DR. JUAN O CARDEN


Address: 11125 Dunn Rd, Suite 108, Saint Louis, MO 63136-6132
Phone: 3143558200

DR. JUAN O CARDEN (NPI# 1639101868) 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) 1639101868
Entity Type Individual
Full Name DR. JUAN O CARDEN
Credential M.D.
Practice Address 11125 Dunn Rd
Suite 108
Saint Louis
MO 63136-6132
Practice Telephone 3143558200
Practice Fax Number 3143554582
Mailing Telephone 3143558200
Mailing Fax Number 3143554582
Enumeration Date 2006-07-07
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist MD34924 MO Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO 201892601 05

Office Location

Street Address 11125 DUNN RD
SUITE 108
City SAINT LOUIS
State MO
Zip Code 63136-6132

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083617294 Morin Michael Hanson Surgery 11125 Dunn Rd, Ste 402, Saint Louis, MO 63136-6132 2005-05-23
1033612502 Casey Wikiera Counselor 11125 Dunn Rd, Saint Louis, MO 63136-6132 2018-03-12
1457707705 Renee Mcdonald Nurse Practitioner 11125 Dunn Rd, Suite 204, Saint Louis, MO 63136-6132 2016-05-05
1518320001 Emily Rutledge Case Manager/Care Coordinator 11125 Dunn Rd, Suite 201, Saint Louis, MO 63136-6132 2016-04-01
1881060812 Victoria Fisher Counselor 11125 Dunn Rd, Saint Louis, MO 63136-6132 2015-08-13
1942676101 Nicole Willmering Community Health Worker 11125 Dunn Rd, Saint Louis, MO 63136-6132 2015-08-11
1457746125 Claudia Bledsoe Case Manager/Care Coordinator 11125 Dunn Rd, Professional Bulding #2 Suite 201, Saint Louis, MO 63136-6132 2015-03-31
1295146744 Carnecia Cole Pharmacist 11125 Dunn Rd, Saint Louis, MO 63136-6132 2014-05-17
1073923413 Veronica Smotherson Case Manager/Care Coordinator 11125 Dunn Rd, Professional Office Building #2, Saint Louis, MO 63136-6132 2014-05-07
1366862781 Yi Jiang Social Worker 11125 Dunn Rd, Saint Louis, MO 63136-6132 2014-04-24
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497381990 Styles 40 Salon Specialist 4550 Gravois Ave, Saint Louis, MO 63116-2426 2020-03-16
1013560721 Against The Grainz Specialist 8523 Drury Ln, Saint Louis, MO 63147-1313 2019-07-22
1487211033 Kia Lanay Lewis Specialist 9700 Portage Dr, Saint Louis, MO 63136-5312 2019-05-20
1376011007 Lashonda S Wash Specialist 222 Bruce Ave, Saint Louis, MO 63135-2704 2018-11-12
1326516048 Showna Walker Specialist 2242 Berwyn Dr, Saint Louis, MO 63136-5415 2018-11-12
1760973697 Angela Haas Specialist 1361 Childress Ave, Saint Louis, MO 63139-3451 2018-05-26
1962907782 Kelsey Conley Specialist 2839 Howard St, Saint Louis, MO 63106-2027 2018-03-25
1285135848 Che Salon Specialist 8416 Olive Blvd, Saint Louis, MO 63132-2816 2018-02-27
1790225084 Michael Bergman Specialist 6327 S Grand Blvd, Apt 1g, Saint Louis, MO 63111-2653 2017-03-06
1275082406 Tim Fick Specialist 5157 Lemay Ferry Rd, Saint Louis, MO 63129-1533 2016-09-29
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Competitor

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City SAINT LOUIS
Zip Code 63136

Improve Information

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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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