TOTAL ACCESS URGENT CARE, PC (NPI# 1598109001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598109001 |
| Entity Type | Organization |
| Organization Name | TOTAL ACCESS URGENT CARE, PC |
| Practice Address |
12616 Lamplighter Square Shpg Ctr Saint Louis MO 63128-2746 |
| Mailing Address |
530 Vance Rd Valley Park MO 63088-1527 |
| Practice Telephone | 3149612255 |
| Practice Fax Number | 3146699552 |
| Mailing Telephone | 6362259447 |
| Mailing Fax Number | 6362255552 |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2013-04-26 |
| Authorized Official Name | MATTHEW MARTIN BRUCKEL (PRESIDENT) |
| Authorized Official Telephone | 3149612255 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356968432 | Total Access Urgent Care, PC | Clinic/Center | 1001 Southern Ridge Ln, Lake Saint Louis, MO 63367-4000 | 2020-07-06 |
| 1043855802 | Total Access Urgent Care, PC | Clinic/Center | 915 N Kirkwood Rd, Kirkwood, MO 63122-2665 | 2019-11-15 |
| 1194368019 | Total Access Urgent Care, PC | Clinic/Center | 408 Brothers Dr, Festus, MO 63028-2139 | 2019-10-23 |
| 1073171260 | Total Access Urgent Care, PC | Clinic/Center | 9538 Gravois Rd, Affton, MO 63123-4558 | 2019-06-03 |
| 1760945059 | Total Access Urgent Care, PC | Clinic/Center | 600 Mid Rivers Mall Dr, Saint Peters, MO 63376-2460 | 2019-04-12 |
| 1770042954 | Total Access Urgent Care, PC | Clinic/Center | 6940 S Lindbergh Blvd, Saint Louis, MO 63125-4219 | 2019-03-18 |
| 1821553918 | Total Access Urgent Care, PC | Clinic/Center | 2501 Clarkson Rd, Chesterfield, MO 63017-7398 | 2019-02-04 |
| 1245714849 | Total Access Urgent Care, PC | Clinic/Center | 1005 S Big Bend Blvd, Saint Louis, MO 63117-1605 | 2018-09-19 |
| 1447730742 | Total Access Urgent Care, PC | Clinic/Center | 4400 Telegraph Road, 4400 Telegraph Road, St. Louis, MO 63129 | 2018-08-16 |
| 1861972374 | Total Access Urgent Care, PC | Clinic/Center | 2138 1st Capitol Dr, Saint Charles, MO 63301-5804 | 2018-08-15 |
| Street Address |
12616 LAMPLIGHTER SQUARE SHPG CTR |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63128-2746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
| 1326504655 | Nikodem Dental Holdings | Dentist | 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 | 2019-02-12 |
| 1932678505 | Michelle Anne Arvidson | Physical Therapy Assistant | Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2018-11-13 |
| 1245726710 | Kristen Rider | Nurse Practitioner | 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 | 2018-07-07 |
| 1306217427 | Sophia Bednarski | Dentist | 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2015-10-15 |
| 1427434224 | Darcie Burrus | Counselor | 12523 Old Tesson Rd G, St Louis, MO 63128 | 2015-08-04 |
| 1710368584 | Sara Hawatmeh | Internal Medicine | 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 | 2015-06-17 |
| 1871989590 | Celia Grace Montes-kolence | Speech-Language Pathologist | 12335 W Bend Drive, Saint Louis, MO 63128 | 2015-04-09 |
| 1245629302 | Marius Antonio Evans | Dentist | 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 | 2015-01-13 |
| 1801230313 | Sarah Elizabeth Walsh | Emergency Medicine | 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 | 2013-04-26 |
| Find all providers in zip 63128 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649628454 | Sphere Medical Group | Emergency Medicine | 916 Olive St Fl 4, Saint Louis, MO 63101-1459 | 2016-06-02 |
| 1922448000 | Scott Birdwell | Emergency Medicine | 1st Floor Em Administration, Saint Louis University Hospital 3635 Vista, Saint Louis, MO 63110 | 2013-07-03 |
| 1174963052 | John Blakeney Morrison | Emergency Medicine | 4946 Buckingham Ct, Apt 2w, Saint Louis, MO 63108-1430 | 2013-06-25 |
| 1003179151 | Sean Oliver Cavanaugh | Emergency Medicine | 660 S Euclid Ave # 8072, Washington University Emergency Medicine, Saint Louis, MO 63110-1010 | 2012-06-22 |
| 1730476573 | Yonitte Kinsella | Emergency Medicine | 660 S. Euclid Ave., Campus Box 8072, Saint Louis, MO 63110 | 2011-06-30 |
| 1023304524 | Mary Samantha Jones | Emergency Medicine | 5733 Mcpherson Ave, Saint Louis, MO 63112-1620 | 2011-06-22 |
| 1851527469 | Kimberly Ann Hess | Emergency Medicine | 621 S New Ballas Rd Ste 1001, Tower B, Saint Louis, MO 63141-8264 | 2009-06-09 |
| 1710130919 | Lee Hunter Young | Emergency Medicine | 5168 Amberglow Dr, Saint Louis, MO 63129-3204 | 2008-10-31 |
| 1306019914 | Stephan Brenner | Emergency Medicine | 4628 Mcpherson Ave, Saint Louis, MO 63108-1937 | 2008-04-04 |
| 1952403651 | Thomas M Dougherty | Emergency Medicine | 1019 Skinker Pkwy, 156, Saint Louis, MO 63112-2355 | 2006-09-02 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63128 |
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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.