INFECTIOUS DISEASES PC (NPI# 1720055452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720055452 |
| Entity Type | Organization |
| Organization Name | INFECTIOUS DISEASES PC |
| Practice Address |
10004 Kennerly Road #171b St. Louis MO 63128 |
| Practice Telephone | 3148210900 |
| Practice Fax Number | 8005568932 |
| Mailing Telephone | 3148210900 |
| Mailing Fax Number | 8005568932 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2016-08-11 |
| Authorized Official Name | AAMINA B AKHTAR (PRESIDENT) |
| Authorized Official Telephone | 3148210900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 506049501 | 05 |
| Street Address |
10004 KENNERLY ROAD #171B |
| City | ST. LOUIS |
| State | MO |
| Zip Code | 63128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124095831 | Aamina B Akhtar | Internal Medicine | 10004 Kennerly Road, #171b, St. Louis, MO 63128 | 2006-03-01 |
| 1871689356 | Chadwick T Caudill | Obstetrics & Gynecology | 10004 Kennerly Road, Suite 350a, St. Louis, MO 63128 | 2006-10-04 |
| 1043305428 | St. Gerard Obstetrics and Gynecology, LLC | Obstetrics & Gynecology | 10004 Kennerly Road, Suite 386b, St. Louis, MO 63128 | 2006-10-03 |
| 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 | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 |
|---|---|---|---|---|
| 1124095831 | Aamina B Akhtar | Internal Medicine | 10004 Kennerly Road, #171b, St. Louis, MO 63128 | 2006-03-01 |
| 1750336202 | Ray William Burmeister | Internal Medicine | 13131 Tesson Ferry Rd, Suite 129, St. Louis, MO 63128-3855 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598242778 | Metro Infectious Disease Consultants, LLC | Internal Medicine | 2340 E Meyer Blvd Ste 348, Kansas City, MO 64132-1129 | 2018-07-20 |
| 1396284303 | Southwest Missouri Infectious Disease LLC | Internal Medicine | 2872 S Forrest Heights Ave, Springfield, MO 65809-3417 | 2017-02-23 |
| 1194125195 | West County Infectious Disease, LLC | Internal Medicine | 16918 Westridge Oaks Dr, Grover, MO 63040-1127 | 2014-08-26 |
| 1306188784 | Rachel T Weihe | Internal Medicine | 200 Ne 54th Street, Suite 111, Kansas City, MO 64118 | 2013-03-22 |
| 1588912448 | Idim | Internal Medicine | 1909 Larimer Trl, Wildwood, MO 63011-4801 | 2012-08-27 |
| 1548524218 | Blessy John | Internal Medicine | 2115 S Fremont Ave Ste 3050, Springfield, MO 65804-2236 | 2012-06-27 |
| 1346532769 | Malcolm Koldin | Internal Medicine | 13 Autumn Shores Ct, Maryland Heights, MO 63043-4913 | 2011-05-03 |
| 1528246071 | Rajashree Gottimukkula | Internal Medicine | 3691 Rutger St Ste 100, Drummond Hall, Saint Louis, MO 63110-2515 | 2008-02-07 |
| 1497943393 | West County Adult Medicine, LLC | Internal Medicine | 224 S Woods Mill Rd Ste 510s, Chesterfield, MO 63017-3611 | 2007-10-05 |
| 1881885044 | Getahun Abate | Internal Medicine | 1100 S. Grand Blvd., Drc-8th Floor, Saint Louis, MO 63104-3325 | 2007-08-05 |
| Find all providers with the same taxonomy | ||||
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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.