LAURENCE J KINSELLA (NPI# 1770591646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770591646 |
Entity Type | Individual |
Full Name | LAURENCE J KINSELLA |
Credential | MD |
Practice Address |
3660 Vista St Louis MO 63110 |
Mailing Address |
Po Box 955534 Saint Louis MO 63195-5534 |
Practice Telephone | 3145778738 |
Practice Fax Number | 3142685101 |
Enumeration Date | 2006-08-04 |
Last Update Date | 2020-10-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
36709 | MO | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
1055 Bowles Ave Ste 200, Fenton, MO 630262308 | 6364963900 |
Street Address |
3660 VISTA |
City | ST LOUIS |
State | MO |
Zip Code | 63110 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548238397 | Rebecca Florence Wilkins | Physician Assistant | 3660 Vista, Ste 308, St Louis, MO 63110 | 2006-03-09 |
1386851012 | Mary Wells Moore | Social Worker | 3660 Vista, 105, St Louis, MO 63110-2540 | 2007-05-16 |
1659480242 | John M Richart | Internal Medicine | 3660 Vista, St Louis, MO 63110 | 2006-08-29 |
1063526978 | Donald J Kennedy | Internal Medicine | 3660 Vista, St Louis, MO 63110 | 2006-08-18 |
1235140864 | Kevin J Martin | Internal Medicine | 3660 Vista, St Louis, MO 63110 | 2006-08-10 |
1053322685 | Syed H Tariq | Internal Medicine | 3660 Vista, St Louis, MO 63110 | 2006-08-10 |
1851302418 | John E Morley | Internal Medicine | 3660 Vista, St Louis, MO 63110 | 2006-08-10 |
1417967969 | Stewart G Albert | Internal Medicine | 3660 Vista, St Louis, MO 63110 | 2006-08-08 |
1518975366 | Julie K Gammack | Internal Medicine | 3660 Vista, St Louis, MO 63110 | 2006-08-04 |
1023026804 | Chantri Trinh | Internal Medicine | 3660 Vista, St Louis, MO 63110 | 2006-08-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
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Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265454987 | Ksenija Kos | Psychiatry & Neurology | 621 S New Ballas Rd, Suite 5003 B, St Louis, MO 63141 | 2006-07-24 |
1124045703 | John B Selhorst | Psychiatry & Neurology | 3660 Vista, St Louis, MO 63110 | 2006-07-17 |
1710902515 | Ghazala Hayat | Psychiatry & Neurology | 3660 Vista, St Louis, MO 63110 | 2006-07-13 |
1750311395 | William R Logan | Psychiatry & Neurology | 621 S New Ballas Rd, Ste 5003-b, St Louis, MO 63141 | 2006-07-03 |
1770511271 | Kyeong Philip Lee | Psychiatry & Neurology | 621 S New Ballas Rd, Suite 5003 B, St Louis, MO 63141 | 2006-06-30 |
1497783997 | Barbara J Green | Psychiatry & Neurology | 621 S New Ballas Rd, Ste 5003-b, St Louis, MO 63141 | 2006-06-30 |
1184679128 | William Joseph Burke | Psychiatry & Neurology | 1 Jefferson Barracks Drive, 11g Jb Building 1 Room 2e23, St Louis, MO 63125-4199 | 2006-05-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528665957 | Green Ring LLC | Psychiatry & Neurology | 7611 State Line Rd Ste 130, Kansas City, MO 64114-1696 | 2020-10-08 |
1356962799 | Mindsmattersmd LLC | Psychiatry & Neurology | 3305 Clark Ln, Pmb 130, Columbia, MO 65202-2404 | 2020-04-27 |
1316441470 | Earl Randolph Hackett | Psychiatry & Neurology | 2517 S. Brentwood, Springfield, MO 65804-3201 | 2018-03-22 |
1225547722 | Nikita M Maniar | Psychiatry & Neurology | 2301 Holmes St Dept Of, Kansas City, MO 64108-2640 | 2017-09-27 |
1083065148 | Waleed Raheem Abood Abood | Psychiatry & Neurology | 1 Hospital Drive, Ste 507, Columbia, MO 65202 | 2016-06-29 |
1750764866 | Jeffrey Calvin | Psychiatry & Neurology | 621 S New Ballas Rd Ste 6005b, Saint Louis, MO 63141-8273 | 2015-07-07 |
1871975672 | Byungkwan Hwang | Psychiatry & Neurology | 1605 Martin Springs Dr Ste 310, Rolla, MO 65401-2996 | 2015-06-29 |
1255747119 | Leah Brancheck | Psychiatry & Neurology | 111 Saint Lukes Center Dr Ste 20b, Chesterfield, MO 63017-3509 | 2014-07-10 |
1144648221 | Hala Samman | Psychiatry & Neurology | 1050 W 10th St Ste 350, Rolla, MO 65401-2905 | 2014-04-04 |
1710326939 | Emily Louise Evans | Psychiatry & Neurology | 1176 Town and Country Commons Dr, Chesterfield, MO 63017 | 2013-06-20 |
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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.