TATYANA PETROSOVA, M.D.P.C. (NPI# 1699001958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699001958 |
| Entity Type | Organization |
| Organization Name | TATYANA PETROSOVA, M.D.P.C. |
| Practice Address |
6 Jungermann Cir Suite 215 Saint Peters MO 63376-1621 |
| Practice Telephone | 6369280123 |
| Practice Fax Number | 6369280129 |
| Mailing Telephone | 6369280123 |
| Mailing Fax Number | 6369280129 |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2009-10-21 |
| Authorized Official Name | DR. TATYANA PETROSOVA (PRESIDENT) |
| Authorized Official Telephone | 6369280123 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | TATYANA PETROSOVA, M.D.P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| Street Address |
6 JUNGERMANN CIR SUITE 215 |
| City | SAINT PETERS |
| State | MO |
| Zip Code | 63376-1621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194716688 | Mark S Wald | Internal Medicine | 6 Jungermann Cir, Suite 210, Saint Peters, MO 63376-1621 | 2005-11-02 |
| 1639423742 | Bjsph Physician Billing Services, LLC | Clinic/Center | 6 Jungermann Cir, Suite 205, Saint Peters, MO 63376-1621 | 2012-10-29 |
| 1821245457 | Subbarao Polineni, M.d. PC | Orthopaedic Surgery | 6 Jungermann Cir, Ste 107, Saint Peters, MO 63376-1621 | 2008-08-26 |
| 1487801635 | Laura Wagner, Inc | Specialist | 6 Jungermann Cir, Suite 211, Saint Peters, MO 63376-1621 | 2008-08-19 |
| 1114193083 | Jennifer L Keen | Nurse Practitioner | 6 Jungermann Cir, Suite 209, Saint Peters, MO 63376-1621 | 2008-05-01 |
| 1255522819 | Respiratory Disease Consultants, LLC | Internal Medicine | 6 Jungermann Cir, Suite 121, Saint Peters, MO 63376-1621 | 2007-08-07 |
| 1396945168 | St. Charles Nephrology | Internal Medicine | 6 Jungermann Cir, Suite 215, Saint Peters, MO 63376-1621 | 2007-07-20 |
| 1629132519 | Josephine May Kelly | Psychologist | 6 Jungermann Cir, Suite 203, Saint Peters, MO 63376-1621 | 2006-12-22 |
| 1093878258 | Ron Javdan | Internal Medicine | 6 Jungermann Cir, Suite 203, Saint Peters, MO 63376-1621 | 2006-12-19 |
| 1578630638 | William F Sill | Family Medicine | 6 Jungermann Cir, 108, Saint Peters, MO 63376-1621 | 2006-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275047946 | Nicholas Christian Schultz | Dentist | 100 Piper Hill Dr Ste A, Saint Peters, MO 63376 | 2017-11-16 |
| 1982120093 | Carol Weber | Speech-Language Pathologist | 166 Boone Hills Dr., St Peters, MO 63376 | 2017-08-21 |
| 1619424744 | Forefront Dermatology, S.c. | Dermatology | 5700 Mexico Rd, Suite 14, Saint Peters, MO 63376 | 2016-09-07 |
| 1508310632 | Preferred Family Healthcare, Inc. | Counselor | 2120 Parkway Dr, Saint Peters, MO 63376 | 2016-08-05 |
| 1598130676 | Delta Center Personal Attendant Services | In Home Supportive Care | 3833 Mcclay, Suite 61, St. Peters, MO 63376 | 2015-12-01 |
| 1427420314 | Barbara Marlene Edelman | Counselor | 1286 Jungerman Rd. Suite G, St. Peters, MO 63376 | 2015-10-30 |
| 1255740247 | Claire Williams | Dentist | 340 Mid Rivers Mall Drive, Suite E, St. Peters, MO 63376 | 2014-08-05 |
| 1184042855 | Keith Wickenhauser | Internal Medicine | 201 Bjc Saint Peters Dr Ste 100, Saint Peters, MO 63376 | 2014-03-31 |
| 1821415233 | Abby Link | Physician Assistant | 107 Piper Parkway, #150, St. Peters, MO 63376 | 2014-03-24 |
| 1225452105 | Ashley Gagel | Physical Therapist | 7055 Mexico Rd Suite 1601, St. Peters, MO 63376 | 2014-02-12 |
| Find all providers in zip 63376 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1205303948 | Caitlin Amanda Petry | Internal Medicine | 70 Jungermann Cir, Saint Peters, MO 63376-1622 | 2018-10-31 |
| 1396945168 | St. Charles Nephrology | Internal Medicine | 6 Jungermann Cir, Suite 215, Saint Peters, MO 63376-1621 | 2007-07-20 |
| 1760442107 | Nephrology Medical Associates of Georgia LLC | Internal Medicine | 6 Jungermann Circle, Ste 215, Saint Peters, MO 63376-1626 | 2006-03-27 |
| 1366439283 | Gary G Singer | Internal Medicine | 70 Jungermann Cir, Suite 405, Saint Peters, MO 63376-1622 | 2005-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811549389 | Sana Hasan | Internal Medicine | Ce 422, One Hospital Drive University of Missouri, Columbia, MO 65212-0001 | 2019-07-15 |
| 1295291409 | Zeeshan Azeem | Internal Medicine | 1 Hospital Drive University Hospital, Columbia, MO 65212-0001 | 2019-02-12 |
| 1932614153 | Mohammad Walid Abuzeineh | Internal Medicine | 1 Hospital Drive Department of Nephrology, Columbia, MO 65211-0001 | 2017-12-11 |
| 1548788896 | Nephrology Care of St Louis | Internal Medicine | 224 S Woods Mill Rd Ste 460, Chesterfield, MO 63017-3513 | 2017-09-07 |
| 1033649819 | Taewoo Lee | Internal Medicine | 3635 Vista Ave Saint Louis University Medical Center, Division of Nephrology, Saint Louis, MO 63110 | 2017-06-14 |
| 1528502978 | Bill Lauderdale | Internal Medicine | 288 State Hwy Y, Forsyth, MO 65653-0010 | 2016-12-05 |
| 1780058727 | St Louis Kidney Care LLC | Internal Medicine | 11155 Dunn Rd Ste 211n, Saint Louis, MO 63136-6166 | 2015-11-13 |
| 1104239888 | Sadaf Sheikh | Internal Medicine | 222 S Woods Mill Rd Ste 750n, Chesterfield, MO 63017-3653 | 2014-06-10 |
| 1225441538 | Tomonori Alan Oyadomari | Internal Medicine | 1009 W Saint Maartens Dr Ste F, Saint Joseph, MO 64506-2990 | 2014-06-04 |
| 1184056830 | Ralph Robert Hatlelid | Internal Medicine | 318 E Swon Ave, Saint Louis, MO 63119-3112 | 2013-08-05 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PETERS |
| Zip Code | 63376 |
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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.