FEDERICO J JIMENEZ JR. (NPI# 1750327250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750327250 |
| Entity Type | Individual |
| Full Name | FEDERICO J JIMENEZ JR. |
| Credential | M.D. |
| Practice Address |
2345 Dougherty Ferry Rd Saint Louis MO 63122-3313 |
| Practice Telephone | 3148215850 |
| Mailing Telephone | 3148215850 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2008-04-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
35897 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 201618121 | 05 |
| Street Address |
2345 DOUGHERTY FERRY RD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63122-3313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093706608 | John Moran | Nurse Anesthetist, Certified Registered | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 | 2005-11-02 |
| 1053938217 | Dina Helina | Family Medicine | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 | 2020-07-02 |
| 1457978876 | Nicholas Faron | Family Medicine | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 | 2020-07-01 |
| 1366069767 | Kayla Mae Thomason | Family Medicine | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 | 2020-07-01 |
| 1669092722 | Cardinal Cardiovascular Center LLC | Internal Medicine | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 | 2020-04-19 |
| 1144858523 | Shawn Khosla | Family Medicine | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 | 2020-03-31 |
| 1255992905 | Tyler Lyman Marler | Family Medicine | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 | 2019-06-24 |
| 1427619196 | Jacob Yankowitz | Family Medicine | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 | 2019-06-24 |
| 1639730328 | Monica Anne Unterreiner | Family Medicine | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 | 2019-06-24 |
| 1073174751 | Kimberly Schwarzkopf | Family Medicine | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 | 2019-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659933174 | Keela Rushing | Physical Therapist | 439 S Kirkwood Rd Ste 200, Kirkwood, MO 63122 | 2019-07-04 |
| 1730643461 | Kirkwood Family Dental | Dentist | 333 S Kirkwood Road, Suite 105, Kirkwood, MO 63122 | 2019-01-28 |
| 1477061166 | Total Access Urgent Care, PC | Clinic/Center | 2980 Dougherty Ferry Rd, Saint Louis, MO 63122 | 2018-01-16 |
| 1760933469 | Missouri Cvs Pharmacy, L.l.c | Durable Medical Equipment & Medical Supplies | 10820 Manchester Rd, Kirkwood, MO 63122 | 2016-10-18 |
| 1518321041 | M. Kathleen Blanchard | Counselor | 11042 Manchester Rd., Kirkwood, MO 63122 | 2016-04-11 |
| 1265801914 | Kim Grega | Counselor | 700 S Kirkwood Rd, Kirkwood, MO 63122 | 2015-09-23 |
| 1245617943 | Mark Edward Taylor | Dentist | 610 North Geyer, Kirkwood, MO 63122 | 2015-05-01 |
| 1467843094 | Mary Elizabeth Boomgarden | Physical Therapist | 9645 Big Bend Boulevard, Saint Louis, MO 63122 | 2015-02-18 |
| 1760725717 | Michael Diller Counseling | Counselor | 144 W Madison Avenue, Kirkwood, MO 63122 | 2013-03-28 |
| 1427309954 | Anne Marie Delaplain | Dentist | 725 Laclede Station Road, Webster Groves, MO 63122 | 2012-09-24 |
| Find all providers in zip 63122 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598700684 | Raana J Ponstingl | Emergency Medicine | 3635 Vista At Grand Boulevard, Saint Louis, MO 63110 | 2006-06-20 |
| 1104432640 | Complex Healthcare of Des Peres LLC | Emergency Medicine | 1032 Old Des Peres Rd, Saint Louis, MO 63131-1865 | 2020-09-21 |
| 1154703841 | Preston Mangum Gilbert | Emergency Medicine | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 | 2015-06-18 |
| 1497042055 | Linh Tuong Le | Emergency Medicine | 3635 Vista Ave, Saint Louis, MO 63110-2539 | 2011-07-05 |
| 1730342163 | Emergency Physicians of St. Louis, PC | Emergency Medicine | 10010 Kennerly Road, Saint Louis, MO 63128 | 2008-07-07 |
| 1306027909 | Chad Michael Ronholm | Emergency Medicine | 520 S Elm Ave, Saint Louis, MO 63119-3845 | 2007-11-25 |
| 1154432854 | Laura J Steines | Emergency Medicine | 400 S Kingshighway Blvd, Saint Louis, MO 63110-1014 | 2006-08-31 |
| 1659307437 | Joe V Baldwin | Emergency Medicine | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 | 2006-06-24 |
| 1578599254 | James R Mcadam | Emergency Medicine | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 | 2006-06-24 |
| 1649223561 | Annu A. Terkonda | Emergency Medicine | 3555 Sunset Office Dr, Ste. C, Saint Louis, MO 63127-1015 | 2006-05-19 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63122 |
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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.