DR. THOMAS PATRICK KUCIEJCZYK-KERNAN


Address: 3930 S Broadway, Saint Louis, MO 63118-4626
Phone: 3148981700

DR. THOMAS PATRICK KUCIEJCZYK-KERNAN (NPI# 1669478970) 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) 1669478970
Entity Type Individual
Full Name DR. THOMAS PATRICK KUCIEJCZYK-KERNAN
Other Name DR. THOMAS PATRICK KERNAN
Credential M.D.
Practice Address 3930 S Broadway
Saint Louis
MO 63118-4626
Mailing Address 1717 Biddle St
Saint Louis
MO 63106-3454
Practice Telephone 3148981700
Practice Fax Number 3148148542
Mailing Telephone 3148981700
Mailing Fax Number 3148148542
Enumeration Date 2005-06-22
Last Update Date 2016-09-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine R6J90 MO Allopathic & Osteopathic Physicians
N 2084P0015X Psychiatry & Neurology
Specialization: Psychosomatic Medicine
R6J90 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO 202710109 05

Office Location

Street Address 3930 S BROADWAY
City SAINT LOUIS
State MO
Zip Code 63118-4626

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437614823 Kelcey A Depass Nurse Practitioner 3930 S Broadway, Saint Louis, MO 63118-4626 2019-02-10
1679019046 Barbara K Allan Social Worker 3930 S Broadway, Saint Louis, MO 63118-4626 2017-01-10
1598106866 Sarah T Smith Nurse Practitioner 3930 S Broadway, Saint Louis, MO 63118-4626 2013-07-15
1164733515 Mary Bridget Keegan Obstetrics & Gynecology 3930 S Broadway, Saint Louis, MO 63118-4626 2010-06-30
1467626556 Labone Inc Clinical Medical Laboratory 3930 S Broadway, Saint Louis, MO 63118 2008-04-18
1972692283 Angela M Schiefelbein Nurse Practitioner 3930 S Broadway, Saint Louis, MO 63118-4626 2006-10-12
1528156668 Judith M Gallagher Nurse Practitioner 3930 S Broadway, Saint Louis, MO 63118-4626 2006-10-11
1598853699 Rebekah Hassler Nurse Practitioner 3930 S Broadway, Saint Louis, MO 63118-4626 2006-10-11
1598777930 Jocelin N Reatiraza Internal Medicine 3930 S Broadway, Saint Louis, MO 63118-4626 2006-08-13
1013925890 Affinia Healthcare Clinic/Center 3930 S Broadway, Saint Louis, MO 63118-4626 2006-08-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770149023 Clouds of Care In-home Healthcare Services LLC Hospice Care, Community Based 3450 Magnolia Ave, Saint Louis, MO 63118 2019-05-13
1154839488 Serenity Gardens Home Health Services LLC. Home Health 3002 S Jefferson Ave Ste 201, Saint Louis, MO 63118 2018-01-22
1861917759 Freedom Day Center, LLC Meals 3309 Meramec Street, Saint Louis, MO 63118 2017-08-11
1669901450 Stanley Eziukwu Student in an Organized Health Care Education/Training Program 3535 S Jefferson Ave Ste 104, Saint Louis, MO 63118 2017-06-06
1467987651 Hinna Shahid Internal Medicine 3545 South Jefferson Ave, St. Louis, MO 63118 2017-04-25
1225436959 Shelley Stretch Counselor 4066 Dunnica Avenue, St. Louis, MO 63118 2014-12-11
1821406174 Preferred Family Healthcare, Inc Substance Abuse Rehabilitation Facility 4066 Dunnica, Saint Louis, MO 63118 2014-07-31
1275898173 Stephanie Lynn Cullinan Optometrist 3122 S Grand, St. Louis, MO 63118 2012-07-07
1174822555 Morgan Patrick Morris Chiropractor 3611 S. Grand Blvd, Suite 200, Saint Louis, MO 63118 2011-03-24
1043481955 Victor Rivera Md LLC Obstetrics & Gynecology 3535 S Jefferson, Suite 106, St Louis, MO 63118 2008-03-19
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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
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Competitor

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City SAINT LOUIS
Zip Code 63118

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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