TATTAMANGALAM CHANDRIKA (NPI# 1578554820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578554820 |
| Entity Type | Individual |
| Full Name | TATTAMANGALAM CHANDRIKA |
| Credential | M.D. |
| Practice Address |
4055 Lindell Blvd Saint Louis MO 63108-3201 |
| Practice Telephone | 3145357701 |
| Mailing Telephone | 3145357701 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2011-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | R6G03 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | HEALTHLINK | 100193 | 01 |
| MO | AETNA | 4038830 | 01 |
| MO | UHC | 1200160 | 01 |
| MO | HEALTHCARE USA | 1818V343411 | 01 |
| MO | BCBS | 28790 | 01 |
| MO | GHP | 40291 | 01 |
| MO | MERCY | A29039 | 01 |
| Street Address |
4055 LINDELL BLVD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63108-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275177974 | Nathaniel Scott Hansen | Dentist | 4055 Lindell Blvd, Saint Louis, MO 63108-3201 | 2019-11-05 |
| 1225694672 | Byron Matthew Schroeder | Dentist | 4055 Lindell Blvd, Saint Louis, MO 63108-3201 | 2019-05-10 |
| 1265925804 | Sheshaben A Shah | Dentist | 4055 Lindell Blvd, Saint Louis, MO 63108-3201 | 2018-06-08 |
| 1073015517 | Justin Vance Sorensen | Dentist | 4055 Lindell Blvd, Saint Louis, MO 63018 | 2018-03-01 |
| 1588103840 | Kimberly Baptist | Dentist | 4055 Lindell Blvd, Saint Louis, MO 63108-3201 | 2017-02-20 |
| 1841668688 | Betty Jean Kerr People's Health Centers | Clinic/Center | 4055 Lindell Blvd, Saint Louis, MO 63108-3201 | 2015-09-10 |
| 1487059721 | Ryan Goergen | Dentist | 4055 Lindell Blvd, Saint Louis, MO 63108-3201 | 2014-10-29 |
| 1992138564 | Christopher L Baker | Dentist | 4055 Lindell Blvd, Saint Louis, MO 63108-3201 | 2013-08-18 |
| 1619265907 | Elizabeth Susan Lansford | Dentist | 4055 Lindell Blvd, Saint Louis, MO 63108-3201 | 2011-07-20 |
| 1902104862 | Andrew Michael Reff | Dentist | 4055 Lindell Blvd, Saint Louis, MO 63108-3201 | 2011-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851474 | Nigel Austen Thomas Cook | Social Worker | 4050 West Pine Blvd. Apt. 4118, St. Louis, MO 63108 | 2020-08-12 |
| 1467070011 | C2n Diagnostics, LLC | Clinical Medical Laboratory | 20 South Sarah Street, Saint Louis, MO 63108 | 2020-07-10 |
| 1609414358 | Kaylee Breitenbucher | Occupational Therapist | 4444 Forest Park Avenue, Msc 8505-94-01, St. Louis, MO 63108 | 2019-12-12 |
| 1114419546 | Activangels Home Health | Home Health | 4625 Lindell Blvd Ste 304, Saint Louis, MO 63108 | 2018-06-01 |
| 1215427349 | Heart To Heart Consolidated Home Care Service LLC | Home Health | 4625 Lindell Blvd Ste 200, Saint Louis, MO 63108 | 2018-05-15 |
| 1447755905 | Erin Virginia Adams | Student in an Organized Health Care Education/Training Program | 4355 Maryland Ave Apt 116, Saint Louis, MO 63108 | 2018-03-27 |
| 1033621172 | Roots Healthcare and Homes | In Home Supportive Care | 4300 Enright Ave, St. Louis, MO 63108 | 2017-10-30 |
| 1336661719 | House of Destiny Adult Day Care LLC | Clinic/Center | 4507 Olive Street, St Louis, MO 63108 | 2017-07-07 |
| 1003338492 | Khin Min Thu | Social Worker | 4236 Lindell Blvd., Suite 200, St Louis, MO 63108 | 2017-07-07 |
| 1679093967 | Together We Can Home Healthcare Services LLC | Home Health | 4144 Lindell Blvd Suite 221, Saint Louis, MO 63108 | 2017-06-27 |
| Find all providers in zip 63108 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538786413 | Melissa An | Pediatrics | 1 Childrens Pl Ste 3s36, Saint Louis, MO 63110-1002 | 2020-06-26 |
| 1538795547 | Virtualnicu | Pediatrics | 10 Warridge Dr, Saint Louis, MO 63124-1166 | 2020-03-21 |
| 1174082887 | Kristen Steinmeyer | Pediatrics | 714 Peace Haven Ct, Saint Louis, MO 63125-5404 | 2019-03-13 |
| 1487149498 | Jessica Sims | Pediatrics | 1 Childrens Pl Ste 3s34, Saint Louis, MO 63110-1002 | 2018-06-22 |
| 1356835342 | Jerome Michael Molleston | Pediatrics | 1 Childrens Pl Cb8116, Saint Louis, MO 63110-1081 | 2018-06-21 |
| 1598259566 | Kylie Bushroe | Pediatrics | 1 Childrens Pl Ste 3n18, Saint Louis, MO 63110-1081 | 2018-06-21 |
| 1710492228 | Ideal Pediatric Wellness, LLC | Pediatrics | 10007 Kennerly Rd Ste C, Saint Louis, MO 63128-2179 | 2017-12-06 |
| 1578083424 | Michael Quinn | Pediatrics | Wusm Peds Infectious Diseases, 1 Childrens Pl Cb 8116, Saint Louis, MO 63110-1002 | 2017-06-21 |
| 1205367612 | Anchal Sethi | Pediatrics | 1234 S Kingshighway Blvd Ste 1200, Saint Louis, MO 63110-2170 | 2017-03-27 |
| 1831541895 | Lila Sarah Wahidi Nolan | Pediatrics | Wusm Peds Newborn Medicine, 1 Childrens Pl Cb 8116, Saint Louis, MO 63110 | 2016-07-01 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63108 |
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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.