MO BIOLOGICS INC (NPI# 1457972044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457972044 |
| Entity Type | Organization |
| Organization Name | MO BIOLOGICS INC |
| Practice Address |
4601 Executive Centre Pkwy Ste 300 Saint Peters MO 63376-1685 |
| Practice Telephone | 6362445890 |
| Mailing Telephone | 6362445890 |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-05-05 |
| Authorized Official Name | STEPHANIE SURPLUS (CLINIC MANAGER) |
| Authorized Official Telephone | 4235036403 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
4601 EXECUTIVE CENTRE PKWY STE 300 |
| City | SAINT PETERS |
| State | MO |
| Zip Code | 63376-1685 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689210924 | Jenna Matthews | Family Medicine | 4601 Executive Centre Pkwy Ste 300, Saint Peters, MO 63376-1685 | 2019-11-21 |
| 1457958837 | Ashish Javer | Family Medicine | 4601 Executive Centre Pkwy Ste 300, Saint Peters, MO 63376-1685 | 2020-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275047946 | Nicholas Christian Schultz | Dentist | 100 Piper Hill Dr Ste A, Saint Peters, MO 63376 | 2017-11-16 |
| 1982120093 | Carol Weber | Speech-Language Pathologist | 166 Boone Hills Dr., St Peters, MO 63376 | 2017-08-21 |
| 1619424744 | Forefront Dermatology, S.c. | Dermatology | 5700 Mexico Rd, Suite 14, Saint Peters, MO 63376 | 2016-09-07 |
| 1508310632 | Preferred Family Healthcare, Inc. | Counselor | 2120 Parkway Dr, Saint Peters, MO 63376 | 2016-08-05 |
| 1598130676 | Delta Center Personal Attendant Services | In Home Supportive Care | 3833 Mcclay, Suite 61, St. Peters, MO 63376 | 2015-12-01 |
| 1427420314 | Barbara Marlene Edelman | Counselor | 1286 Jungerman Rd. Suite G, St. Peters, MO 63376 | 2015-10-30 |
| 1255740247 | Claire Williams | Dentist | 340 Mid Rivers Mall Drive, Suite E, St. Peters, MO 63376 | 2014-08-05 |
| 1184042855 | Keith Wickenhauser | Internal Medicine | 201 Bjc Saint Peters Dr Ste 100, Saint Peters, MO 63376 | 2014-03-31 |
| 1821415233 | Abby Link | Physician Assistant | 107 Piper Parkway, #150, St. Peters, MO 63376 | 2014-03-24 |
| 1225452105 | Ashley Gagel | Physical Therapist | 7055 Mexico Rd Suite 1601, St. Peters, MO 63376 | 2014-02-12 |
| Find all providers in zip 63376 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689038077 | Deanna Justine Bajala | Family Medicine | 6994 Mexico Rd, Saint Peters, MO 63376-1512 | 2016-04-11 |
| 1588079727 | Michael P Schachter | Family Medicine | 4800 Mexico Rd Ste 102, Saint Peters, MO 63376-1666 | 2014-06-26 |
| 1760771869 | Osteopathic Solutions LLC | Family Medicine | 8069 Mexico Rd, Saint Peters, MO 63376-1148 | 2011-03-30 |
| 1245375567 | Abid Nisar | Family Medicine | 2730 S Saint Peters Pkwy Ste 103, Saint Peters, MO 63303-5677 | 2007-02-21 |
| 1114991643 | Richard J Leahy | Family Medicine | 1600 Heritage Lndg, Ste 215, Saint Peters, MO 63303-8489 | 2006-02-13 |
| 1962496695 | Jeffrey A Atkins | Family Medicine | 107 Piper Hill Dr Ste 100, Saint Peters, MO 63376-1651 | 2005-09-08 |
| 1285627331 | Steven Michael Radel | Family Medicine | 201 Bjc Saint Peters Dr Ste 200, Saint Peters, MO 63376-3091 | 2005-08-24 |
| 1457958837 | Ashish Javer | Family Medicine | 4601 Executive Centre Pkwy Ste 300, Saint Peters, MO 63376-1685 | 2020-10-08 |
| 1841636354 | Ngozidilenna Ada Wilkins | Family Medicine | 201 Bjc Saint Peters Dr Ste 200, Saint Peters, MO 63376-3386 | 2013-05-13 |
| 1235431198 | Samara Epps Mcelroy | Family Medicine | 201 Bjc Saint Peters Dr Ste 200, Saint Peters, MO 63376-3386 | 2010-11-29 |
| Find all providers in SAINT PETERS | ||||
| City | SAINT PETERS |
| Zip Code | 63376 |
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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.