SUSY ALIAS (NPI# 1750332680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750332680 |
| Entity Type | Individual |
| Full Name | SUSY ALIAS |
| Other Name | DR. SUSY ALIAS |
| Credential | MD |
| Practice Address |
1 Jefferson Barracks Dr Jefferson Barracks, Va Saint Louis MO 63125-4181 |
| Mailing Address |
1 Jb Drive Jefferson Barracks St, Louis MO 63125 |
| Practice Telephone | 3148946629 |
| Practice Fax Number | 3148455077 |
| Mailing Telephone | 3148946629 |
| Mailing Fax Number | 3148455077 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 204D00000X | Neuromusculoskeletal Medicine & OMM | R9895 | MO | Allopathic & Osteopathic Physicians |
| X | 208100000X | Physical Medicine & Rehabilitation | R9895 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | PHYSICIAN | NONE | 01 |
| Street Address |
1 JEFFERSON BARRACKS DR JEFFERSON BARRACKS, VA |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63125-4181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366444291 | Myra Therese Belgeri | Pharmacist | 1 Jefferson Barracks Dr, Saint Louis, MO 63125-4181 | 2005-08-11 |
| 1215541420 | Edward Cole Mckeown | Physical Therapist | 1 Jefferson Barracks Dr, Saint Louis, MO 63125-4181 | 2020-09-04 |
| 1326660325 | Selena D Saulsbery | Nutritionist | 1 Jefferson Barracks Dr, Saint Louis, MO 63125-4181 | 2020-05-12 |
| 1093351439 | Adam Manahan | Occupational Therapist | 1 Jefferson Barracks Dr, Saint Louis, MO 63125-4181 | 2019-11-20 |
| 1699317131 | Cassidy Woods | Speech-Language Pathologist | 1 Jefferson Barracks Dr, Saint Louis, MO 63125-4181 | 2019-10-16 |
| 1164077624 | Lindsey Poe | Psychologist | 1 Jefferson Barracks Dr, Saint Louis, MO 63125-4181 | 2019-08-01 |
| 1508418039 | Matthew Joseph Knieper | Chiropractor | 1 Jefferson Barracks Dr, Saint Louis, MO 63125-4181 | 2019-07-15 |
| 1841850484 | Perri Julia Grabow Navarro | Psychologist | 1 Jefferson Barracks Dr, Saint Louis, MO 63125-4181 | 2019-06-17 |
| 1770142978 | Claire Reeves | Speech-Language Pathologist | 1 Jefferson Barracks Dr, Saint Louis, MO 63125-4181 | 2019-06-11 |
| 1699331983 | Amanda Mullins | Pharmacist | 1 Jefferson Barracks Dr, Saint Louis, MO 63125-4181 | 2019-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396396990 | Linda Marie Monken | Technician | 3792 Southern Manor, St. Louis, MO 63125 | 2019-09-25 |
| 1194373688 | Angel Angelette Rochelle Ellington | Technician | Va St Louis Spinal Cord Injury Unit, 1 Jefferson Barracks Drive 128/jb, St Louis, MO 63125 | 2019-08-28 |
| 1760940209 | Lea-ed Inc | Community Based Residential Treatment Facility, Mental Illness | 30 Sherman Road, Lemay, MO 63125 | 2019-03-04 |
| 1861957185 | Mary M Ross | Occupational Therapist | Sherbrooke Village, 4005 Ripa Ave, St. Louis, MO 63125 | 2019-02-01 |
| 1013400977 | Anne Henry Francis | Dietitian, Registered | Va St. Louis Health Care System, 1 Jefferson Barracks Drive, St. Louis, MO 63125 | 2018-06-14 |
| 1922458660 | Rebecca Mae Waugh | Skilled Nursing Facility | 1001 Holy Grail Ct, Saint Louis, MO 63125 | 2016-06-14 |
| 1942661814 | Dsk Works LLC | Chiropractor | 3193 Lemay Ferry Rd., Saint Louis, MO 63125 | 2016-03-18 |
| 1467717678 | Despine Louise Coulis | Pediatrics | 7545 S Lindbergh Blvd Ste 220, Saint Louis, MO 63125 | 2012-07-13 |
| 1184914194 | Allison Celeste Cassidy | Pharmacist | 3901 Lemay Ferry Road, Saint Louis, MO 63125 | 2011-04-11 |
| 1093049694 | Lauren C Mensie | Psychologist | 1 Jefferson Barracks Dr., 116b/jb St. Louis Va Medical Center, St. Louis, MO 63125 | 2009-09-29 |
| Find all providers in zip 63125 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003254491 | David Frey Mendelson | Neuromusculoskeletal Medicine & OMM | 7906 Kingsbury Blvd, Saint Louis, MO 63105-3824 | 2013-06-07 |
| 1629078985 | Thomas Morgan Hyers | Neuromusculoskeletal Medicine & OMM | 522 N New Ballas Rd, Suite 350, Saint Louis, MO 63141-6857 | 2005-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811540347 | Ying Wang | Neuromusculoskeletal Medicine & OMM | 1516 S Osteopathy Ave Apt 3, Kirksville, MO 63501-1739 | 2019-07-23 |
| 1831459940 | Martin Jan Pryor | Neuromusculoskeletal Medicine & OMM | 315 S. Osteopathy Street, Attn: Gme, Kirksville, MO 63501-0491 | 2012-05-22 |
| 1912286592 | Amir Dori | Neuromusculoskeletal Medicine & OMM | 7530 Oxford Dr, Clayton, MO 63105-2808 | 2011-08-12 |
| 1609019736 | Steven Lee Funk | Neuromusculoskeletal Medicine & OMM | 509 E Harrison St, Kirksville, MO 63501-3141 | 2009-04-20 |
| 1629117742 | Rajiv L Yadava | Neuromusculoskeletal Medicine & OMM | 2355 Dougherty Ferry Rd Ste 320, St Louis, MO 63122-3325 | 2007-02-05 |
| 1457440513 | Kenneth A Zaremski | Neuromusculoskeletal Medicine & OMM | 2340 E Meyer Blvd Ste 200, Kansas City, MO 64132-1121 | 2006-10-12 |
| 1689776148 | Michael Gerald Knapp | Neuromusculoskeletal Medicine & OMM | 601 S Schifferdecker Ave, Joplin, MO 64801-3320 | 2006-09-03 |
| 1225141641 | Jay Brian Danto | Neuromusculoskeletal Medicine & OMM | 2901 Saint Johns Blvd, Joplin, MO 64804-1598 | 2006-08-17 |
| 1083643100 | Osteopathic Medical Arts, LLC | Neuromusculoskeletal Medicine & OMM | 27176 St Hwy 6 E, Kirksville, MO 63501 | 2006-07-01 |
| 1497738785 | Victoria L Allen | Neuromusculoskeletal Medicine & OMM | 2117 Bentley Plz, Fenton, MO 63026-2124 | 2005-11-21 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS |
| Zip Code | 63125 |
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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.