DR. GARY M WASSERMAN (NPI# 1740382746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740382746 |
| Entity Type | Individual |
| Full Name | DR. GARY M WASSERMAN |
| Credential | MD |
| Practice Address |
1 Brookings Dr Saint Louis MO 63130-4862 |
| Mailing Address |
1201 Brookings Dr C B 1201 Saint Louis MO 63130 |
| Practice Telephone | 3149356666 |
| Practice Fax Number | 3149355781 |
| Mailing Telephone | 3149356666 |
| Mailing Fax Number | 3149355781 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2014-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | R7B90 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205876919 | Gary L. Wasserman | Optometrist | 13489 Walsingham Rd, Largo, FL 33774-3530 | 2006-06-08 |
| 1518049832 | Gary D Wasserman | Urology | 300 Grand Ave, Suite 202, Englewood, NJ 07631-4398 | 2006-10-19 |
| 1104811595 | Gary A Wasserman | Obstetrics & Gynecology | 150 Tarrytown Rd, Manchester, NH 03103-2713 | 2005-09-13 |
| Street Address |
1 BROOKINGS DR |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63130-4862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982699443 | Lisa R Ross | Internal Medicine | 1 Brookings Dr, Saint Louis, MO 63130-4862 | 2005-09-12 |
| 1558962746 | Melissa Showalter | Social Worker | 1 Brookings Dr, Saint Louis, MO 63130-4899 | 2020-11-04 |
| 1184235228 | Melissa Chapnick | Dietitian, Registered | 1 Brookings Dr, Saint Louis, MO 63130-4862 | 2020-08-12 |
| 1902364672 | Jill Marie Eaton | Registered Nurse | 1 Brookings Dr, Saint Louis, MO 63130-4862 | 2019-03-12 |
| 1356807010 | Kristin Miserocchi | Psychologist | 1 Brookings Dr, Saint Louis, MO 63130-4862 | 2019-02-18 |
| 1063999415 | Yujia Lei | Psychologist | 1 Brookings Dr, Saint Louis, MO 63130-4862 | 2018-07-27 |
| 1851899165 | Aditi Ahlawat | Psychologist | 1 Brookings Dr, Saint Louis, MO 63130-4862 | 2018-02-01 |
| 1124530266 | Marilyn S Hubert | Counselor | 1 Brookings Dr, Saint Louis, MO 63130-4862 | 2017-10-30 |
| 1780057810 | Timika S Edwards | Psychologist | 1 Brookings Dr, Saint Louis, MO 63130-4862 | 2015-11-11 |
| 1235507260 | Shannon Gartland | Counselor | 1 Brookings Dr, Saint Louis, MO 63130-4862 | 2015-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568008282 | Latrece Smith | Social Worker | 1270 North and South Road, St. Louis, MO 63130 | 2019-11-18 |
| 1134602576 | Hatfill & Boothe Corp | Chore Provider | 7819 Olive Blvd, St Louis, MO 63130 | 2018-09-12 |
| 1285152041 | Above and Beyond Home Health Cares Corporation | In Home Supportive Care | 7251 Olive, St Louis, MO 63130 | 2017-08-31 |
| 1780114918 | Deborah Ann Zorensky | Dietitian, Registered | 7649 Delmar Blvd., The Center for Mind, Body & Spirit, St. Louis, MO 63130 | 2017-06-20 |
| 1548612419 | Bella Home Care LLC | In Home Supportive Care | 8147 Delmar Blvd Ste 208, Saint Louis, MO 63130 | 2016-07-05 |
| 1225487341 | Daniel Shenderov | Chore Provider | 8127 Delmar Blvd #208, Saint Louis, MO 63130 | 2016-06-09 |
| 1497012322 | A Better Choice Homecare, Inc | In Home Supportive Care | 606 North and South Road, Suite 200, Saint Louis, MO 63130 | 2012-04-17 |
| 1306150958 | Lisa J. Mcdonald, Dmd, Inc. | Dentist | 7247 Delmar Boulevard, St Louis, MO 63130 | 2010-08-05 |
| 1114247939 | United Care Service LLC | Non-emergency Medical Transport (VAN) | 8147 Delmar Blvd. #2, St.louis, MO 63130 | 2010-06-03 |
| 1770759771 | Reynold's Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7460 Cornell Ave, Saint Louis, MO 63130 | 2008-04-30 |
| Find all providers in zip 63130 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568984367 | Gsh Lab LLC | Obstetrics & Gynecology | 621 S New Ballas Rd Ste 1017b, Saint Louis, MO 63141-8264 | 2017-07-13 |
| 1851825715 | Sydni Fazenbaker Crowell | Obstetrics & Gynecology | 621 S New Ballas Rd Ste 2009b, Saint Louis, MO 63141 | 2017-04-18 |
| 1962865170 | Zachary Keller | Obstetrics & Gynecology | 621 S New Ballas Rd Ste 499a, Saint Louis, MO 63141-8260 | 2016-04-04 |
| 1174985154 | Leah Hong | Obstetrics & Gynecology | 6420 Clayton Rd Ste 2800, Saint Louis, MO 63117-1811 | 2016-03-28 |
| 1972997088 | Jennifer E Powel | Obstetrics & Gynecology | 6420 Clayton Rd Ste 230-a, Saint Louis, MO 63117-1811 | 2015-03-26 |
| 1386068864 | Wcc 2, LLC | Obstetrics & Gynecology | 3023 N Ballas Rd Bldg D, Suite 120d, Saint Louis, MO 63131-2330 | 2014-02-05 |
| 1881987410 | Herman Taute | Obstetrics & Gynecology | 12040 Heatherdane Dr, Saint Louis, MO 63131-3119 | 2011-05-16 |
| 1174828198 | Frank Eugene Hunleth | Obstetrics & Gynecology | 5331 Donovan Ave, Saint Louis, MO 63109-2635 | 2011-01-22 |
| 1972804631 | Anastasios K Dagartzikas | Obstetrics & Gynecology | 12902 Tundra Ct, Saint Louis, MO 63131-1319 | 2010-11-11 |
| 1811227390 | Laurel D Fendrich | Obstetrics & Gynecology | 10010 Kennerly Rd Fl 4, Saint Louis, MO 63128 | 2010-01-06 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63130 |
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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.