PATRICK MANN (NPI# 1497098990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497098990 |
| Entity Type | Individual |
| Full Name | PATRICK MANN |
| Credential | M.D. |
| Practice Address |
6420 Clayton Rd Richmond Heights MO 63117 |
| Mailing Address |
6420 Clayton Rd Richmond Heights MO 63117-1811 |
| Practice Telephone | 3145778000 |
| Mailing Telephone | 3145778000 |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2019-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZH0000X |
Pathology Specialization: Hematology |
2017000110 | MO | Allopathic & Osteopathic Physicians |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
2017000110 | MO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3635 Vista Ave, Saint Louis, MO 631102539 | 3145778000 |
| Street Address |
6420 CLAYTON RD |
| City | RICHMOND HEIGHTS |
| State | MO |
| Zip Code | 63117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780636 | Stephanie Dawn Seidenstricker | Registered Nurse | 6420 Clayton Rd, Richmond Heights, MO 63117-1811 | 2020-11-06 |
| 1508464801 | Leslie Agusti | Dietitian, Registered | 6420 Clayton Rd, Richmond Heights, MO 63117-1811 | 2020-10-09 |
| 1154958775 | Allison Elizabeth Watkins | Obstetrics & Gynecology | 6420 Clayton Rd, Richmond Heights, MO 63117-1811 | 2020-03-24 |
| 1588290464 | Allison Leigh Gustafson | Obstetrics & Gynecology | 6420 Clayton Rd, Richmond Heights, MO 63117-1811 | 2020-03-23 |
| 1467091561 | Rebecca Dubberke | Registered Nurse | 6420 Clayton Rd, Richmond Heights, MO 63117-1811 | 2020-01-06 |
| 1013555952 | Audrey Kate Dombrowski | Dietitian, Registered | 6420 Clayton Rd, Richmond Heights, MO 63117-1811 | 2019-12-10 |
| 1134766652 | Princy Jacob | Registered Nurse | 6420 Clayton Rd, Richmond Heights, MO 63117-1811 | 2019-12-03 |
| 1477103182 | Rebecca Boedeker | Registered Nurse | 6420 Clayton Rd, Richmond Heights, MO 63117-1811 | 2019-09-14 |
| 1801441928 | Leah Marie Brandmeyer | Physician Assistant | 6420 Clayton Rd, Richmond Heights, MO 63117-1811 | 2019-08-06 |
| 1942855366 | Cep America LLC | Emergency Medicine | 6420 Clayton Rd, Richmond Heights, MO 63117-1811 | 2019-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956611 | Efehi Kelly Ogbomo | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Suite 2218, St. Louis, MO 63117 | 2020-06-11 |
| 1619533890 | Abdul Rauf | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road. Ssm Health St. Mary's Hospital, St. Louis, MO 63117 | 2019-05-14 |
| 1083278477 | Mohamed Maali Gumaa Mohamed | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road Ssm St. Mary's Hospital, Department of Internal Medicine, St. Louis, MO 63117 | 2019-05-01 |
| 1750945556 | Samrat Jun Jayanth | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm Health St Mary's Hospital, St. Louis, MO 63117 | 2019-04-26 |
| 1215491329 | Latonya Allen | Counselor | 1612 S. Big Bend Blvd, St. Louis, MO 63117 | 2019-01-23 |
| 1265917025 | Blue Stars Therapy, LLC | Occupational Therapist | 1101 Edward Terrace, Apt A, St. Louis, MO 63117 | 2018-09-27 |
| 1770060014 | Ultra Care Home Services LLC | Home Health | 7353 Dale Ave, Saint Louis, MO 63117 | 2018-07-19 |
| 1235623562 | Melissa Valerie Taylor | Counselor | Psychological Services of St Louis, LLC, 7110 Oakland Ave, St Louis, MO 63117 | 2018-06-20 |
| 1124517289 | Jideofor Ebony Obodozie | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm St. Mary's Hospital, St. Louis, MO 63117 | 2018-05-04 |
| 1770071706 | Sivaram Prabhuji Muppaneni | Student in an Organized Health Care Education/Training Program | Ssm St Mary's Hospital, 6420 Clayton Road, St. Louis, MO 63117 | 2018-04-25 |
| Find all providers in zip 63117 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700430121 | Garland Michael Upchurch | Pathology | Washington University Som Department of Pathology, 660 S Euclid Avenue, Cb 8118, St. Louis, MO 63110-1010 | 2019-07-25 |
| 1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
| 1346732781 | Christopher Ryan Cunningham | Pathology | 1 Hospital Dr Dept Of, Columbia, MO 65212-1000 | 2018-06-01 |
| 1730679986 | Tao Zhang | Pathology | 1 Hospital Dr Bldg, Columbia, MO 65212-1000 | 2018-05-14 |
| 1871090258 | Hina Omer Khokhar | Pathology | 4601 Apt F West Millbrook Dr, Columbia, MO 65203 | 2018-04-11 |
| 1407302730 | Huifang Zhou | Pathology | 4901 Forest Park Avenue, St Louis, MO 63108-1402 | 2016-08-28 |
| 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 |
| 1437539756 | Juan Kang | Pathology | 12939 Banyan Town Dr., St. Louis, MO 63146 | 2015-06-02 |
| 1891173159 | Dauod Arif | Pathology | 2301 Holmes Street, Department of Pathology, Truman Medical Center - Hospital Hill (hh), Kansas City, MO 64108 | 2015-05-07 |
| Find all providers with the same taxonomy | ||||
| City | RICHMOND HEIGHTS |
| Zip Code | 63117 |
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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.