SAINT LOUIS UNIVERSITY DBA MARK HERBERS, M.D. (NPI# 1629295712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629295712 |
| Entity Type | Organization |
| Organization Name | SAINT LOUIS UNIVERSITY DBA MARK HERBERS, M.D. |
| Other Organization Name | MARK F. HERBERS, M.D. |
| Practice Address |
1747 Smizer Station Rd Suite 6 Fenton MO 63026-2784 |
| Practice Telephone | 6362257908 |
| Practice Fax Number | 6362257497 |
| Mailing Telephone | 6362257908 |
| Mailing Fax Number | 6362257497 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-09-24 |
| Authorized Official Name | MRS. DEBORAH B. REICHARDT (OFFICE MANAGER) |
| Authorized Official Telephone | 6362257908 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 36171 | MO | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mark F. Herbers, M.D. | Doing Business As Name - Organization |
| Street Address |
1747 SMIZER STATION RD SUITE 6 |
| City | FENTON |
| State | MO |
| Zip Code | 63026-2784 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134104466 | Brenda Lynn Buckley | Family Medicine | 1747 Smizer Station Rd, Suite 5, Fenton, MO 63026-2784 | 2005-12-09 |
| 1588285431 | Alisa M Perozo-dickerson | Advanced Practice Midwife | 1747 Smizer Station Rd, Fenton, MO 63026-2784 | 2020-05-01 |
| 1891238291 | Amber Lee Sorcic | Chiropractor | 1747 Smizer Station Rd, St. 4, Fenton, MO 63026-2784 | 2016-12-02 |
| 1346795234 | Chiropractic Wellness Center | Chiropractor | 1747 Smizer Station Rd, Fenton, MO 63026-2784 | 2016-08-20 |
| 1255613642 | Metro Foot Specialists, LLC | Podiatrist | 1747 Smizer Station Rd, Suite 3a, Fenton, MO 63026-2784 | 2011-09-13 |
| 1508158445 | Chiropractic Wellness Center of St Louis LLC | Clinic/Center | 1747 Smizer Station Rd, Ste. 4, Fenton, MO 63026-2784 | 2011-05-11 |
| 1255632238 | Lorenelle Lofquist | Chiropractor | 1747 Smizer Station Rd, Ste 4, Fenton, MO 63026-2784 | 2010-11-08 |
| 1023280856 | Rockwood Family Medicine LLC | Family Medicine | 1747 Smizer Station Rd, Suite 3b, Fenton, MO 63026-2784 | 2008-04-01 |
| 1770789984 | Ssm Medical Group | Clinic/Center | 1747 Smizer Station Rd, Suite 6, Fenton, MO 63026-2784 | 2007-06-25 |
| 1356493811 | Fenton Family Practice, LLC | Specialist | 1747 Smizer Station Rd, Suite 5, Fenton, MO 63026-2784 | 2007-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871000372 | Allison Egler | Audiologist | 1011 Bowles Ave Ste 405, Fenton, MO 63026 | 2018-01-05 |
| 1629508213 | Holly Brooks Munson | Massage Therapist | 220 Copper Mountain Dr, Fenton, MO 63026 | 2017-06-15 |
| 1073978862 | Naomi Sharon | Nurse Practitioner | 1101 Bowles Avenue, Suite G50, Fenton, MO 63026 | 2015-12-21 |
| 1871981704 | Celtic Private Care of Il & Mo, LLC | In Home Supportive Care | 1653 Larkin Williams Road, Suite 201, Fenton, MO 63026 | 2014-12-30 |
| 1356747513 | Kristina Potts | Nurse Practitioner | 774 Gravois Bluffs Blvd Ste B, Fenton, MO 63026 | 2014-11-14 |
| 1245642420 | Physicians Health Group Medical Inc | General Practice | 960 S. Highway Dr, Fenton, MO 63026 | 2014-05-22 |
| 1598047409 | Kevin Eugene Bruce | Pharmacist | 1210 Sugar Creek, Fenton, MO 63026 | 2011-09-16 |
| 1215186382 | Concentra Health Services, Inc. | Clinic/Center | 128 Matrix Commons Dr., Fenton, MO 63026 | 2008-09-15 |
| 1790954410 | Castlewood Treatment Center LLC | Community/Behavioral Health | 1855 Bowles Ave, Suite 210, Fenton, MO 63026 | 2008-02-27 |
| 1073703617 | Christina R Baeres | Dietitian, Registered | 38 Majestic Ct, Fenton, MO 63026 | 2007-07-30 |
| Find all providers in zip 63026 | ||||
| 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 |
|---|---|---|---|---|
| 1801246053 | Daisy Zhou | Pediatrics | 714 Gravois Rd Ste 200, Fenton, MO 63026-7723 | 2016-06-20 |
| 1316239338 | Lori Hugg | Pediatrics | 1345 Smizer Mill Rd, Fenton, MO 63026-7305 | 2011-05-10 |
| 1861594525 | Chandra K Puttagunta | Pediatrics | 1122 N Leroy St, Fenton, MI 48430-2789 | 2006-09-02 |
| 1518997394 | Andrew L Karanas | Pediatrics | 10 Bowles Ave, Fenton, MO 63026 | 2006-07-04 |
| 1760429450 | Michael John Kirby | Pediatrics | 445 N Fenway Dr, Fenton, MI 48430-2666 | 2006-06-01 |
| 1790759256 | Megan C. Mcbride | Pediatrics | 832 Horan Dr, Fenton, MO 63026-2408 | 2006-02-13 |
| 1740543099 | Sarah King-glotfelty | Pediatrics | 1011 Bowles Ave Ste 300, Fenton, MO 63026 | 2012-06-21 |
| 1467747774 | Michael J Kirby Md Plc | Pediatrics | 445 N Fenway Dr, Fenton, MI 48430-2666 | 2011-06-15 |
| 1639348428 | Valerie Rose Kover | Pediatrics | 714 Gravois Rd, Ste 200, Fenton, MO 63026-7723 | 2008-02-26 |
| 1598808164 | Fenton Pediatrics, L.L.C. | Pediatrics | 714 Gravois Rd, Ste. 200, Fenton, MO 63026-7727 | 2007-02-14 |
| Find all providers in FENTON | ||||
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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.