CATHERINE ELIZABETH ROANE-BLAKER (NPI# 1578613915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578613915 |
Entity Type | Individual |
Full Name | CATHERINE ELIZABETH ROANE-BLAKER |
Credential | MD |
Practice Address |
11125 Dunn Rd Ste 406 Saint Louis MO 63136 |
Mailing Address |
11125 Dunn Rd Ste 406 Saint Louis MO 63136-6132 |
Practice Telephone | 3146535484 |
Practice Fax Number | 3146535483 |
Mailing Telephone | 3146535484 |
Mailing Fax Number | 3146535483 |
Enumeration Date | 2007-01-10 |
Last Update Date | 2018-06-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
2018010680 | MO | Allopathic & Osteopathic Physicians |
N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
G5543 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 124746205 | 05 |
Street Address |
11125 DUNN RD STE 406 |
City | SAINT LOUIS |
State | MO |
Zip Code | 63136 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629011846 | James Olin Miller | Nurse Practitioner | 11125 Dunn Rd Ste 406, Saint Louis, MO 63136-6132 | 2006-06-14 |
1376097329 | Kelsie Anne Watson | Nurse Practitioner | 11125 Dunn Rd Ste 406, Saint Louis, MO 63136-6132 | 2016-08-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518565993 | Dorothy Smith | Home Health | 2531 Nathan Drive, St Louis, MO 63136 | 2020-10-16 |
1538784459 | Rita D Wilson | Technician | 9597 Jacobi Ave Bldg 33 Apt 7, Saint Louis, MO 63136 | 2020-06-16 |
1922646728 | Eduhealth Personal Care Services | Technician | 5843 Eagle Valley Dr Saint Louis Mo 63136, Saint Louis, MO 63136 | 2019-12-12 |
1558912964 | Homers Haven Home Care LLC | Home Health | 5636 Pamplin Pl, St Louis, MO 63136 | 2019-09-26 |
1366096703 | Chloe Suzanne Datillo | Nurse Practitioner | 2865 Netherton Dr., St Louis, MO 63136 | 2019-07-24 |
1053976431 | U Auto Be Quik LLC | Non-emergency Medical Transport (VAN) | 10352 Castle Drive, St. Louis, MO 63136 | 2019-05-01 |
1164945895 | A Plus Home Health Services LLC | Home Health | 9517 Wilson Bridge Drive, Saint Louis, MO 63136 | 2017-07-25 |
1184150302 | Fairview Village Adult Day Care LLC | Clinic/Center | 8449 Jennings Station Rd, Fairview Village Adult Day Care, Saint Louis, MO 63136 | 2017-05-08 |
1023541182 | Lots of Love Home Health Services | In Home Supportive Care | 4144 Lindell Blvd. Suite 218, Saint Louis, MO 63136 | 2017-04-06 |
1912440876 | Carestl Health | Clinic/Center | 7047 Emma Ave, Jennings, MO 63136 | 2016-11-28 |
Find all providers in zip 63136 |
Taxonomy Code | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124404546 | Jean-alfred Thomas Inc | Obstetrics & Gynecology | 1031 Bellevue Ave # B, Suite 200, Saint Louis, MO 63117-1818 | 2015-08-07 |
1467414177 | Renee D Ewing | Obstetrics & Gynecology | 211 N Meramec Ave, Suite 200, Saint Louis, MO 63105-3745 | 2006-04-06 |
1457766255 | St. Anthony's Physician Organization | Obstetrics & Gynecology | 10004 Kennerly Rd, Ste 395b, Saint Louis, MO 63128-2141 | 2014-07-01 |
1144634502 | Whitney Trotter Ross | Obstetrics & Gynecology | 4901 Forest Park Ave, Ste 710, Saint Louis, MO 63108-1495 | 2014-06-13 |
1194972125 | Thomas R Whalen Md LLC | Obstetrics & Gynecology | 621 S New Ballas Rd, Tower A Suite 537, Saint Louis, MO 63141-8232 | 2008-08-21 |
1679735302 | St Anthony's Physician Organization Private Practices Lc | Obstetrics & Gynecology | 12700 Southfork Rd, Ste 255, Saint Louis, MO 63128-3201 | 2008-06-25 |
1649478678 | Erin Lee King | Obstetrics & Gynecology | 2220 Lemp Ave, Saint Louis, MO 63104-2700 | 2007-07-11 |
1235354143 | Seasons Healthcare for Women | Obstetrics & Gynecology | 10004 Kennerly Rd, Suite 395b, Saint Louis, MO 63128-2141 | 2007-04-16 |
1467549329 | Josiah O Ekunno | Obstetrics & Gynecology | 11125 Dunn Road, Suite 202, Saint Louis, MO 63136 | 2006-10-10 |
1952419210 | Scott W Biest | Obstetrics & Gynecology | 4901 Forest Park Ave Ste 710, Ste 710, Saint Louis, MO 63108-1402 | 2006-08-28 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63136 |
Please comment or provide details below to improve the information on CATHERINE ELIZABETH ROANE-BLAKER.
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.