KENDALL A ITOKU (NPI# 1699870162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699870162 |
| Entity Type | Individual |
| Full Name | KENDALL A ITOKU |
| Credential | MD |
| Practice Address |
112 Piper Hill Dr Ste 12 Saint Peters MO 63376-1690 |
| Mailing Address |
224 S Woods Mill Rd Suite 510 S Chesterfield MO 63017-3451 |
| Practice Telephone | 6369399202 |
| Practice Fax Number | 6369399113 |
| Mailing Telephone | 3144346130 |
| Mailing Fax Number | 3144341277 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2008-05-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 100178 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | EXCLUSIVE CHOICE | 019205 | 01 |
| MO | HEALTHLINK | 171100 | 01 |
| MO | AETNA | 4233578 | 01 |
| MO | BLUE CROSS BLUE SHIELD | 16778 | 01 |
| MO | UNITED HEALTHCARE/MED COM | 1900050 | 01 |
| MO | 203292602 | 05 | |
| MO | ESSENCE | 10258 | 01 |
| MO | GHP/ADVANTRA/CMR | 26116 | 01 |
| MO | MERCY/PREMIER PLUS | F48545 | 01 |
| MO | RR MEDICARE | 340007349 | 01 |
| Street Address |
112 PIPER HILL DR STE 12 |
| City | SAINT PETERS |
| State | MO |
| Zip Code | 63376-1690 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528041696 | Laura C Horn | Emergency Medicine | 112 Piper Hill Dr, Suite 9, Saint Peters, MO 63376-1690 | 2005-11-22 |
| 1437603263 | Laura T Schmidt | Nurse Practitioner | 112 Piper Hill Dr, Suite 9, Saint Peters, MO 63376-1690 | 2016-08-10 |
| 1952783227 | Sarah R Lavy | Nurse Practitioner | 112 Piper Hill Dr, Ste 12, Saint Peters, MO 63376-1690 | 2015-06-23 |
| 1548663131 | Sarah Lohse | Specialist/Technologist | 112 Piper Hill Dr, Suite 2, Saint Peters, MO 63376-1690 | 2014-09-27 |
| 1780015701 | Matthew Anthony Pliske | Physician Assistant | 112 Piper Hill Dr, Suite 9, Saint Peters, MO 63376-1690 | 2013-12-01 |
| 1326335019 | Imaging Partners of St. Peters, LLC | Clinic/Center | 112 Piper Hill Dr, Suite 5, Saint Peters, MO 63376-1690 | 2011-07-01 |
| 1780978403 | Babar Enterprises LLC | Physical Therapist | 112 Piper Hill Dr, Suite 2, Saint Peters, MO 63376-1690 | 2011-05-31 |
| 1467602680 | Piper Spine Care, PC | Orthopaedic Surgery | 112 Piper Hill Dr, Ste 6, Saint Peters, MO 63376-1690 | 2008-09-24 |
| 1649479171 | Jeffrey W Wallace | Physician Assistant | 112 Piper Hill Dr, First Floor, Saint Peters, MO 63376-1690 | 2007-07-14 |
| 1225182157 | St Peters Bone & Joint Surgery Inc | Orthopaedic Surgery | 112 Piper Hill Dr, Suite 9, Saint Peters, MO 63376-1690 | 2007-01-22 |
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457672446 | Christopher D Jaeger | Urology | 112 Piper Hill Dr Ste 12, Saint Peters, MO 63376-1690 | 2010-06-14 |
| 1578829958 | Travis Dum | Urology | 112 Piper Hill Dr Ste 12, Saint Peters, MO 63376 | 2012-04-10 |
| 1497850937 | Joseph Levy | Urology | 112 Piper Hill Dr, Ste 12, Saint Peters, MO 63376-1690 | 2006-09-13 |
| 1871602573 | Ronan Y Lev | Urology | 112 Piper Hill Dr, Ste 12, Saint Peters, MO 63376-1690 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225699408 | Garth Sherman | Urology | 1 Hospital Dr # Mc301, Columbia, MO 65201-5276 | 2019-06-27 |
| 1902326622 | Alexander Anderson | Urology | 1 Hospital Drive University of Missouri Mc404, Columbia, MO 65212-0001 | 2017-06-23 |
| 1649633736 | Jack Campbell | Urology | 3101 Belinda Ct, Columbia, MO 65203-3848 | 2016-04-05 |
| 1962834390 | Midwest Urology Center, PC | Urology | 1905 W 32nd St Ste 302, Joplin, MO 64804-1512 | 2013-08-08 |
| 1932463940 | Brandi Dawn Miller | Urology | 1965 S Fremont Ave Ste 370, Springfield, MO 65804-2284 | 2012-06-25 |
| 1437412582 | Andrew T Blackburne | Urology | 11155 Dunn Rd Ste 309e, Saint Louis, MO 63136 | 2012-06-22 |
| 1699049395 | Harry L. Ellis | Urology | 5034 S Glenhaven Ave, Springfield, MO 65804-7804 | 2012-02-28 |
| 1083902852 | Gurdarshan S Sandhu | Urology | 607 South New Ballas Road, Suite 3100, Saint Louis, MO 63141 | 2011-07-14 |
| 1538486816 | Centerpoint Medical Specialists LLC | Urology | 725 Nw State Route 7, Suite C, Blue Springs, MO 64014-2426 | 2010-04-27 |
| 1295963783 | Bradley J Moore | Urology | 901 Heartland Road, Plaza 2 Suite 1800, St. Joseph, MO 64506 | 2009-06-23 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PETERS |
| Zip Code | 63376 |
Please comment or provide details below to improve the information on KENDALL A ITOKU.
| 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.