DR. ADRIANNA KELMENDI (NPI# 1528475621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528475621 |
| Entity Type | Individual |
| Full Name | DR. ADRIANNA KELMENDI |
| Credential | MD |
| Practice Address |
12303 De Paul Dr Bridgeton MO 63044-2512 |
| Mailing Address |
900 Wilshire Dr Suite 103 Troy MI 48084-1634 |
| Practice Telephone | 3143446000 |
| Mailing Telephone | 2486359371 |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2020-10-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME.137326 | FL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | MD-47098 | IA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 4301106118 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 24911 Little Mack Ave, Saint Clair Shores, MI 480803200 | 5867772050 |
| Street Address |
12303 DE PAUL DR |
| City | BRIDGETON |
| State | MO |
| Zip Code | 63044-2512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578559183 | M Kyle Sila | Anesthesiology | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2005-09-20 |
| 1528674371 | Victoria Wannemuehler | Dietitian, Registered | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2020-09-17 |
| 1598389389 | Kayla Christine Deblauw | Podiatrist | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2020-06-08 |
| 1659995876 | Rekha Narayanan Kouri | Podiatrist | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2020-06-03 |
| 1255965422 | Kayla Michele Richter | Physician Assistant | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2020-02-26 |
| 1932731296 | Danielle Moses | Pharmacist | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2020-02-05 |
| 1689205304 | Alexandra Wege | Nurse Practitioner | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2020-01-31 |
| 1063052918 | Timothy J Guernsey | Nurse Anesthetist, Certified Registered | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2020-01-08 |
| 1982241923 | Catherine Nagus | Social Worker | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2019-12-10 |
| 1851946370 | Cep America LLC | Emergency Medicine | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2019-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073150017 | Zoe Marie Wadsworth | Nurse Practitioner | 12255 Depaul Dr Suite 300, Bridgeton, MO 63044 | 2019-12-10 |
| 1609412451 | Beyond Better, Best Home Health Care Services, Limited Liability Corpo | In Home Supportive Care | 3430 Mckelvey Road Ste B, Bridgeton, MO 63044 | 2019-11-26 |
| 1275189078 | Delicate Angels Home Health LLC | Home Health | 11726 St. Charles Rock Road Suite G, Bridgeton, MO 63044 | 2019-08-16 |
| 1588210082 | Nicholas Huber | Physical Therapist | 12349 Depaul Dr., Ste. 110, Bridgeton, MO 63044 | 2019-08-12 |
| 1124688858 | Michelle Bassett | Registered Nurse | 11520 St. Charles Rock Rd., Suite 106, Bridgeton, MO 63044 | 2019-06-14 |
| 1336703883 | Elena A Barrow | Nurse Practitioner | 12255 Depaul Dr, Suite 260, Bridgeton, MO 63044 | 2019-04-30 |
| 1487123105 | Laura N Steiner | Registered Nurse | Gateway Pediatrics, Ltd, 12255 Depaul Drive, Suite 460 North Medical Building, Bridgeton, MO 63044 | 2018-11-26 |
| 1205310950 | Danielle Mathis | Nurse Practitioner | 3440 Depaul Lane Suite 201, Bridgeton, MO 63044 | 2018-09-19 |
| 1588163570 | Thoughts Out Loud Counseling, LLC | Social Worker | 11520 St. Charles Rock Road Suite 101, Bridgeton, MO 63044 | 2018-02-06 |
| 1912411430 | Breanna Victoria Hayes | Counselor | 3165 Mckevley Road, Suite 200, Bridgeton, MO 63044 | 2017-11-20 |
| Find all providers in zip 63044 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174635668 | Jack Taylor Steele | Family Medicine | 3466 Bridgeland Drive, Suite 110, Bridgeton, MO 63044-2606 | 2006-08-31 |
| 1013930023 | Lori C Talbot | Family Medicine | 215 Back Neck Road, Bridgeton, NJ 08302 | 2006-07-25 |
| 1518984053 | Andrea Baxter | Family Medicine | 12266 De Paul Dr Ste 310, Bridgeton, MO 63044-2562 | 2006-07-17 |
| 1821021593 | South Cumberland Medical Associates PC | Family Medicine | 215 Back Neck Rd, Bridgeton, NJ 08302-6834 | 2006-07-08 |
| 1013958719 | Bridgeton Medical Associates Pa | Family Medicine | 105 Manheim Ave, Suite 1, Bridgeton, NJ 08302-2139 | 2006-06-10 |
| 1356389860 | Daniel Manske | Family Medicine | 154 W Commerce St, Bridgeton, NJ 08302-1806 | 2006-06-04 |
| 1114972163 | John Gregory Bear | Family Medicine | 230 Laurel Heights Drive, Bridgeton, NJ 08302-3634 | 2006-05-24 |
| 1023661709 | Jessica Wild | Family Medicine | 12303 Depaul Drive, Bridgeton, MO 63044 | 2019-07-22 |
| 1184157158 | Molly E Peverada | Family Medicine | 12255 De Paul Dr Ste 600, Bridgeton, MO 63044-2515 | 2017-04-06 |
| 1245652924 | Bridgeton Geriatrics LLC | Family Medicine | 12800 Boenker Ln, Bridgeton, MO 63044-2438 | 2014-01-14 |
| Find all providers in BRIDGETON | ||||
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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.