JEREMY OLIVER (NPI# 1659753341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659753341 |
| Entity Type | Individual |
| Full Name | JEREMY OLIVER |
| Credential | DO |
| Practice Address |
15945 Clayton Rd Ste 330 Ballwin MO 63011-2492 |
| Mailing Address |
5 Douglass Manor Ct Webster Groves MO 63119-1772 |
| Practice Telephone | 6362565380 |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2018-08-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2015019303 | MO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 615 S New Ballas Rd, Saint Louis, MO 631418221 | 6364483090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386009074 | Jeremy Oliver | Social Worker | 1602 Royal Ave, Monroe, LA 71201-5612 | 2015-12-22 |
| 1194991844 | Jeremy Oliver | Counselor | 5357 Truxtun Ave, Bakersfield, CA 93309-0641 | 2008-05-02 |
| Street Address |
15945 CLAYTON RD STE 330 |
| City | BALLWIN |
| State | MO |
| Zip Code | 63011-2492 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205309234 | Heather Renee Leone | Nurse Practitioner | 452 Sovereign Court Suite A, Ballwin, MO 63011 | 2019-01-02 |
| 1538635297 | Jennifer Lea Nicole O'donnell | Registered Nurse | 13861 Manchester Road, Town and Country, MO 63011 | 2018-10-22 |
| 1285127712 | Genevieve Friedmann | Social Worker | 301 Sovereign Ct Ste 103, Ballwin, MO 63011 | 2018-06-09 |
| 1881187391 | Andrew Cittadino Link | Dentist | 14335 Manchester Road, Ballwin, MO 63011 | 2018-06-08 |
| 1972041283 | Anavan LLC | Durable Medical Equipment & Medical Supplies | 14390 Manchester Rd, Saint Louis, MO 63011 | 2017-02-07 |
| 1780131300 | Autism and Behavioral Spectrum LLC | Day Training, Developmentally Disabled Services | 14733 Clayton Road, Chesterfield, MO 63011 | 2016-09-01 |
| 1265872964 | Eryn Nichole Miner | Behavioral Analyst | 15834 Clayton Road, Ellisville, MO 63011 | 2013-06-27 |
| 1194168765 | Donna Margaret Carrillo | Developmental Therapist | 15834 Clayton Rd., Ellisville, MO 63011 | 2013-04-12 |
| 1891047486 | Ashley Amanda Battaglia | Chiropractor | 15945 Clayton Rd Ste 230c, Ballwin, MO 63011 | 2012-10-08 |
| 1750658480 | Gary Frank Sobocinski | Pharmacist | 4033 Sovereign Court, Ballwin, MO 63011 | 2011-11-23 |
| Find all providers in zip 63011 | ||||
| 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 |
|---|---|---|---|---|
| 1083171474 | Safe Transitions Md PC | Family Medicine | 452 Sovereign Ct Ste A, Ballwin, MO 63011-4447 | 2019-02-21 |
| 1225300403 | Robert Vernon Snyders Sr. | Family Medicine | 1638 Wolf Trail Rd., Ballwin, MO 63021 | 2012-02-02 |
| 1033287610 | Eric Nalagan | Family Medicine | 683 Big Bend Rd, Ballwin, MO 63021-7723 | 2006-12-01 |
| 1427149764 | Mark Alan Lichtenfeld | Family Medicine | 14748 Manchester Rd # B, Ballwin, MO 63011-3706 | 2006-09-28 |
| 1427046366 | Martin Barry Mcclintock | Family Medicine | 15421 Clayton Rd, Suite G-2, Ballwin, MO 63011-3161 | 2005-10-13 |
| 1942479894 | Mojdeh Zahedi | Family Medicine | 15945 Clayton Rd, Suite 310, Ballwin, MO 63011-2490 | 2008-02-25 |
| 1780802108 | Andrew Y. Chao, Inc | Family Medicine | 683 Big Bend Rd, Ballwin, MO 63021-7723 | 2007-04-23 |
| 1689640344 | Mark T Houston | Family Medicine | 15945 Clayton Rd, Suite 330, Ballwin, MO 63011-2490 | 2006-02-23 |
| 1427023886 | Timothy P. Murphy | Family Medicine | 15945 Clayton Rd, Ballwin, MO 63011-2490 | 2006-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596877 | Stephanie R Nicholson | Family Medicine | 4500 S Park Ave, Sedalia, MO 65301-8525 | 2020-10-21 |
| 1053919514 | Kelli Lichte | Family Medicine | 601 S 13 Hwy, Lexington, MO 64067-1511 | 2020-10-15 |
| 1053927228 | Cox- Monett Hospital, Inc. | Family Medicine | 1000 E Hwy 60, Monett, MO 65708 | 2020-09-22 |
| 1104432806 | Jefferson Medical Group | Family Medicine | 807 E Broadway St, Brunswick, MO 65236-1468 | 2020-09-17 |
| 1124633995 | Continuum Family Care LLC | Family Medicine | 2336 S Main St, Maryville, MO 64468-3622 | 2020-09-09 |
| 1326652579 | Linda Diane Watson | Family Medicine | 338 Emerson Rd Apt 104, High Ridge, MO 63049-2530 | 2020-09-04 |
| 1447868005 | Brittany Mechelle Waterworth | Family Medicine | 3700 I 70 Dr Se Ste 106, Columbia, MO 65201-6587 | 2020-07-20 |
| 1013542828 | Johns Healthcare Services LLC | Family Medicine | 2001 Independence St Ste A, Cape Girardeau, MO 63703-5805 | 2020-03-12 |
| 1972133460 | Fnp4jc, LLC | Family Medicine | 215 North Street, Waynesville, MO 65583 | 2020-01-23 |
| 1568092732 | Scotland County Memorial Hospital | Family Medicine | 55682 State Highway 6, Edina, MO 63537-4267 | 2020-01-16 |
| Find all providers with the same taxonomy | ||||
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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.