louis, MO 63141-6337 | 2010-07-07 |
| 1124215124 | Aravind Pothineni | Internal Medicine | 1723 Broadway Suite 205, Cape Giradeau, MO 63701 | 2007-10-03 |
| 1023202736 | Branson Pulmonology LLC | Internal Medicine | 545 Branson Landing Blvd Ste 301, Branson, MO 65616-4055 | 2007-09-05 |
| 1982618856 | Mahmoud Mohamad Ali El-sayed | Internal Medicine | 1300 Turtle Cv, Ballwin, MO 63011-4249 | 2006-07-28 |
| 1689602930 | Sohail Khan | Internal Medicine | 1111 Mcintosh Cir Ste 302, Joplin, MO 64804-3693 | 2006-06-28 |
| 1154360550 | Nikhat Salamat | Internal Medicine | 727 Craig Rd, Suite 101, Creve Coeur, MO 63141-7175 | 2006-06-04 |
| 1558309898 | John R. Carlile | Internal Medicine | 1000 E. Primrose, #200, Springfield, MO 65807-5388 | 2006-06-02 |
| 1710933825 | Adeel Pervez | Internal Medicine | 4911 S Arrowhead Dr Ste 201, Independence, MO 64055-7008 | 2006-05-26 |
| 1154389336 | Patrick B Sandiford | Internal Medicine | 201 First Executive Ave, St Peters, MO 63376-1697 | 2006-05-03 |
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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.