WASHINGTON UNIVERSITY (NPI# 1669405544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669405544 |
| Entity Type | Organization |
| Organization Name | WASHINGTON UNIVERSITY |
| Other Organization Name | WASHINGTON UNIVERSITY CLINICAL ASSOCIATES |
| Practice Address |
114 N Taylor Ave Saint Louis MO 63108-2102 |
| Mailing Address |
4240 Duncan Ave Suite 301 Saint Louis MO 63110-1108 |
| Practice Telephone | 3145348600 |
| Mailing Telephone | 3142730770 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2014-03-05 |
| Authorized Official Name | CATHY EGHIGIAN (DIRECTOR, CREDENTIALING OPERATIONS) |
| Authorized Official Telephone | 3142730770 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Washington University Clinical Associates | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1790265759 | Washington University | Ophthalmology | 4901 Forest Park Ave # 8221, Saint Louis, MO 63108-1495 | 2018-08-20 |
| 1942710991 | Washington University | Clinic/Center | 272 Mayfair Plaza Shopping Ctr, Florissant, MO 63033-8009 | 2017-10-04 |
| 1013430891 | Washington University | Physical Therapist | 4921 Parkview Pl Ste 6f, Saint Louis, MO 63110 | 2017-07-24 |
| 1104162999 | Washington University | Pharmacy | 5225 Midamerica Plz, Saint Louis, MO 63129-0002 | 2012-12-24 |
| 1033382536 | Washington University | Durable Medical Equipment & Medical Supplies | 14532 S Outer 40, Suite 200, Chesterfield, MO 63017-5701 | 2008-04-07 |
| 1235235532 | Washington University | Clinical Medical Laboratory | 509 S Euclid Ave, Saint Louis, MO 63110-1007 | 2006-09-15 |
| 1841221116 | Washington University | Clinic/Center | 4950 Childrens Pl, Saint Louis, MO 63110-1000 | 2006-07-05 |
| 1871521575 | Washington University | Clinic/Center | 4205 Forest Park Ave, Saint Louis, MO 63108-2810 | 2006-06-29 |
| 1346847233 | Washington University | Clinic/Center | 8888 Ladue Rd Ste 100, Saint Louis, MO 63124-2056 | 2020-10-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | WASHINGTON UNIVERSITY IN ST. LOUIS | The Washington University, 1 Brookings Dr Campus Box 1058, St. Louis, Mo 631304899 |
| System for Award Management (SAM) Entities | WASHINGTON UNIVERSITY MEDICAL CENTER | 4400 Chouteau Ave, Saint Louis, MO 63110-1678 |
| Virginia Business Entities | Washington University of Virginia Inc. | 4302 Evergreen Ln, 2nd Fl, Annandale, Virginia 22003 |
| System for Award Management (SAM) Entities | WASHINGTON UNIVERSITY PHYSICIANS IN ILLINOIS, INC. | 1414 Cross St, O Fallon, IL 62269-2988 |
| Washington State Corporations | WASHINGTON UNIVERSITY PREP, LLC | 18232 Bothell Everett Hwy, Suite 220, Bothell, WA 98012 |
| System for Award Management (SAM) Entities | WASHINGTON UNIVERSITY SCHOOL OF MEDICINE | 1brookings Dr, Saint Louis, MO 63130-4862 |
| Indiana Business Entities | WASHINGTON UNIVERSITY TECHNOLOGY ASSOCIATES INC | 8220 Brentwood Industrial Dr, St Louis, MO 63144 |
| System for Award Management (SAM) Entities | WASHINGTON UNIVERSITY, THE | One Brookings Dr, Saint Louis, MO 63130-4862 |
| Street Address |
114 N TAYLOR AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63108-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730185745 | Emmanuel A Venkatesan | Internal Medicine | 114 N Taylor Ave, Saint Louis, MO 63108-2102 | 2005-06-23 |
| 1225548225 | Christine Elizabeth Johnson | Nurse Practitioner | 114 N Taylor Ave, Saint Louis, MO 63108-2102 | 2017-10-04 |
| 1992155030 | Elaine Joyce Hutchison | Internal Medicine | 114 N Taylor Ave, Saint Louis, MO 63108-2102 | 2016-06-20 |
| 1164846648 | Angela Kay Roethemeyer | Nurse Practitioner | 114 N Taylor Ave, Saint Louis, MO 63108-2102 | 2014-02-05 |
