EMMETT M BENTLEY


Address: 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313
Phone: 3149669590

EMMETT M BENTLEY (NPI# 1487725966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487725966
Entity Type Individual
Full Name EMMETT M BENTLEY
Credential D.O.
Practice Address 2345 Dougherty Ferry Rd
Saint Louis
MO 63122-3313
Mailing Address 800 Saint Paul Rd
Wildwood
MO 63021-6011
Practice Telephone 3149669590
Enumeration Date 2006-11-13
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ZP0102X Pathology
Specialization: Anatomic Pathology & Clinical Pathology
DOR9613 MO Allopathic & Osteopathic Physicians

Office Location

Street Address 2345 DOUGHERTY FERRY RD
City SAINT LOUIS
State MO
Zip Code 63122-3313

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093706608 John Moran Nurse Anesthetist, Certified Registered 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 2005-11-02
1053938217 Dina Helina Family Medicine 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 2020-07-02
1457978876 Nicholas Faron Family Medicine 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 2020-07-01
1366069767 Kayla Mae Thomason Family Medicine 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 2020-07-01
1669092722 Cardinal Cardiovascular Center LLC Internal Medicine 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 2020-04-19
1144858523 Shawn Khosla Family Medicine 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 2020-03-31
1255992905 Tyler Lyman Marler Family Medicine 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 2019-06-24
1427619196 Jacob Yankowitz Family Medicine 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 2019-06-24
1639730328 Monica Anne Unterreiner Family Medicine 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 2019-06-24
1073174751 Kimberly Schwarzkopf Family Medicine 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 2019-06-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659933174 Keela Rushing Physical Therapist 439 S Kirkwood Rd Ste 200, Kirkwood, MO 63122 2019-07-04
1730643461 Kirkwood Family Dental Dentist 333 S Kirkwood Road, Suite 105, Kirkwood, MO 63122 2019-01-28
1477061166 Total Access Urgent Care, PC Clinic/Center 2980 Dougherty Ferry Rd, Saint Louis, MO 63122 2018-01-16
1760933469 Missouri Cvs Pharmacy, L.l.c Durable Medical Equipment & Medical Supplies 10820 Manchester Rd, Kirkwood, MO 63122 2016-10-18
1518321041 M. Kathleen Blanchard Counselor 11042 Manchester Rd., Kirkwood, MO 63122 2016-04-11
1265801914 Kim Grega Counselor 700 S Kirkwood Rd, Kirkwood, MO 63122 2015-09-23
1245617943 Mark Edward Taylor Dentist 610 North Geyer, Kirkwood, MO 63122 2015-05-01
1467843094 Mary Elizabeth Boomgarden Physical Therapist 9645 Big Bend Boulevard, Saint Louis, MO 63122 2015-02-18
1760725717 Michael Diller Counseling Counselor 144 W Madison Avenue, Kirkwood, MO 63122 2013-03-28
1427309954 Anne Marie Delaplain Dentist 725 Laclede Station Road, Webster Groves, MO 63122 2012-09-24
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Taxonomy Information

Taxonomy Code 207ZP0102X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Anatomic Pathology & Clinical Pathology

Taxonomy Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609247543 Muhammad Atif Atlaf Salyana Pathology 3635 Vista Ave Fl 4, Saint Louis University Hospital- Pathology Residency, Saint Louis, MO 63110-2539 2015-10-19
1194193326 Mid-america Pathology Consultants, LLC Pathology 12898 Thornhill Ct, Saint Louis, MO 63131-1883 2015-09-03
1407260938 Selvaraj Muthusamy Pathology 1325 S Grand Blvd, Room 436, Saint Louis, MO 63104-1018 2014-06-12
1184050031 Rosa Perez Toro Pathology 350 Country Glen Ln, Saint Louis, MO 63141-6637 2013-09-24
1629326137 Andrew Stephen Koopmeiners Pathology 660 So. Euclid, Box 8118, Washington University Department of Pathology, Saint Louis, MO 63108 2012-08-15
1912052416 Mark Alan Hiken Pathology 9129 Wrenwood Ln, Saint Louis, MO 63144-1603 2007-01-24
1790849842 John Todd Meredith Pathology 2040 Concourse Dr, Saint Louis, MO 63146-4119 2006-12-21
1255424974 Jamie Cassity Pathology One Barnes-jewish Hospital Plaza, Saint Louis, MO 63110-1092 2006-10-02
1750315958 Timothy D Fagen Pathology 1402 S Grand Blvd Ste M260, St Louis University Gme, Saint Louis, MO 63104-1004 2006-07-11
1316994726 Sandra Faye Gibson Pathology 915 N Grand Blvd Pathology and Lab 113-jc, Va Medical Center, Saint Louis, MO 63106-1621 2006-05-30
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City SAINT LOUIS
Zip Code 63122

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Dataset Information

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.

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