DIANA PRABLEK


Address: 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265
Phone: 3143675820

DIANA PRABLEK (NPI# 1588689541) 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) 1588689541
Entity Type Individual
Full Name DIANA PRABLEK
Other Name DIANA MEDEROS
Credential MD
Practice Address 5471 Dr Martin Luther King Dr
Saint Louis
MO 63112-4265
Practice Telephone 3143675820
Practice Fax Number 3143677010
Mailing Telephone 3143675820
Mailing Fax Number 3143677010
Enumeration Date 2006-07-12
Last Update Date 2018-09-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 109302 MO Allopathic & Osteopathic Physicians
N 207RI0200X Internal Medicine
Specialization: Infectious Disease
109302 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO 208051730 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
8710 Manchester Rd, Saint Louis, MO 631442724 3149613570

Office Location

Street Address 5471 DR MARTIN LUTHER KING DR
City SAINT LOUIS
State MO
Zip Code 63112-4265

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043825391 Tiffany Shonta Klopner Licensed Practical Nurse 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 2020-09-14
1396359022 Pamela Yvonne Wallace Registered Nurse 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 2020-09-01
1548874290 Ashley D Whitley Licensed Practical Nurse 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 2020-09-01
1184235616 Kendra Nailah Hughes Licensed Practical Nurse 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 2020-08-10
1780202135 Amy Marie Heidotten Registered Nurse 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 2020-07-13
1376161729 Monica Jeanne Witherspoon Registered Nurse 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 2020-07-13
1629691233 Lavada Dolores James Dental Hygienist 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 2020-05-19
1851910277 Raven Clay Nurse's Aide 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 2020-04-15
1093342800 Brittany Xia Wright Licensed Practical Nurse 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 2020-03-24
1124652714 Jaemi Madlambayan Tiongson Registered Nurse 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 2020-02-24
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851932990 Bobbie J. Harrington Technician 5626 Julian Avenue, St. Louis, MO 63112 2019-09-30
1861901480 Christina Cummings Counselor 5387 Pershing Ave., Apt. A, St. Louis, MO 63112 2017-09-26
1326457177 Clare Marie Salley Speech-Language Pathologist 5673 Waterman Blvd, Unit 31, St Louis, MO 63112 2014-08-06
1386999324 Family Love Adult Health Care Center, LLC Clinic/Center 286 Debaliviere Avenue, St. Louis, MO 63112 2012-07-16
1003133893 William Richard Humphrey II Chiropractor 5615 Pershing, Suite 22, St. Louis, MO 63112 2010-05-03
1558688408 Courtney Lynne Luster Counselor 5647 Delmar Blvd Ste 226, Saint Louis, MO 63112 2010-04-30
1134446602 Donald Trevor Cross Psychologist #7 Beverly Place, St. Louis, MO 63112 2010-04-23
1649507328 Vikram Choudhary Prosthetist 6126 Washington Blvd, # 201, St. Louis, MO 63112 2009-11-17
1992930325 Kelly Brook Hogan Social Worker 5355 Delmar, Saint Louis, MO 63112 2009-05-29
1942449194 Annie Malone Children and Family Service Center Respite Care 5355 Page Avenue, St. Louis, MO 63112 2009-02-11
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780223933 Glenn C. Jacobsen Internal Medicine 7 Carrswold Dr, Saint Louis, MO 63105-2914 2020-01-04
1396305868 Kevin Colin O'fee Internal Medicine 1 Barnes Jewish Hospital Plz # 90-29928, Saint Louis, MO 63110-1003 2019-06-17
1144740200 Michael Slade Internal Medicine 660 S Euclid Ave # 8056-29, Saint Louis, MO 63110-1010 2017-06-20
1386171312 Niaz Memon Internal Medicine 625 S New Ballas Rd Ste 7020, Saint Louis, MO 63141-8218 2017-05-22
1043746027 Paul David Olivo Internal Medicine 639 W Polo Dr, Saint Louis, MO 63105-2635 2017-05-11
1649706243 Jared Frisby Internal Medicine 1100 S Grand Blvd Fl 8, Saint Louis, MO 63104-1015 2017-05-03
1518417708 Md At Home LLC Internal Medicine 6 Portland Pl, Saint Louis, MO 63108-1204 2016-10-11
1285087429 Kathryn Parker Internal Medicine 1000 Des Peres Rd Ste 300, Saint Louis, MO 63131 2016-07-22
1831540863 John Kirby Krause Jr. Internal Medicine 1031 Highlands Plaza Dr W, Apt 510, Saint Louis, MO 63110-1303 2016-06-30
1104277458 Vedica Sharma Internal Medicine 10010 Kennerly Rd Ste 140, Saint Louis, MO 63128-2106 2016-06-28
Find all providers in SAINT LOUIS

Competitor

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City SAINT LOUIS
Zip Code 63112

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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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