ELLEN WOOD (NPI# 1568471183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568471183 |
| Entity Type | Individual |
| Full Name | ELLEN WOOD |
| Credential | MD |
| Practice Address |
1465 S Grand Blvd St. Louis MO 63104-1003 |
| Mailing Address |
3691 Rutger Ave St. Louis MO 63110-2515 |
| Practice Telephone | 3142684101 |
| Practice Fax Number | 3145775379 |
| Mailing Telephone | 3149776828 |
| Mailing Fax Number | 3149776872 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2015-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | R7B94 | MO | Allopathic & Osteopathic Physicians |
| Y | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
R7B94 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891916649 | Ellen Blake Wood | Social Worker | 9821 Sw 100th Ave., Miami, FL 33176-2880 | 2007-05-01 |
| 1437245461 | Ellen P Wood | Social Worker | 2515 N 124th St, Suite 101, Brookfield, WI 53005-4675 | 2006-10-05 |
| 1245285469 | Ellen Wood | Obstetrics & Gynecology | 7300 Sw 62nd Pl, 4th Floor, South Miami, FL 33143-4806 | 2006-05-24 |
| Street Address |
1465 S GRAND BLVD |
| City | ST. LOUIS |
| State | MO |
| Zip Code | 63104-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033115589 | Shulamit Menashe Portnoy | Pediatrics | 1465 S Grand Blvd, St. Louis, MO 63104-1003 | 2005-06-21 |
| 1982959433 | Anya Jennifer Freedman | Pediatrics | 1465 S Grand Blvd, St. Louis, MO 63104-1003 | 2012-07-20 |
| 1508125295 | Neal Russell Hartman | Emergency Medicine | 1465 S Grand Blvd, St. Louis, MO 63104-1003 | 2012-05-15 |
| 1275820359 | Joseph George Maliakkal | Pediatrics | 1465 S Grand Blvd, St. Louis, MO 63104-1003 | 2011-07-08 |
| 1043500416 | Lauren Rhae Draper | Pediatrics | 1465 S Grand Blvd, Department of Pediatrics Division of Heme/onc, St. Louis, MO 63104 | 2011-04-19 |
| 1043500507 | Debra H Zand | Psychologist | 1465 S Grand Blvd, St. Louis, MO 63104-1003 | 2011-04-18 |
| 1548569734 | Elisa Rachel Pincus | Pediatrics | 1465 S Grand Blvd, St. Louis, MO 63104-1003 | 2011-03-28 |
| 1265747596 | Dhiren Ranchhodbhai Patel | Pediatrics | 1465 S Grand Blvd, St. Louis, MO 63104-1003 | 2010-08-11 |
| 1346404191 | Justin B Josephsen | Pediatrics | 1465 S Grand Blvd, St. Louis, MO 63104-1003 | 2008-07-10 |
| 1043471477 | Rocio Del Carmen Zeballos-chavez | Internal Medicine | 1465 S Grand Blvd, St. Louis, MO 63104-1003 | 2008-06-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407469570 | Family Care Health Centers | Clinic/Center | 2717 Sidney Street, St. Louis, MO 63104 | 2020-08-28 |
| 1023638038 | Laura Ann Humphrey | Physician Assistant | Allied Health Building 3437 Caroline Street, Room 3015, Saint Louis, MO 63104 | 2020-04-20 |
| 1174187264 | Ahsan Ali | Student in an Organized Health Care Education/Training Program | 1438 South Grand Blvd, Monteleone Hall, St. Louis, MO 63104 | 2019-04-24 |
| 1205359916 | Brenda Eve Ladin | Behavior Technician | 1221 Allen Market Lane Rear, St. Louis, MO 63104 | 2017-07-25 |
| 1841722063 | Gustavo G Mendez | Student in an Organized Health Care Education/Training Program | 1465 South Grand Bulevard Rm 2717, Ssm Health Cardinal Glennon Children's Hospital, Saint Louis, MO 63104 | 2017-03-28 |
| 1053776716 | Carmella Harper | Respiratory Therapist, Certified | 2678 Park Ave, St Louis, MO 63104 | 2015-12-23 |
| 1922485986 | Alexander Tremont | Internal Medicine | 1402 S Grand Blvd Rm M260, Saint Louis, MO 63104 | 2015-04-29 |
| 1306233341 | Healthcare R Us | Home Health | 2859 Sidney St, St Louis, MO 63104 | 2015-04-16 |
| 1396159091 | Daniela Hermelin | Pathology | 1402 South Grane, St. Louis, MO 63104 | 2014-06-20 |
| 1992117881 | Kelly Denise Durbin | Social Worker | 1920 S 7th St, Saint Louis, MO 63104 | 2014-05-27 |
| Find all providers in zip 63104 | ||||
| Taxonomy Code | 2080P0210X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Nephrology |
| A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538187000 | Anne M Beck | Pediatrics | 1465 S Grand Blvd, St. Louis, MO 63104-1003 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053887612 | St. Gianna Pediatrics, LLC | Pediatrics | 7387 Watson Road, Shrewsbury, MO 63119 | 2018-10-22 |
| 1932343910 | Darcy Kate Weidemann | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2009-04-22 |
| 1174797385 | Judith Sebestyen Vansickle | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2008-04-17 |
| 1437378205 | St Louis University | Pediatrics | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2007-04-24 |
| 1851482582 | Child Neurology Associates Inc | Pediatrics | 226 S Woods Mill Rd, 46 W, Chesterfield, MO 63017-3663 | 2006-09-27 |
| 1134179310 | Uri Saggie Alon | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2006-05-11 |
| 1609826908 | Douglas Blowey | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2006-05-10 |
| 1942259452 | Tarak Srivastava | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2006-05-10 |
| 1114977378 | Bradley Alan Warady | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2006-05-10 |
| 1295702314 | Louis Richard Feldenberg | Pediatrics | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2006-03-07 |
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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.