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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 202710109 | 05 |
Street Address |
3930 S BROADWAY |
City | SAINT LOUIS |
State | MO |
Zip Code | 63118-4626 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 63118 |
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 |
---|---|---|---|---|
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 |
City | SAINT LOUIS |
Zip Code | 63118 |
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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.