DERRICK CRASS (NPI# 1497170278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497170278 |
| Entity Type | Individual |
| Full Name | DERRICK CRASS |
| Credential | PA-C |
| Practice Address |
333 S Kirkwood Rd Saint Louis MO 63122-6161 |
| Mailing Address |
3911 Juniata St Saint Louis MO 63116-3911 |
| Practice Telephone | 3149091666 |
| Practice Fax Number | 3149097406 |
| Mailing Telephone | 4143501015 |
| Mailing Fax Number | 3149097406 |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2014-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2014006254 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2014006254 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
333 S KIRKWOOD RD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63122-6161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073940649 | Shanna M Litteken | Physician Assistant | 333 S Kirkwood Rd, Suite 200, Saint Louis, MO 63122-6161 | 2013-09-27 |
| 1982895058 | Sarah Linderer | Specialist/Technologist | 333 S Kirkwood Rd, Ste. 201, Saint Louis, MO 63122-6161 | 2007-08-05 |
| 1295839702 | Kirkwood Diagnostic & Orthopedic Associates, LLC. | Family Medicine | 333 S Kirkwood Rd, Suite 203, Saint Louis, MO 63122-6161 | 2006-09-13 |
| 1194837328 | Michael J Milne | Orthopaedic Surgery | 333 S Kirkwood Rd, Suite 203, Saint Louis, MO 63122-6161 | 2006-09-01 |
| 1326156142 | Michele Koo | Plastic Surgery | 333 S Kirkwood Rd, Suite 203, Saint Louis, MO 63122-6161 | 2006-08-29 |
| 1578672341 | Steven Stahle | Family Medicine | 333 S Kirkwood Rd, Suite 103, Saint Louis, MO 63122-6161 | 2006-08-29 |
| 1407886005 | Susan M Linan | Physician Assistant | 333 S Kirkwood Rd, Suite 200, Saint Louis, MO 63122-6161 | 2006-07-03 |
| 1023046752 | Us Center for Sports Medicine | Specialist | 333 S Kirkwood Rd, Suite 200, Saint Louis, MO 63122-6161 | 2006-06-29 |
| 1407822505 | Scott Daniel Kugler | Specialist/Technologist | 333 S Kirkwood Rd, Saint Louis, MO 63122-6161 | 2006-02-27 |
| 1851392377 | Richard C Lehman | Specialist | 333 S Kirkwood Rd, Saint Louis, MO 63122-6161 | 2005-08-09 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 63122 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779341 | Andrew Hecht | Physician Assistant | 13131 Tesson Ferry Rd Ste 105, Saint Louis, MO 63128-3887 | 2020-10-30 |
| 1396352860 | Alexis Lindsey | Physician Assistant | 5629 Bischoff Ave, Saint Louis, MO 63110-2929 | 2020-09-28 |
| 1942824339 | Jett Elena Mcguire | Physician Assistant | 2200 Locust St Apt 506, Saint Louis, MO 63103-1532 | 2020-06-02 |
| 1356965602 | Katherine Anne Hill | Physician Assistant | 3619 Whispering Ridge Ln, Saint Louis, MO 63129-2247 | 2020-06-02 |
| 1326669516 | Kayla Bergmann | Physician Assistant | 58 W Glendale Rd, Saint Louis, MO 63119-4054 | 2020-04-29 |
| 1023638038 | Laura Ann Humphrey | Physician Assistant | Allied Health Building 3437 Caroline Street, Room 3015, Saint Louis, MO 63104 | 2020-04-20 |
| 1477172237 | Allison Mcniell | Physician Assistant | 3853 Mcdonald Ave # 1f, Saint Louis, MO 63116-4716 | 2020-04-13 |
| 1922627728 | Allissa Speiser | Physician Assistant | 3437 Caroline St Ste 3082, Saint Louis, MO 63104-1111 | 2020-04-11 |
| 1578182564 | Alexander Charles Greff | Physician Assistant | 6416 Oakland Ave Apt 306, Saint Louis, MO 63139-3226 | 2020-04-10 |
| 1043839061 | Andrew Chida | Physician Assistant | 2050 Lafayette Ave Apt 1e, Saint Louis, MO 63104-2529 | 2020-04-09 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63122 |
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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.