JACK ANTHONY GALBRAITH


Address: 13303 Tesson Ferry Rd Ste 45, Saint Louis, MO 63128-4062
Phone: 3147485917

JACK ANTHONY GALBRAITH (NPI# 1649373440) 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) 1649373440
Entity Type Individual
Full Name JACK ANTHONY GALBRAITH
Credential MD
Practice Address 13303 Tesson Ferry Rd Ste 45
Saint Louis
MO 63128-4062
Mailing Address 5425 Southfield Ctr
Saint Louis
MO 63123-5984
Practice Telephone 3147485917
Practice Fax Number 3147485919
Mailing Telephone 3145435258
Mailing Fax Number 3145435262
Enumeration Date 2006-09-07
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine T2006016537 MO Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
5425 Southfield Ctr, Saint Louis, MO 631235984 3145435258 3145435262

Office Location

Street Address 13303 TESSON FERRY RD STE 45
City SAINT LOUIS
State MO
Zip Code 63128-4062

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083614960 Catherine L Lowder Internal Medicine 13303 Tesson Ferry Rd Ste 45, Saint Louis, MO 63128-4062 2005-07-21
1093123028 Maureen E Huber Registered Nurse 13303 Tesson Ferry Rd Ste 45, Saint Louis, MO 63128-4062 2014-07-22
1689002990 Sarah C Guillaume Nurse Practitioner 13303 Tesson Ferry Rd Ste 45, Saint Louis, MO 63128-4062 2013-10-23
1902042930 Jessica Ann Thomure Nurse Practitioner 13303 Tesson Ferry Rd Ste 45, Saint Louis, MO 63128 2008-12-22
1750589263 Dana Claire Galbraith Family Medicine 13303 Tesson Ferry Rd Ste 45, Saint Louis, MO 63128-4062 2007-07-05
1588874366 Bryan Patrick Burns Internal Medicine 13303 Tesson Ferry Rd Ste 45, Saint Louis, MO 63128-4062 2007-05-23
1164523197 Lesley Huffman-dilg Physician Assistant 13303 Tesson Ferry Rd Ste 45, Saint Louis, MO 63128-4062 2006-09-25

Providers in the same zip code

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 Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356986541 Pain Relief Center of St Louis LLC Family Medicine 1115 Olivette Executive Pkwy, Saint Louis, MO 63132-3259 2019-11-12
1720635329 Mercy Clinic East Communities Family Medicine 10004 Kennerly Rd Ste 395b, Saint Louis, MO 63128-2190 2019-08-20
1063066777 Isabella Citizens for Health, Inc. Family Medicine 312 Union St, Saint Louis, MI 48880-1830 2019-07-31
1043864010 Isabella Citizens for Health, Inc. Family Medicine 113 E Saginaw St, Saint Louis, MI 48880-1755 2019-07-29
1558896969 Shivani Sockanathan Family Medicine 969 N Mason Rd Ste 145a, Saint Louis, MO 63141-6282 2017-04-23
1598299646 Kharole Compere Family Medicine 175 N Oaks Plz, Saint Louis, MO 63121-2925 2017-04-16
1396109880 Ritesh Gandhi Family Medicine 7345 Watson Rd Ste 203, Saint Louis, MO 63119 2016-04-11
1144608035 Daniel Urcuyo Family Medicine 4625 Lindell Blvd Ste 338, Saint Louis, MO 63108 2015-05-11
1376958728 Jamil Neme Family Medicine 3660 Vista Ave Ste 103, Saint Louis, MO 63110-2540 2014-06-24
1144633819 Perini Shah Family Medicine 12700 Southfork Rd Ste 215, Saint Louis, MO 63128-3276 2014-06-10
Find all providers in SAINT LOUIS

Competitor

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City SAINT LOUIS
Zip Code 63128

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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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