AMAL F ANTOUN (NPI# 1750310439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750310439 |
Entity Type | Individual |
Full Name | AMAL F ANTOUN |
Other Name | AMAL F GHALY |
Credential | M.D. |
Practice Address |
1717 Biddle St Saint Louis MO 63106-3454 |
Mailing Address |
Po Box 551 Saint Louis MO 63188-0551 |
Practice Telephone | 3148148531 |
Practice Fax Number | 3148148542 |
Mailing Telephone | 3148148531 |
Mailing Fax Number | 3148148542 |
Enumeration Date | 2006-07-03 |
Last Update Date | 2017-05-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
MO 36283 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 201719820 | 05 |
Street Address |
1717 BIDDLE ST |
City | SAINT LOUIS |
State | MO |
Zip Code | 63106-3454 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588660641 | Yolette V Brown | Pediatrics | 1717 Biddle St, Saint Louis, MO 63106-3454 | 2005-06-23 |
1245837038 | Steven Hernandez | Dentist | 1717 Biddle St, Saint Louis, MO 63106-3454 | 2020-10-05 |
1174185805 | Annie Marie Baro | Dentist | 1717 Biddle St, Saint Louis, MO 63106-3454 | 2019-07-02 |
1598325086 | Kristen D Beatty | Social Worker | 1717 Biddle St, Saint Louis, MO 63106-3454 | 2019-06-17 |
1952882631 | Emily D Harms | Social Worker | 1717 Biddle St, Saint Louis, MO 63106-3454 | 2018-08-22 |
1326540196 | Sonia Louise Deal | Registered Nurse | 1717 Biddle St, Saint Louis, MO 63106-3454 | 2018-03-07 |
1295259877 | Kourosh Nakhaei | Dentist | 1717 Biddle St, Saint Louis, MO 63106-3454 | 2017-07-26 |
1124482799 | Patrick Schoenwalder | Physician Assistant | 1717 Biddle St, Saint Louis, MO 63106-3454 | 2016-04-11 |
1306217401 | Tritobia Jones | Social Worker | 1717 Biddle St, Saint Louis, MO 63106-3454 | 2015-10-14 |
1255719530 | Mahamaya Bhattacharyya | Psychiatry & Neurology | 1717 Biddle St, Saint Louis, MO 63106-3454 | 2015-05-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770027997 | Superior Manor of Downtown LLC | Assisted Living Facility | 1501 Clinton St., St Louis, MO 63106 | 2016-12-07 |
1811361454 | James Preston Jr. | Pharmacist | 915 N. Grand Vlvd, Pharmacy Dept., John Cochran Va Medical Center, Saint Louis, MO 63106 | 2015-11-19 |
1245656354 | Julie Marie Albsmeyer | Physician Assistant | 915 North Grand 111-jc-gi, John Cochran Va Hospital, St. Louis, MO 63106 | 2014-03-13 |
1932523230 | Cathy Yeung | Registered Nurse | 715 N Grand Blvd., St Louis, MO 63106 | 2014-02-07 |
1902149388 | Amanda Foley | Doula | 4056 Humphrey Street, Saint Louis, MO 63106 | 2013-04-03 |
1942569876 | Cornelia Charles | Internal Medicine | 915 Norh Grand Blvd, Saint Louis, MO 63106 | 2012-05-12 |
1124334396 | Kasandra Ann Tinajero | Registered Nurse | 915 N. Grand Blvd., St. Louis, MO 63106 | 2010-08-26 |
1366673931 | Cassandra Vernetta Talbert | Social Worker | 915 N. Grand., 122/jc Social Work Dept. V.a. Medical Center, St. Louis, MO 63106 | 2009-07-30 |
1497910707 | Robert Louis Tillman | Pharmacy Technician | 915 N Grand Ave, St. Louis, MO 63106 | 2008-07-25 |
1861676686 | Bradley Dean Overmeyer | Social Worker | 915 N Grand Blvd., Social Work Service, St. Louis, MO 63106 | 2007-12-28 |
Find all providers in zip 63106 |
Taxonomy Code | 2080A0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Adolescent Medicine |
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114048154 | Affton Medical Clinic | Pediatrics | 59 Grasso Plz, Saint Louis, MO 63123-3107 | 2007-04-03 |
1932328796 | St Louis University | Pediatrics | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2007-04-24 |
1760556708 | Ariane E May | Pediatrics | 4055 Lindell Blvd, Saint Louis, MO 63108-3201 | 2006-11-20 |
1518030097 | Jill M. Baer | Pediatrics | 3009 N Ballas Rd, Suite 257-c, Saint Louis, MO 63131-2322 | 2006-11-15 |
1801999768 | Joyce D Johnson | Pediatrics | 6744 Clayton Rd, Saint Louis, MO 63117-1637 | 2006-09-06 |
1730295759 | Joseph Prusaczyk | Pediatrics | 13035 Olive Blvd, Saint Louis, MO 63141-6173 | 2006-08-22 |
1649292780 | Sarah Ann Tycast | Pediatrics | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2006-07-25 |
1528081544 | Lynn K White | Pediatrics | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2006-07-25 |
1023036746 | Maryjo Hernandez-zipfel | Pediatrics | 4055 Lindell Blvd, Saint Louis, MO 63108-3201 | 2006-07-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366670796 | Fernando Fernandez, M. D. PC | Pediatrics | 2750 Clay Edwards Dr Ste 320, North Kansas City, MO 64116-3259 | 2009-06-24 |
1073733069 | Kelly Jo Meier | Pediatrics | 2719 E 32nd St, Joplin, MO 64804-3131 | 2007-05-01 |
1851417794 | Shari L Smith | Pediatrics | 200 Castle Drive, Joplin, MO 64804-9115 | 2007-03-22 |
1811076763 | Nedra Diann Twillie | Pediatrics | 415 Burkarth Rd Ste D, Warrensburg, MO 64093-3101 | 2006-11-03 |
1740209162 | Nancy Elizabeth Holmes | Pediatrics | 8888 Ladue Road, Suite 130, St. Louis, MO 63124 | 2006-07-18 |
1194770883 | Ann A Gassman | Pediatrics | 503 N Scott Ave, Belton, MO 64012-1730 | 2006-05-23 |
1841299161 | Bryson Roy Mchardy Jr. | Pediatrics | 100 Medical Dr, Hannibal, MO 63401-6877 | 2005-07-19 |
1245239797 | Jeffrey Paul Yannette | Pediatrics | 821 Sw Lemans Lane, Lees Summit, MO 64082 | 2005-07-18 |
1679570618 | Carolyn Ann Ellsworth | Pediatrics | 312 N Kentucky St, West Plains, MO 65775-2073 | 2005-07-06 |
1528064102 | Joseph William Stafford Jr. | Pediatrics | 312 N Kentucky Ave, West Plains, MO 65775-2073 | 2005-06-28 |
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City | SAINT LOUIS |
Zip Code | 63106 |
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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.