DR. HISHAM Z TAHER (NPI# 1689824468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689824468 |
| Entity Type | Individual |
| Full Name | DR. HISHAM Z TAHER |
| Credential | M.D. |
| Practice Address |
12700 Southfork Rd Saint Louis MO 63128-3201 |
| Mailing Address |
12700 Southfork Rd Ste 270 Saint Louis MO 63128-3201 |
| Practice Telephone | 3148926565 |
| Practice Fax Number | 3148924828 |
| Mailing Telephone | 3148926565 |
| Mailing Fax Number | 3148924828 |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2017-03-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 40876 | IA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 003414 | GA | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
2016010309 | MO | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
40876 | IA | Allopathic & Osteopathic Physicians |
| Street Address |
12700 SOUTHFORK RD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63128-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043214778 | Nancy P Bierman Birner | Internal Medicine | 12700 Southfork Rd, Ste 215, Saint Louis, MO 63128-3201 | 2005-06-10 |
| 1588026421 | St. Anthony's Physician Organization | Internal Medicine | 12700 Southfork Rd, Ste 200/220, Saint Louis, MO 63128-3201 | 2016-03-21 |
| 1437515202 | Rebecca Heimburger | Nurse Practitioner | 12700 Southfork Rd, Ste 230, Saint Louis, MO 63128-3201 | 2016-01-11 |
| 1841660792 | Kelly Ann Wilkens | Nurse Practitioner | 12700 Southfork Rd, Ste 200, Saint Louis, MO 63128-3201 | 2015-10-05 |
| 1346631819 | St. Anthony's Physician Organization | Obstetrics & Gynecology | 12700 Southfork Rd, Ste 230, Saint Louis, MO 63128-3201 | 2015-02-05 |
| 1245641968 | St. Anthony's Physician Organization | Internal Medicine | 12700 Southfork Rd, Ste 270, Saint Louis, MO 63128-3201 | 2014-05-15 |
| 1801218300 | St. Anthony's Physician Organization | Surgery | 12700 Southfork Rd, Suite 255, Saint Louis, MO 63128-3201 | 2014-01-17 |
| 1982952560 | Swati Patolia | Internal Medicine | 12700 Southfork Rd, Ste 200 & 220, Saint Louis, MO 63128-3201 | 2012-08-29 |
| 1780945022 | St Anthony's Physician Organization Private Practices, Lc | Audiologist | 12700 Southfork Rd, Suite 255, Saint Louis, MO 63128-3201 | 2012-06-04 |
| 1932491263 | St Anthony's Physician Organization Specialty Services LLC | Assisted Living Facility | 12700 Southfork Rd, Suite 105, Saint Louis, MO 63128-3201 | 2011-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
| 1326504655 | Nikodem Dental Holdings | Dentist | 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 | 2019-02-12 |
| 1932678505 | Michelle Anne Arvidson | Physical Therapy Assistant | Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2018-11-13 |
| 1245726710 | Kristen Rider | Nurse Practitioner | 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 | 2018-07-07 |
| 1306217427 | Sophia Bednarski | Dentist | 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2015-10-15 |
| 1427434224 | Darcie Burrus | Counselor | 12523 Old Tesson Rd G, St Louis, MO 63128 | 2015-08-04 |
| 1710368584 | Sara Hawatmeh | Internal Medicine | 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 | 2015-06-17 |
| 1871989590 | Celia Grace Montes-kolence | Speech-Language Pathologist | 12335 W Bend Drive, Saint Louis, MO 63128 | 2015-04-09 |
| 1245629302 | Marius Antonio Evans | Dentist | 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 | 2015-01-13 |
| 1801230313 | Sarah Elizabeth Walsh | Emergency Medicine | 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 | 2013-04-26 |
| Find all providers in zip 63128 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1851807291 | David Terry Curiel | Internal Medicine | 4950 Childrens Pl Ste 10130, Saint Louis, MO 63110-1000 | 2017-12-21 |
| 1366698573 | Steven Weintraub | Internal Medicine | 4475 W Pine Blvd, 1102, Saint Louis, MO 63108-2358 | 2008-08-07 |
| 1437377918 | Midwest Acute Care Consultants PC | Internal Medicine | 777 S New Ballas Rd Ste 219w, Saint Louis, MO 63141-8717 | 2007-04-23 |
| 1972727436 | Midwest Acute Care Consultants, PC | Internal Medicine | 3844 S Lindbergh Blvd Ste 220, Saint Louis, MO 63127-1369 | 2007-04-13 |
| 1790701910 | Martin L Mayse | Internal Medicine | 4960 Childrens Pl, Saint Louis, MO 63110-1000 | 2006-07-14 |
| 1073546107 | Madhu Satya Bajaj | Internal Medicine | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141 | 2006-07-09 |
| 1194799783 | Andrea Loiselle | Internal Medicine | 4921 Parkview Pl Ste 8a8b, Ste 8a/8b, Saint Louis, MO 63110-1032 | 2006-02-13 |
| 1285607341 | Warren Isakow | Internal Medicine | 4921 Parkview Pl Ste 8b, Ste 8b, Saint Louis, MO 63110-1032 | 2006-02-09 |
| 1447221379 | Thomas Spence | Internal Medicine | 3009 N Ballas Rd Ste 315a, Saint Louis, MO 63131-2324 | 2006-01-30 |
| 1831160761 | Anthony S Shen | Internal Medicine | 3009 N Ballas Rd Suite 315a, Saint Louis, MO 63195-2485 | 2006-01-30 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63128 |
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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.