DR. DOUGLAS M TOLLEFSEN (NPI# 1679599815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679599815 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS M TOLLEFSEN |
| Credential | MD |
| Practice Address |
4921 Parkview Pl Fl 7 7th Fl Saint Louis MO 63110-1032 |
| Mailing Address |
660 S Euclid Ave C B 8125 Saint Louis MO 63110-1010 |
| Practice Telephone | 3143628808 |
| Practice Fax Number | 3143628826 |
| Mailing Telephone | 3143628808 |
| Mailing Fax Number | 3143628826 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2018-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0000X |
Internal Medicine Specialization: Hematology |
R9558 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 201385101 | 05 | |
| IL | ENROLLED | 05 |
| Street Address |
4921 PARKVIEW PL FL 7 7TH FL |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-1032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043292246 | Peter Westervelt | Internal Medicine | 4921 Parkview Pl Fl 7, 7th Fl, Saint Louis, MO 63110-1032 | 2005-11-15 |
| 1801318951 | Jennifer Spann | Nurse Practitioner | 4921 Parkview Pl Fl 7, 7th Fl, Saint Louis, MO 63110-1032 | 2017-07-11 |
| 1528594355 | Melissa J Edwards | Nurse Practitioner | 4921 Parkview Pl Fl 7, 7th Fl, Saint Louis, MO 63110-1032 | 2017-05-11 |
| 1013452424 | Christin Alyce Simpson | Nurse Practitioner | 4921 Parkview Pl Fl 7, 7th Fl, Saint Louis, MO 63110-1032 | 2016-12-21 |
| 1447709365 | Sarah N Abaricia | Nurse Practitioner | 4921 Parkview Pl Fl 7, 7th Fl, Saint Louis, MO 63110-1032 | 2016-10-04 |
| 1942755574 | Katherine Anne Navo | Nurse Practitioner | 4921 Parkview Pl Fl 7, 7th Fl, Saint Louis, MO 63110-1032 | 2016-08-24 |
| 1568916880 | Hailey Rosenthal Hunter | Nurse Practitioner | 4921 Parkview Pl Fl 7, 7th Fl, Saint Louis, MO 63110-1032 | 2016-08-04 |
| 1912450792 | Rachel Lillian Sanger | Nurse Practitioner | 4921 Parkview Pl Fl 7, 7th Fl, Saint Louis, MO 63110-1032 | 2016-07-28 |
| 1164872131 | Jenna Kristin Williams | Nurse Practitioner | 4921 Parkview Pl Fl 7, 7th Fl, Saint Louis, MO 63110-1032 | 2016-06-20 |
| 1649624792 | Kate Marie Townsend | Nurse Practitioner | 4921 Parkview Pl Fl 7, 7th Fl, Saint Louis, MO 63110-1032 | 2016-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| 1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
| 1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
| 1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
| 1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
| 1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
| Find all providers in zip 63110 | ||||
| Taxonomy Code | 207RH0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology |
| An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831331990 | Amy Wei Wei Zhou | Internal Medicine | 4901 Forest Park Ave Ste 7b, Ste 7b, Saint Louis, MO 63108-1402 | 2009-04-03 |
| 1891946349 | Mercy Clinic St. Louis Cancer and Breast Institute, LLC | Internal Medicine | 621 S New Ballas Rd Ste 260a, Saint Louis, MO 63141-8256 | 2008-10-02 |
| 1558665844 | Sana Saif Ur Rehman | Internal Medicine | 4921 Parkview Pl, Floor 7 Suite B, Saint Louis, MO 63110 | 2010-12-31 |
| 1528252483 | Kristen Marie Sanfilippo | Internal Medicine | 4921 Parkview Pl Ste 7b, Ste 7b, Saint Louis, MO 63110-1032 | 2007-09-04 |
| 1841494358 | Stephen T Oh | Internal Medicine | 4921 Parkview Pl Ste 7a, Ste 7a, Saint Louis, MO 63110-1032 | 2007-06-11 |
| 1689692493 | Katherine P Ponder | Internal Medicine | 4921 Parkview Pl, 7th Floor, Saint Louis, MO 63110-1032 | 2006-07-18 |
| 1912924473 | Gregory D Longmore | Internal Medicine | 4921 Parkview Pl, 7th Floor, Saint Louis, MO 63110-1032 | 2006-07-17 |
| 1891713301 | Stuart A Kornfeld | Internal Medicine | 4921 Parkview Pl, 7th Floor, Saint Louis, MO 63110-1032 | 2006-07-17 |
| 1285651711 | J Evan Sadler | Internal Medicine | 4921 Parkview Pl Fl 7, 7th Fl, Saint Louis, MO 63110-1032 | 2006-07-17 |
| 1457377764 | Charles S Eby | Internal Medicine | 216 S Kingshighway Blvd, Saint Louis, MO 63110-1026 | 2006-07-14 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63110 |
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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.