ERIK P THYSSEN


Address: Specialists In Gastroenterology, 11525 Olde Cabin Road, Creve Coeur, MO 63141
Phone: 3149970554

ERIK P THYSSEN (NPI# 1750495099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750495099
Entity Type Individual
Full Name ERIK P THYSSEN
Credential MD
Practice Address Specialists In Gastroenterology
11525 Olde Cabin Road
Creve Coeur
MO 63141
Mailing Address 11525 Olde Cabin Rd
Creve Coeur
MO 63141-7146
Practice Telephone 3149970554
Practice Fax Number 3149975086
Mailing Telephone 3149970554
Mailing Fax Number 3149975086
Enumeration Date 2006-08-17
Last Update Date 2008-04-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
MDR3P63 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO MEDICARE LEGACY 003012657 01
UHC 1059638 01
GHP 43076 01
RAILROAD MEDICARE 100008440 01
HEALTHLINK 211593 01
BLUE CROSS/BLUE SHIELD 107244 01
MO 203703103 05
AETNA 4288200 01

Office Location

Street Address SPECIALISTS IN GASTROENTEROLOGY
11525 OLDE CABIN ROAD
City CREVE COEUR
State MO
Zip Code 63141

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679102842 Noor Ramadan Pharmacist 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 2020-04-08
1497381206 Washington University Durable Medical Equipment & Medical Supplies 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 2020-03-13
1154956498 Ashleigh Clendenny Physician Assistant Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 2020-03-06
1801429410 Emili Lou Haley Registered Nurse 650 Maryville Drive, St Louis, MO 63141 2020-02-21
1629553110 Rebecca Kathleen Pike Social Worker West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 2018-10-01
1649756099 River City Sedation Associates, LLC Nurse Anesthetist, Certified Registered 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 2018-07-18
1205333952 Ear Care and Hearing of St. Louis Hearing Aid Equipment 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 2018-04-10
1659897486 Erin Goodman Physical Therapist 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 2017-08-14
1093230450 Center for Urologic Surgery LLC Clinic/Center 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 2017-08-07
1871016105 Jacob Farley Tanner Specialist/Technologist 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 2017-07-19
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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669523270 Specialist In Gastroenterology Internal Medicine 11525 Olde Cabin Rd, Creve Coeur, MO 63141-7146 2007-01-12
1467566703 Leonard B Weinstock Internal Medicine 11525 Olde Cabin Rd, Creve Coeur, MO 63141-7146 2006-08-17
1447266432 Janet Todorczuk Internal Medicine 11525 Olde Cabin Rd, Creve Coeur, MO 63141-7146 2006-07-31
1417982760 Steven E Fern Internal Medicine 11525 Olde Cabin Rd, Creve Coeur, MO 63141-7146 2006-07-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1316589708 Gastroenterology of The Four States,llc Internal Medicine 2024 S Maiden Ln Ste 204, Joplin, MO 64804-0319 2019-10-17
1013414317 Digestive Consultants LLC Internal Medicine 222 S Woods Mill Rd Ste 410, Chesterfield, MO 63017 2018-04-12
1184038788 Prianka Radhika Chilukuri Internal Medicine 3635 Vista Avenue, Fdt 9 South, St. Louis, MO 63110 2014-06-12
1871911149 Sean Doran Internal Medicine 2521 Glenn Hendren Dr Ste 408, Liberty, MO 64068-3388 2014-04-02
1215359484 Advanced Gastroenterology & Colon Cancer Screening Center LLC Internal Medicine 763 S New Ballas Rd # 265, Saint Louis, MO 63141-8704 2014-01-07
1689014276 Antonio Ricardo Cheesman Rocca Internal Medicine 1225 S Grand Blvd Fl 3, Saint Louis, MO 63104-1016 2013-06-27
1578805610 Paul Edmond St. Romain Internal Medicine 2115 S Fremont Ave Ste 3300, Springfield, MO 65804-2246 2013-03-26
1114285947 Samuel Wieland Schowengerdt Internal Medicine 5330 N Oak Trfy Ste 102, Kansas City, MO 64118 2012-04-30
1720346729 Kayci Renee Huff-hardy Internal Medicine 621 S New Ballas Rd Ste 437a, Saint Louis, MO 63141-8259 2012-04-26
1649542713 Robert Earl Stufflebam Internal Medicine 3895 E Pond Apple Dr, Springfield, MO 65809-3752 2012-02-03
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Competitor

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City CREVE COEUR
Zip Code 63141

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Dataset Information

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.

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