JEFFERSON CARDIOVASCULAR AND THORACIC SERVICES (NPI# 1679836381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679836381 |
| Entity Type | Organization |
| Organization Name | JEFFERSON CARDIOVASCULAR AND THORACIC SERVICES |
| Practice Address |
1390 Us Highway 61 Suite 3301 Festus MO 63028-4137 |
| Practice Telephone | 6369316302 |
| Practice Fax Number | 6369335055 |
| Mailing Telephone | 6369316302 |
| Mailing Fax Number | 6369335055 |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2012-06-18 |
| Authorized Official Name | MR. DANIEL STEVE ECKENFELS (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6369331107 |
| Is Organization Subpart | Y |
| Parent Organization Name | JEFFERSON REGIONAL MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
1390 US HIGHWAY 61 SUITE 3301 |
| City | FESTUS |
| State | MO |
| Zip Code | 63028-4137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427037936 | Christopher M Speidel | Internal Medicine | 1390 Us Highway 61, Ste 2300, Festus, MO 63028-4137 | 2006-01-12 |
| 1891348694 | Elizabeth Al Bayati | Nurse Practitioner | 1390 Us Highway 61, Festus, MO 63028-4137 | 2019-07-20 |
| 1336568864 | Mercy Clinic Hyperbaric and Wound Care LLC | Surgery | 1390 Us Highway 61, Festus, MO 63028-4137 | 2014-04-11 |
| 1407288053 | Patrice Marlene Burnett | Nurse Practitioner | 1390 Us Highway 61, Suite N1000, Festus, MO 63028-4137 | 2013-08-06 |
| 1083957047 | Robert Tilley Md LLC | Internal Medicine | 1390 Us Highway 61, Suite 2300, Festus, MO 63028-4137 | 2013-03-28 |
| 1578816583 | Karen Lee Pfitzinger | Nurse Practitioner | 1390 Us Highway 61, Suite 3300, Festus, MO 63028-4137 | 2012-10-16 |
| 1063674513 | Julie Phillips Weber | Surgery | 1390 Us Highway 61, Ste G1500, Festus, MO 63028-4137 | 2008-06-26 |
| 1841496387 | Kenneth R Kilian Md PC | Family Medicine | 1390 Us Highway 61, Suite 2200, Festus, MO 63028-4137 | 2007-06-22 |
| 1154523959 | Nawras Makhsida | Internal Medicine | 1390 Us Highway 61, Suite 2100, Festus, MO 63028-4137 | 2007-06-04 |
| 1316065972 | Synergy Ent Specialists, PC | Specialist | 1390 Us Highway 61, Suite 3100, Festus, MO 63028-4137 | 2007-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952943268 | Lauryn E Morris | Occupational Therapist | 3657 Baptist Park Rd, Mapaville, MO 63028 | 2019-10-09 |
| 1912557547 | Rena Robinson | Technician | 150 Brandon Wallace Way Suite 1014, Suite 1014, Festus, MO 63028 | 2019-09-16 |
| 1780232264 | Cynthia L James | Technician | 110 Juliet Place, Festus, MO 63028 | 2019-08-28 |
| 1700377009 | Akr Endodontics, LLC | Dentist | 1431 Us Hwy 61, Festus, MO 63028 | 2018-05-22 |
| 1962869990 | Fatma Esen Antakli | Nurse Practitioner | Advanced Pain Centers 190 Industrial Drive, Festus, MO 63028 | 2016-01-21 |
| 1083088744 | Megan Schomer | Counselor | 2675 Meyer Rd, Festus, MO 63028 | 2015-11-18 |
| 1043608144 | Elka Follmer | Physical Therapist | 1349 Us Hwy 61, Festus, MO 63028 | 2014-12-26 |
| 1811394729 | Ashley Schwendeman | Physical Therapist | 1403 N. Truman Blvd, Fesuts, MO 63028 | 2014-11-21 |
| 1073871257 | Staurla Chantel Waun | Counselor | 10719 Buckeye Rd, Festus, MO 63028 | 2012-04-25 |
| 1639444086 | Jeffrey Steitz | Otolaryngology | 1390 Us Highway 61 Ste 3100, Festus, MO 63028 | 2012-03-19 |
| Find all providers in zip 63028 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1689128019 | Midwest Heart Institute | Internal Medicine | 1439 Us Highway 61, Ste A, Festus, MO 63028-4153 | 2016-08-15 |
| 1134237332 | Manzoor Ahmad Tariq | Internal Medicine | 1071 Airport Road, Festus, MO 63028 | 2006-08-28 |
| 1285683888 | Osler Jay Justo Guzon | Internal Medicine | 1439 Us Hwy 61 Ste A, Festus, MO 63028 | 2006-05-09 |
| 1427037936 | Christopher M Speidel | Internal Medicine | 1390 Us Highway 61, Ste 2300, Festus, MO 63028-4137 | 2006-01-12 |
| 1386636868 | Souheil H Khoukaz | Internal Medicine | 1390 Highway 61 South, Suite 3300, Festus, MO 63028 | 2005-08-19 |
| 1205476223 | Mid-america Heart and Vascular, LLC | Internal Medicine | 1439 Us Highway 61 Ste A, Festus, MO 63028-4154 | 2020-01-07 |
| 1558610121 | Guzon Cardiovascular, LLC | Internal Medicine | 170 Industrial Dr, Suite 105, Festus, MO 63028-4106 | 2012-08-29 |
| 1235382755 | Midwest Cardiovascular, Inc. | Internal Medicine | 170 Industrial Dr, Ste 105, Festus, MO 63028-4133 | 2008-10-28 |
| 1558563767 | Jung H. Lee, Inc | Internal Medicine | 170 Industrial Dr, Suite 105, Festus, MO 63028-4106 | 2007-06-01 |
| 1508808635 | Andre P Bouhasin | Internal Medicine | 1439 Us Highway 61 Ste A, Festus, MO 63028-4154 | 2006-06-12 |
| Find all providers in FESTUS | ||||
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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.