MR. JARED L THATCHER (NPI# 1518193929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518193929 |
| Entity Type | Individual |
| Full Name | MR. JARED L THATCHER |
| Credential | PA-C |
| Practice Address |
10435 Clayton Rd Ste 120 Saint Louis MO 63131-2930 |
| Practice Telephone | 3144424452 |
| Practice Fax Number | 8662163928 |
| Mailing Telephone | 3144424452 |
| Mailing Fax Number | 8662163928 |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2018-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2017000198 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 085-004038 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCCPA | 1086966 | 01 | |
| DEA | MT1969320 | 01 | |
| WI | WI LICENSE | 2411-023 | 01 |
| Street Address |
10435 CLAYTON RD STE 120 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63131-2930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518964378 | Jason B Gay | Physician Assistant | 10435 Clayton Rd Ste 120, Saint Louis, MO 63131-2930 | 2005-07-07 |
| 1407384944 | Iprri LLC | Pain Medicine | 10435 Clayton Rd Ste 120, Saint Louis, MO 63131-2930 | 2017-05-29 |
| 1184853152 | Tong Zhu | Physical Medicine & Rehabilitation | 10435 Clayton Rd Ste 120, Saint Louis, MO 63131-2930 | 2009-07-10 |
| 1033362462 | Ashley C Furgason | Physician Assistant | 10435 Clayton Rd Ste 120, Saint Louis, MO 63131-2930 | 2008-10-29 |
| 1073502977 | David S Raskas | Orthopaedic Surgery | 10435 Clayton Rd Ste 120, Saint Louis, MO 63131-2930 | 2005-10-14 |
| 1508864810 | Corey G Solman Jr. | Orthopaedic Surgery | 10435 Clayton Rd Ste 120, Saint Louis, MO 63131-2930 | 2005-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568097954 | Avalcare Inc | Pharmacy | 10431 Clayton Rd, Saint Louis, MO 63131 | 2020-03-06 |
| 1891331369 | Life Clinic of Mo Dc PC | Chiropractor | 2051 South Lindbergh Blvd, Frontenac, MO 63131 | 2019-11-20 |
| 1447892542 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 30 S Lindbergh Blvd, Saint Louis, MO 63131 | 2019-10-10 |
| 1336797026 | Justa Davis | Dietitian, Registered | 3015 North Ballas, Saint Louis, MO 63131 | 2019-08-27 |
| 1730695362 | Curators of The University of Missouri | Psychologist | 12837 Flushing Meadows Drive, Sutie 220, Town and Country, MO 63131 | 2017-12-19 |
| 1770012031 | Danielle Marie Hargate | Specialist/Technologist | 732 Timber Trail, Frontenac, MO 63131 | 2017-06-08 |
| 1285087429 | Kathryn Parker | Internal Medicine | 1000 Des Peres Rd Ste 300, Saint Louis, MO 63131 | 2016-07-22 |
| 1437524360 | Julie Ann Godefroid | Nurse Practitioner | 1010 Old Des Peres Road, St. Louis, MO 63131 | 2015-12-03 |
| 1073982435 | Rebecca Baum Rainbolt | Social Worker | 12210 Clayton Rd, Saint Louis, MO 63131 | 2015-09-16 |
| 1518217322 | Advanced Anesthesia and Pain Management, LLC | Anesthesiology | 12805 Topping Woods Estate Drive, St. Louis, MO 63131 | 2012-09-19 |
| Find all providers in zip 63131 | ||||
| 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 | 63131 |
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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.