LINDA PROCTOR (NPI# 1629082284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629082284 |
| Entity Type | Individual |
| Full Name | LINDA PROCTOR |
| Credential | MD |
| Practice Address |
3015 N New Ballas Rd St Louis MO 63131 |
| Mailing Address |
55 Westport Plz Suite 300 Saint Louis MO 63146-3109 |
| Practice Telephone | 3149965180 |
| Practice Fax Number | 3148212180 |
| Mailing Telephone | 3145484772 |
| Mailing Fax Number | 3145484748 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2009-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
036109664 | IL | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
105809 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HCARE USA | 46062 | 01 | |
| PH PLAN | 1601784 | 01 | |
| H LINK | 403502 | 01 | |
| MO CARE | 041012444 | 01 | |
| MO CAID | 209728815 | 01 | |
| RR CARE | 300130877 | 01 | |
| MERCY | 431725842MID | 01 | |
| RR CARE | P00001472 | 01 | |
| MO CARE | 017013128 | 01 | |
| CARE | 041012444 | 01 | |
| MO BLUE | 1390 | 01 | |
| GHP | 2781 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558640334 | Linda Lou Proctor | Registered Nurse | 1278 Old Us 40 Hwy, Odessa, MO 64076 | 2011-08-10 |
| 1295952836 | Linda M Proctor | Speech-Language Pathologist | 1025 N Country Club Dr, Mesa, AZ 85201-3307 | 2007-04-18 |
| 1700905312 | Linda Susan Proctor | Registered Nurse | 1025 N. Country Club Drive, Mesa, AZ 85201 | 2007-03-28 |
| 1801983861 | Linda Proctor | Social Worker | 625 3rd Ave, Chula Vista, CA 91910-5703 | 2006-10-09 |
| 1487754966 | Linda L Proctor | Pharmacist | 5500 Armstrong Rd, Battle Creek, MI 49015-1014 | 2006-09-24 |
| Street Address |
3015 N NEW BALLAS RD |
| City | ST LOUIS |
| State | MO |
| Zip Code | 63131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245257922 | Amy A Mosher | Radiology | 3015 N New Ballas Rd, St Louis, MO 63131 | 2006-07-17 |
| 1942383914 | Walter G Holloman Jr. | Radiology | 3015 N New Ballas Rd, St Louis, MO 63131 | 2006-10-23 |
| 1811008444 | William W Baber | Radiology | 3015 N New Ballas Rd, St Louis, MO 63131 | 2006-08-31 |
| 1508974379 | Douglas J Curry | Radiology | 3015 N New Ballas Rd, St Louis, MO 63131 | 2006-08-29 |
| 1033227806 | Humberto M Fagundes | Radiology | 3015 N New Ballas Rd, St Louis, MO 63131 | 2006-08-29 |
| 1679680821 | Steven L Solomon | Radiology | 3015 N New Ballas Rd, St Louis, MO 63131 | 2006-08-24 |
| 1093829970 | Christopher O Thornton | Radiology | 3015 N New Ballas Rd, St Louis, MO 63131 | 2006-08-18 |
| 1083621155 | John H Niemeyer | Radiology | 3015 N New Ballas Rd, St Louis, MO 63131 | 2006-08-02 |
| 1447264007 | Gene L Davis Jr. | Radiology | 3015 N New Ballas Rd, St Louis, MO 63131 | 2006-07-28 |
| 1265446827 | Geoffrey S Hamill | Radiology | 3015 N New Ballas Rd, St Louis, MO 63131 | 2006-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568097954 | Avalcare Inc | Pharmacy | 10431 Clayton Rd, Saint Louis, MO 63131 | 2020-03-06 |
| 1891331369 | Life Clinic of Mo Dc PC | Chiropractor | 2051 South Lindbergh Blvd, Frontenac, MO 63131 | 2019-11-20 |
| 1447892542 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 30 S Lindbergh Blvd, Saint Louis, MO 63131 | 2019-10-10 |
| 1336797026 | Justa Davis | Dietitian, Registered | 3015 North Ballas, Saint Louis, MO 63131 | 2019-08-27 |
| 1730695362 | Curators of The University of Missouri | Psychologist | 12837 Flushing Meadows Drive, Sutie 220, Town and Country, MO 63131 | 2017-12-19 |
| 1770012031 | Danielle Marie Hargate | Specialist/Technologist | 732 Timber Trail, Frontenac, MO 63131 | 2017-06-08 |
| 1285087429 | Kathryn Parker | Internal Medicine | 1000 Des Peres Rd Ste 300, Saint Louis, MO 63131 | 2016-07-22 |
| 1437524360 | Julie Ann Godefroid | Nurse Practitioner | 1010 Old Des Peres Road, St. Louis, MO 63131 | 2015-12-03 |
| 1073982435 | Rebecca Baum Rainbolt | Social Worker | 12210 Clayton Rd, Saint Louis, MO 63131 | 2015-09-16 |
| 1518217322 | Advanced Anesthesia and Pain Management, LLC | Anesthesiology | 12805 Topping Woods Estate Drive, St. Louis, MO 63131 | 2012-09-19 |
| Find all providers in zip 63131 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225292972 | Armindo Guerrero Baula | Radiology | 609 Jeffersonian Dr, St Louis, MO 63125 | 2008-07-11 |
| 1245257922 | Amy A Mosher | Radiology | 3015 N New Ballas Rd, St Louis, MO 63131 | 2006-07-17 |
| 1821013418 | Midwest Radiological Associates PC | Radiology | 3015 N Ballas Road, Missouri Baptist Medical Center, St Louis, MO 63131 | 2006-07-13 |
| 1023033784 | St Lukes Center for Diagnostic Imaging LLC | Radiology | 450 North Ballas Road, Suite 270, St Louis, MO 63141 | 2006-07-13 |
| 1023051349 | John A Merkle | Radiology | 774 N New Ballas Rd, St Louis, MO 63141-6716 | 2006-06-14 |
| 1942383914 | Walter G Holloman Jr. | Radiology | 3015 N New Ballas Rd, St Louis, MO 63131 | 2006-10-23 |
| 1811008444 | William W Baber | Radiology | 3015 N New Ballas Rd, St Louis, MO 63131 | 2006-08-31 |
| 1508974379 | Douglas J Curry | Radiology | 3015 N New Ballas Rd, St Louis, MO 63131 | 2006-08-29 |
| 1679680821 | Steven L Solomon | Radiology | 3015 N New Ballas Rd, St Louis, MO 63131 | 2006-08-24 |
| 1093829970 | Christopher O Thornton | Radiology | 3015 N New Ballas Rd, St Louis, MO 63131 | 2006-08-18 |
| Find all providers in ST LOUIS | ||||
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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.