AYOTUNDE MARK BAMIMORE (NPI# 1558546515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558546515 |
| Entity Type | Individual |
| Full Name | AYOTUNDE MARK BAMIMORE |
| Credential | M.D |
| Practice Address |
400 1st Capitol Dr Ste 401 Saint Charles MO 63301-2886 |
| Mailing Address |
Po Box 955534 Saint Louis MO 63195-2551 |
| Practice Telephone | 6366692220 |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2020-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
2013027460 | MO | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
2012-00809 | NC | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
2013027460 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5920619 | 05 |
| Street Address |
400 1ST CAPITOL DR STE 401 |
| City | SAINT CHARLES |
| State | MO |
| Zip Code | 63301-2886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083102404 | Matthew Thomas Webb | Nurse Practitioner | 400 1st Capitol Dr Ste 401, Saint Charles, MO 63301-2886 | 2018-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376189910 | Kelsey Fix | Occupational Therapist | 3228 Silvertrail Dr, Saint Charles, MO 63301 | 2019-11-19 |
| 1063056307 | Compass Health, Inc. | Clinic/Center | 3075 New Town Blvd, Saint Charles, MO 63301 | 2019-10-30 |
| 1558921361 | Next Steps Therapy & Coaching, LLC | Clinic/Center | 1040 Fairgrounds Road, St. Charles, MO 63301 | 2019-06-14 |
| 1093297426 | Delia Smith | Specialist/Technologist | 209 S Kingshighway, St. Charles, MO 63301 | 2018-09-01 |
| 1285136754 | Helping Hand Home Healthcare, LLC | Home Health | 1360 S 5th Street, Suite 278, Saint Charles, MO 63301 | 2018-03-01 |
| 1972043107 | Robert Christopher Loynd | Otolaryngology | 301 N. 2nd Street, St. Charles, MO 63301 | 2017-03-07 |
| 1457807067 | Angela Thro | Occupational Therapist | 3489 Boschertown Road, Saint Charles, MO 63301 | 2016-09-01 |
| 1487060570 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2100 1st Capitol Dr, St. Charles, MO 63301 | 2014-07-09 |
| 1114337102 | Nucrown,inc. | Optometrist | 1910 First Capital Drive, St. Charles, MO 63301 | 2014-04-30 |
| 1780922476 | Kristen James | Counselor | 120 1st Capitol Dr Ste 5, Saint Charles, MO 63301 | 2013-01-30 |
| Find all providers in zip 63301 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619929726 | Dennis N Glascock, Do LLC | Internal Medicine | 330 1st Capitol Dr, Ste 270, Saint Charles, MO 63301-2835 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366451635 | Eric S Williams | Internal Medicine | 625 S New Ballas Rd Ste 2030, Saint Louis, MO 63141-8253 | 2006-08-05 |
| 1548214158 | John K Lee | Internal Medicine | 20 Ne Saint Luke's Blvd, Suite 240, Kansas City, MO 64086 | 2006-05-19 |
| 1205809175 | Carey S Fredman | Internal Medicine | 222 S Woods Mill Rd Ste 400n, Chesterfield, MO 63017-3610 | 2006-02-09 |
| 1629439187 | St. Louis Electrophysiology Specialists, LLC | Internal Medicine | 121 Saint Lukes Center Dr Ste 404, Chesterfield, MO 63017-3519 | 2016-03-11 |
| 1427449487 | Prime Healthcare Kansas City - Physician Services LLC | Internal Medicine | 930 Carondelet Dr Ste 201, Kansas City, MO 64114-4698 | 2015-02-12 |
| 1679836381 | Jefferson Cardiovascular and Thoracic Services | Internal Medicine | 1390 Us Highway 61, Suite 3301, Festus, MO 63028-4137 | 2012-06-18 |
| 1164726758 | The Heart Specialty Associates, LLC | Internal Medicine | 10012 Kennerly Rd Ste 403, Saint Louis, MO 63128-2197 | 2010-12-22 |
| 1518280395 | Saint Luke's Physician Group I, LLC | Internal Medicine | 4330 Wornall Rd, Suite 2000, Kansas City, MO 64111-5939 | 2010-03-08 |
| 1356544993 | Aparna Cherla | Internal Medicine | 3800 S National Ave, Springfield, MO 65807-5209 | 2007-06-11 |
| 1104036029 | Jason Alan Rytlewski | Internal Medicine | 1605 East Broadway, #300, Columbia, MO 65201 | 2007-05-22 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CHARLES |
| Zip Code | 63301 |
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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.