DR. ROBERT LEE BUSHMAN (NPI# 1760748420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760748420 |
| Entity Type | Individual |
| Full Name | DR. ROBERT LEE BUSHMAN |
| Credential | D.P.M.,R.N. |
| Practice Address |
10016 Office Center Ave Suite 100 Saint Louis MO 63128-1468 |
| Practice Telephone | 3147200855 |
| Practice Fax Number | 3147354335 |
| Mailing Telephone | 3147200855 |
| Mailing Fax Number | 3147354335 |
| Enumeration Date | 2012-04-07 |
| Last Update Date | 2012-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 000373 | MO | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578561692 | Robert Edward Bushman | Dermatology | 8860 Center Dr, Ste 300, La Mesa, CA 91942-3068 | 2005-07-12 |
| Street Address |
10016 OFFICE CENTER AVE SUITE 100 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63128-1468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861738304 | Mobile Ultrasound LLC | Spec/Tech, Cardiovascular | 10016 Office Center Ave, Suite 100a, Saint Louis, MO 63128-1468 | 2013-01-02 |
| 1487907085 | Veronica L Nix Weston | Internal Medicine | 10016 Office Center Ave, Suite #100, Saint Louis, MO 63128-1468 | 2012-10-19 |
| 1992057566 | Lake Mi Mobile Doctors, P.C. | Family Medicine | 10016 Office Center Ave, Suite 100, Saint Louis, MO 63128-1468 | 2012-10-08 |
| 1962757989 | Talia Antionette Hyde-person | Podiatrist | 10016 Office Center Ave, Suite 100, Saint Louis, MO 63128-1468 | 2012-07-16 |
| 1063491595 | Nirmala S Mathew | Anesthesiology | 10016 Office Center Ave, Suite #100, Saint Louis, MO 63128-1468 | 2006-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
| 1326504655 | Nikodem Dental Holdings | Dentist | 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 | 2019-02-12 |
| 1932678505 | Michelle Anne Arvidson | Physical Therapy Assistant | Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2018-11-13 |
| 1245726710 | Kristen Rider | Nurse Practitioner | 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 | 2018-07-07 |
| 1306217427 | Sophia Bednarski | Dentist | 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2015-10-15 |
| 1427434224 | Darcie Burrus | Counselor | 12523 Old Tesson Rd G, St Louis, MO 63128 | 2015-08-04 |
| 1710368584 | Sara Hawatmeh | Internal Medicine | 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 | 2015-06-17 |
| 1871989590 | Celia Grace Montes-kolence | Speech-Language Pathologist | 12335 W Bend Drive, Saint Louis, MO 63128 | 2015-04-09 |
| 1245629302 | Marius Antonio Evans | Dentist | 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 | 2015-01-13 |
| 1801230313 | Sarah Elizabeth Walsh | Emergency Medicine | 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 | 2013-04-26 |
| Find all providers in zip 63128 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972069359 | Dr Jeffrey Brooks PC | Podiatrist | 618 N New Ballas Rd Apt 409, Saint Louis, MO 63141-6767 | 2019-02-11 |
| 1619448453 | S Thomas Sehy D P M L L C | Podiatrist | 6651 Chippewa St Ste 316, Saint Louis, MO 63109-2532 | 2018-12-05 |
| 1902339104 | Jay J Moradia | Podiatrist | 621 S New Ballas Rd Ste 7005b, Saint Louis, MO 63141-8275 | 2017-04-05 |
| 1003152273 | Foot Healers Holdings - St. Louis, LLC | Podiatrist | 8534 Eager Rd, Saint Louis, MO 63144-1435 | 2012-12-17 |
| 1831481910 | Arch Podiatry LLC | Podiatrist | 2228 Hickory St, Saint Louis, MO 63104-2417 | 2011-05-09 |
| 1679887855 | Meghan Marie Arnold | Podiatrist | 621 S New Ballas Rd Ste 6011b, Saint Louis, MO 63141-8274 | 2010-07-30 |
| 1194961953 | North Side Foot Clinic P.C. | Podiatrist | 4451 Natural Bridge Ave, Suite 104, Saint Louis, MO 63115-2628 | 2008-12-29 |
| 1164573812 | Dave Quang Pham | Podiatrist | 2506 Pocahontas Pl, Saint Louis, MO 63144-2108 | 2007-01-16 |
| 1154426195 | Michael D Weiss Dpm and Associates, LLC | Podiatrist | 969 N Mason Rd Ste 180, Saint Louis, MO 63141-6338 | 2006-09-14 |
| 1528176625 | Terrance John Mueller | Podiatrist | 5427 Telegraph Rd, Saint Louis, MO 63129-3555 | 2006-08-28 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63128 |
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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.