IBRAHIM S UMAR M P C


Address: 4200 N Cloverleaf Dr, Suite N, Saint Peters, MO 63376-6436
Phone: 6369229182

IBRAHIM S UMAR M P C (NPI# 1538439435) 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) 1538439435
Entity Type Organization
Organization Name IBRAHIM S UMAR M P C
Practice Address 4200 N Cloverleaf Dr
Suite N
Saint Peters
MO 63376-6436
Practice Telephone 6369229182
Practice Fax Number 6369229183
Mailing Telephone 6369229182
Mailing Fax Number 6369229183
Enumeration Date 2012-01-09
Last Update Date 2012-05-22
Authorized Official Name DR. IBRAHIM SULEMAN UMAR (PRESIDENT)
Authorized Official Telephone 6369229182
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
R8426 MO Ambulatory Health Care Facilities

Office Location

Street Address 4200 N CLOVERLEAF DR
SUITE N
City SAINT PETERS
State MO
Zip Code 63376-6436

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275532913 Kimberly Burns Social Worker 4200 N Cloverleaf Dr, Suite J - K, Saint Peters, MO 63376-6436 2005-07-15
1710375928 Wuca - Cloverleaf Pediatrics, LLC Pediatrics 4200 N Cloverleaf Dr, Suite F, Saint Peters, MO 63376-6436 2014-12-23
1487067187 Seim Chiropractic LLC Chiropractor 4200 N Cloverleaf Dr, Suite M, Saint Peters, MO 63376-6436 2014-06-10
1780915488 Sitarski Chiropractic LLC Chiropractor 4200 N Cloverleaf Dr, Suite M, Saint Peters, MO 63376-6436 2010-01-19
1043543291 Christopher Edward Sitarski Chiropractor 4200 N Cloverleaf Dr, Suite M, Saint Peters, MO 63376-6436 2009-09-04
1649437112 William C. Dale, Dmd, LLC Clinic/Center 4200 N Cloverleaf Dr, Ste. Q, Saint Peters, MO 63376-6436 2008-05-21
1407065113 William Charles Dale IIi Dentist 4200 N Cloverleaf Dr, Ste. Q, Saint Peters, MO 63376-6436 2007-05-21
1952440703 Gilbert L Phon Audiologist 4200 N Cloverleaf Dr, Suite B, Saint Peters, MO 63376-6436 2007-02-06
1811003890 Ibrahim Suleman Umar Pediatrics 4200 N Cloverleaf Dr, Suite N, Saint Peters, MO 63376-6436 2006-08-22
1679591572 Khaled M Abdel-hamid Allergy & Immunology 4200 N Cloverleaf Dr, Ste A, Saint Peters, MO 63376-6436 2006-07-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275047946 Nicholas Christian Schultz Dentist 100 Piper Hill Dr Ste A, Saint Peters, MO 63376 2017-11-16
1982120093 Carol Weber Speech-Language Pathologist 166 Boone Hills Dr., St Peters, MO 63376 2017-08-21
1619424744 Forefront Dermatology, S.c. Dermatology 5700 Mexico Rd, Suite 14, Saint Peters, MO 63376 2016-09-07
1508310632 Preferred Family Healthcare, Inc. Counselor 2120 Parkway Dr, Saint Peters, MO 63376 2016-08-05
1598130676 Delta Center Personal Attendant Services In Home Supportive Care 3833 Mcclay, Suite 61, St. Peters, MO 63376 2015-12-01
1427420314 Barbara Marlene Edelman Counselor 1286 Jungerman Rd. Suite G, St. Peters, MO 63376 2015-10-30
1255740247 Claire Williams Dentist 340 Mid Rivers Mall Drive, Suite E, St. Peters, MO 63376 2014-08-05
1184042855 Keith Wickenhauser Internal Medicine 201 Bjc Saint Peters Dr Ste 100, Saint Peters, MO 63376 2014-03-31
1821415233 Abby Link Physician Assistant 107 Piper Parkway, #150, St. Peters, MO 63376 2014-03-24
1225452105 Ashley Gagel Physical Therapist 7055 Mexico Rd Suite 1601, St. Peters, MO 63376 2014-02-12
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093267601 Careatc-saint Peter Clinic/Center 4601 Executive Centre Pkwy, Saint Peters, MO 63376-1683 2016-10-30
1770650020 Physician Groups Lc Clinic/Center 6 Jungermann Road, Suite 108, Saint Peters, MO 63376 2006-11-30
1346891744 Careatc Clinic/Center 4601 Executive Centre Pkwy, Saint Peters, MO 63376-1683 2019-09-26
1881817187 Docmartin's Pllc Clinic/Center 70 Jungermann Cir, Suite 201, Saint Peters, MO 63376-1622 2007-04-11
1962578096 Physician Groups Lc Clinic/Center 70 Jungermann Cir, Suite 202, Saint Peters, MO 63376-1622 2006-11-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1174145668 Essential Benefit Offerings, LLC Clinic/Center 1417 N Mount Auburn Rd Ste A2, Cape Girardeau, MO 63701-2171 2020-05-07
1114483468 Your Optimal Healthcare LLC Clinic/Center 300 W 4th St Ste H, Eureka, MO 63025-1839 2019-02-12
1306313051 Country Care Family Clinic, LLC Clinic/Center 3 E Cleveland Ave, Ellsinore, MO 63937 2018-10-31
1285118950 Vera Whole Health, Wa PC Clinic/Center 8350 N. Church Road, Kansas City, MO 64158 2018-09-19
1003324542 Quad/med, LLC Clinic/Center 2015 Ne Jefferson Street, Grain Valley, MO 64029 2018-01-18
1407303480 Kerns Family Health Care LLC Clinic/Center 1335 Vilage Dr B, St. Joseph, MO 64506-2457 2016-09-07
1316491020 Wecare Tlc - Wwt Mo Family Health Center Clinic/Center 58 Weldon Pkwy, Bldg 58, Maryland Heights, MO 63043-3237 2016-08-10
1255703500 Community Hospital Association Clinic/Center 101 South Washington Street, Oregon, MO 64473 2015-10-27
1023485752 Dennis E. Robinson D.o. Clinic/Center 487 Pomme De Terre Dr., Marshfield, MO 65706 2015-08-28
1598144982 Odessa Eye Care LLC Clinic/Center 201 N 2nd St Ste C, Odessa, MO 64076-1393 2015-05-19
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Competitor

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City SAINT PETERS
Zip Code 63376

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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