PORTER PAVALKO (NPI# 1487207528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487207528 |
| Entity Type | Individual |
| Full Name | PORTER PAVALKO |
| Credential | MS |
| Practice Address |
615 S New Ballas Rd Ste G400 Saint Louis MO 63141-8221 |
| Mailing Address |
615 S New Ballas Rd # G400 Saint Louis MO 63141-8221 |
| Practice Telephone | 3142514863 |
| Mailing Telephone | 3142514863 |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2019-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170300000X | Genetic Counselor, MS | Other Service Providers |
| Street Address |
615 S NEW BALLAS RD STE G400 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63141-8221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346800158 | Ismam Islam | Genetic Counselor, MS | 615 S New Ballas Rd Ste G400, Saint Louis, MO 63141-8221 | 2019-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| Taxonomy Code | 170300000X |
| Grouping | Other Service Providers |
| Classification | Genetic Counselor, MS |
| A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: National Society of Genetic Counselors [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346800158 | Ismam Islam | Genetic Counselor, MS | 615 S New Ballas Rd Ste G400, Saint Louis, MO 63141-8221 | 2019-06-14 |
| 1265560403 | Meagan Corliss | Genetic Counselor, MS | 4320 Forest Park Ave Ste 207f, Saint Louis, MO 63108-2979 | 2007-03-01 |
| 1629690409 | Leia Alexandra Peterman | Genetic Counselor, MS | 1 Childrens Pl Cb 8116, Saint Louis, MO 63110-1002 | 2020-05-14 |
| 1841845765 | Hailey Pinz | Genetic Counselor, MS | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2019-08-07 |
| 1184279200 | Samantha Toy | Genetic Counselor, MS | 1 Childrens Pl Cb 8116, Saint Louis, MO 63110-1002 | 2019-08-06 |
| 1306405436 | Kayla Quirin | Genetic Counselor, MS | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2019-06-12 |
| 1699245209 | Kayleigh Ann Swaggart | Genetic Counselor, MS | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2018-11-27 |
| 1841767688 | Andrea Stacy | Genetic Counselor, MS | 1 Childrens Pl, Ste C, Saint Louis, MO 63110-1002 | 2018-10-30 |
| 1093201691 | Rachita Nikam | Genetic Counselor, MS | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2018-07-06 |
| 1760977532 | Kara Christine Klemp | Genetic Counselor, MS | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2018-06-25 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63141 |
Please comment or provide details below to improve the information on PORTER PAVALKO.
| 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.