MRS. ANN LUTZEIER PEICK


Address: 621 S. New Ballas Rd., Suite 560a, St Louis, MO 63141-8232
Phone: 3142516440

MRS. ANN LUTZEIER PEICK (NPI# 1518935568) 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) 1518935568
Entity Type Individual
Full Name MRS. ANN LUTZEIER PEICK
Credential M.D.
Practice Address 621 S. New Ballas Rd.
Suite 560a
St Louis
MO 63141-8232
Mailing Address 621 S. New Ballas Rd.
Suite 560a
Saint Louis
MO 63141-8232
Practice Telephone 3142516440
Practice Fax Number 3142514456
Mailing Telephone 3142516440
Mailing Fax Number 3142514456
Enumeration Date 2006-03-08
Last Update Date 2018-02-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2086S0102X Surgery
Specialization: Surgical Critical Care
R6D37 MO Allopathic & Osteopathic Physicians
Y 2086S0127X Surgery
Specialization: Trauma Surgery
R6D37 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MERCY HEALTH PLAN 710444 01
HEALTHCARE USA 46291V11170 01
MO RAILROAD MEDICARE 020043388 01
MO 202330429 05
MO GHP 50809 01
MO HEALTHLINK 142383 01
GROUP HEALTH PLAN 50809 01
MO BLUE CROSS BLUE SHIELD 113818 01
MO DEA AP2494259 01

Office Location

Street Address 621 S. NEW BALLAS RD.
SUITE 560A
City ST LOUIS
State MO
Zip Code 63141-8232

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2086S0127X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Trauma Surgery

Taxonomy Definition

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1861810111 Abbie May Jensen Surgery 615 S New Ballas Rd Ste 560a, Saint Louis, MO 63141-8221 2014-04-03
1457521478 Manuel Almendral Castasus Surgery 884 Woodsmill Road, Ttg Locum Tenens, Ballwin, MO 63011 2008-03-05
1205907359 Dennis M Arce Md Surgery 6420 Prospect Ave Ste 311, Kansas City, MO 64132-4130 2006-11-12
1811087547 Hillary Aa Chollet Md PC Surgery 6400 Prospect Ave Ste 338, Kansas City, MO 64132-1100 2006-10-13
1063468361 Midwest Trauma Services, LLC Surgery 2330 East Meyer Blvd, T-207, Kansas City, MO 64132-4147 2006-05-26
1285684167 Pascal Nyachowe Surgery 4320 Wornall Rd Ste 5320, Kansas City, MO 64111-5941 2006-05-11
1760934889 Glenarm Acute Surgical Specialists LLC Surgery 2316 E Meyer Blvd, Kansas City, MO 64132-1136 2016-10-25
1194019968 Kevin Clay Christian Surgery 3800 S National Ave, 4th Floor, Springfield, MO 65807-5209 2011-06-08
1316262793 Jennifer Marie Laplante Surgery 400 1st Capitol Dr Ste 201, Saint Charles, MO 63301-2882 2010-03-29
1922236314 Jeffrey Ray Simpson Surgery 2330 E Meyer Blvd, Ste 207, Kansas City, MO 64132-1132 2009-06-24
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Competitor

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City ST LOUIS
Zip Code 63141

Improve Information

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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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