DR. SHAWN LEWIS BERKIN (NPI# 1659483170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659483170 |
| Entity Type | Individual |
| Full Name | DR. SHAWN LEWIS BERKIN |
| Credential | DO |
| Practice Address |
5524 Telegraph Road Suite 101 St Louis MO 63129 |
| Practice Telephone | 3148940000 |
| Practice Fax Number | 3148943718 |
| Mailing Telephone | 3148940000 |
| Mailing Fax Number | 3148943718 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2019-03-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 036057860 | IL | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | RZA66 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
5524 TELEGRAPH ROAD SUITE 101 |
| City | ST LOUIS |
| State | MO |
| Zip Code | 63129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447730742 | Total Access Urgent Care, PC | Clinic/Center | 4400 Telegraph Road, 4400 Telegraph Road, St. Louis, MO 63129 | 2018-08-16 |
| 1679061808 | Susan Swyers Grogan | Occupational Therapist | 2806 Flamewood Drive, St. Louis, MO 63129 | 2018-04-24 |
| 1376073981 | Eric Piatchek | Specialist/Technologist | 2661 Bluff Ridge Drive, St. Louis, MO 63129 | 2017-06-15 |
| 1033647144 | Keona E Smith | Nurse Practitioner | 7334 Lindbergh Blvd, Ballwin, MO 63129 | 2017-06-02 |
| 1588036966 | Sarah Michelle Corry | Occupational Therapist | 5043 Telegraph Rd, St Louis, MO 63129 | 2015-10-26 |
| 1598169120 | Vivian Carr | Counselor | 5266 Sir Bors Drive, St. Louis, MO 63129 | 2014-10-10 |
| 1982044327 | Andrew Michael Bryant | Family Medicine | 4280 Mid America Lane, Saint Louis, MO 63129 | 2013-06-30 |
| 1306185533 | John Alexander Miller | Registered Nurse | 4220 Robert Koch Hospital Rd, Saint Louis, MO 63129 | 2013-02-07 |
| 1346597457 | Pain and Performance Relief LLC | Physical Medicine & Rehabilitation | 4175 Crescent Dr Ste A, Saint Louis, MO 63129 | 2012-08-08 |
| 1366721516 | Teresa Lyn Bitter | Speech-Language Pathologist | 7325 Summerview Manor Lane, St. Louis, MO 63129 | 2011-08-05 |
| Find all providers in zip 63129 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588088157 | Medstaffpc | Family Medicine | 12633 Olive Blvd, St Louis, MO 63141-6313 | 2014-02-18 |
| 1427314046 | Dick (richard) Ralph Brummett | Family Medicine | 711 S Laclede Sta Rd, # 2111, St Louis, MO 63119 | 2012-04-09 |
| 1750401253 | Ellen T Loeffler | Family Medicine | 8670 Big Bend Road, Suite A, St Louis, MO 63119-3730 | 2007-03-29 |
| 1710012729 | Des Peres Family Medicine | Family Medicine | 2325 Dougherty Ferry Rd Suite 104, St Louis, MO 63122-3356 | 2007-02-22 |
| 1265597397 | Lavert Morrow | Family Medicine | 6826 Natural Bridge, St Louis, MO 63121 | 2006-12-27 |
| 1609960566 | Glennon Joseph Fox | Family Medicine | 777 South New Ballas Rd, 231e, St Louis, MO 63141-8747 | 2006-10-03 |
| 1992802433 | Rc Physician Services, LLC | Family Medicine | 9200 Watson Rd., St Louis, MO 63126 | 2006-09-19 |
| 1700870441 | Donald E. Schnurpfeil | Family Medicine | 5701 Delmar Blvd., St Louis, MO 63112-2617 | 2005-09-08 |
| 1881750784 | Horace Newell Marvin Jr. | Family Medicine | 12647 Olive Blvd, Correctional Medical Svcs Inc, St Louis, MO 63141 | 2006-12-28 |
| 1699869461 | Felix Emmanuel Herrera | Family Medicine | 2901 Union Road, Ste 100, St Louis, MO 63125 | 2006-10-03 |
| 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.