| 1063707966 | Jonathan Nicholas Byrd | Internal Medicine | 114 N Taylor Ave, Saint Louis, MO 63108-2102 | 2011-06-20 |
| 1740475334 | Joanne L Thanavaro | Nurse Practitioner | 114 N Taylor Ave, Saint Louis, MO 63108-2102 | 2007-09-07 |
| 1487671947 | James G Avery | Internal Medicine | 114 N Taylor Ave, Saint Louis, MO 63108-2102 | 2006-07-17 |
| 1295752756 | Michael D Bavlsik | Internal Medicine | 114 N Taylor Ave, Saint Louis, MO 63108-2102 | 2006-07-17 |
| 1982620100 | Robin Ann Kundra | Internal Medicine | 114 N Taylor Ave, Saint Louis, MO 63108-2102 | 2006-07-14 |
| 1801824198 | Jennifer Kristen Hester | Internal Medicine | 114 N Taylor Ave, Saint Louis, MO 63108-2102 | 2006-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851474 | Nigel Austen Thomas Cook | Social Worker | 4050 West Pine Blvd. Apt. 4118, St. Louis, MO 63108 | 2020-08-12 |
| 1467070011 | C2n Diagnostics, LLC | Clinical Medical Laboratory | 20 South Sarah Street, Saint Louis, MO 63108 | 2020-07-10 |
| 1609414358 | Kaylee Breitenbucher | Occupational Therapist | 4444 Forest Park Avenue, Msc 8505-94-01, St. Louis, MO 63108 | 2019-12-12 |
| 1114419546 | Activangels Home Health | Home Health | 4625 Lindell Blvd Ste 304, Saint Louis, MO 63108 | 2018-06-01 |
| 1215427349 | Heart To Heart Consolidated Home Care Service LLC | Home Health | 4625 Lindell Blvd Ste 200, Saint Louis, MO 63108 | 2018-05-15 |
| 1447755905 | Erin Virginia Adams | Student in an Organized Health Care Education/Training Program | 4355 Maryland Ave Apt 116, Saint Louis, MO 63108 | 2018-03-27 |
| 1033621172 | Roots Healthcare and Homes | In Home Supportive Care | 4300 Enright Ave, St. Louis, MO 63108 | 2017-10-30 |
| 1336661719 | House of Destiny Adult Day Care LLC | Clinic/Center | 4507 Olive Street, St Louis, MO 63108 | 2017-07-07 |
| 1003338492 | Khin Min Thu | Social Worker | 4236 Lindell Blvd., Suite 200, St Louis, MO 63108 | 2017-07-07 |
| 1679093967 | Together We Can Home Healthcare Services LLC | Home Health | 4144 Lindell Blvd Suite 221, Saint Louis, MO 63108 | 2017-06-27 |
| Find all providers in zip 63108 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871044735 | Susan D Purcell Md Dermatology LLC | Clinic/Center | 969 N Mason Rd Ste 170, Saint Louis, MO 63141-6387 | 2016-10-16 |
| 1154730414 | Mohammed Z Siddiqui Medical Consulting LLC | Clinic/Center | 10 Overbrook Dr, Saint Louis, MO 63124-1482 | 2014-08-11 |
| 1376875393 | Ballas Chiropractic Centre Inc | Clinic/Center | 11639 Studt Ave, Saint Louis, MO 63141-7015 | 2010-02-01 |
| 1285664268 | Physician Groups Lc | Clinic/Center | 670 Mason Ridge Center Dr, Suite 300, Saint Louis, MO 63141-8573 | 2006-07-04 |
| 1437185782 | Missouri Cvs Pharmacy, L.L.C. | Clinic/Center | 6600 Clayton Rd, Saint Louis, MO 63117-1602 | 2006-06-25 |
| 1104861129 | Missouri Cvs Pharmacy, L.L.C. | Clinic/Center | 10650 Olive Blvd, Saint Louis, MO 63141-7834 | 2006-06-17 |
| 1730540196 | Vein Specialties and Medi-spa, LLC | Clinic/Center | 1035 Bellevue Ave Ste 212, Saint Louis, MO 63117-1846 | 2016-03-14 |
| 1114344348 | St Louis Kidney, LLC | Clinic/Center | 12855 N 40 Dr, Suite 205, Saint Louis, MO 63141-8657 | 2014-03-26 |
| 1003246026 | True Results Missouri, LLC | Clinic/Center | 12855 N 40 Dr, Suite 275, Saint Louis, MO 63141-8657 | 2013-11-13 |
| 1811268428 | Joseph M Seria Md LLC | Clinic/Center | 3915 Watson Rd, Suite 204, Saint Louis, MO 63109-1251 | 2012-01-13 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63108 |
Please comment or provide details below to improve the information on WASHINGTON UNIVERSITY.
| 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.