PRAJAKTA MUNGIKAR (NPI# 1790109247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790109247 |
| Entity Type | Individual |
| Full Name | PRAJAKTA MUNGIKAR |
| Credential | MD |
| Practice Address |
201 Bjc Saint Peters Dr Ste 200 Saint Peters MO 63376 |
| Mailing Address |
201 Bjc Saint Peters Dr Ste 200 Saint Peters MO 63376-3386 |
| Practice Telephone | 6369169615 |
| Practice Fax Number | 6369169850 |
| Mailing Telephone | 6369169615 |
| Mailing Fax Number | 6369169850 |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2018-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 2017031878 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
201 BJC SAINT PETERS DR STE 200 |
| City | SAINT PETERS |
| State | MO |
| Zip Code | 63376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285627331 | Steven Michael Radel | Family Medicine | 201 Bjc Saint Peters Dr Ste 200, Saint Peters, MO 63376-3091 | 2005-08-24 |
| 1760954952 | Matthew David Telmer | Nurse Practitioner | 201 Bjc Saint Peters Dr Ste 200, Saint Peters, MO 63376-3386 | 2018-12-28 |
| 1659731529 | Mariah A Patton | Physician Assistant | 201 Bjc Saint Peters Dr Ste 200, Saint Peters, MO 63376-3386 | 2016-03-04 |
| 1831585942 | Crystal Renee Worsena | Psychiatry & Neurology | 201 Bjc Saint Peters Dr Ste 200, Saint Peters, MO 63376-3386 | 2015-04-15 |
| 1841636354 | Ngozidilenna Ada Wilkins | Family Medicine | 201 Bjc Saint Peters Dr Ste 200, Saint Peters, MO 63376-3386 | 2013-05-13 |
| 1235431198 | Samara Epps Mcelroy | Family Medicine | 201 Bjc Saint Peters Dr Ste 200, Saint Peters, MO 63376-3386 | 2010-11-29 |
| 1477878098 | Jennifer Lan-chi Nguyen | Internal Medicine | 201 Bjc Saint Peters Dr Ste 200, Saint Peters, MO 63376-3091 | 2010-04-07 |
| 1629118088 | Cindy Marie Fortado-clark | Family Medicine | 201 Bjc Saint Peters Dr Ste 200, Saint Peters, MO 63376-3091 | 2007-02-07 |
| 1184618415 | Anne Lyng Hibbard | Family Medicine | 201 Bjc Saint Peters Dr Ste 200, Saint Peters, MO 63376-3091 | 2005-09-01 |
| 1376536029 | F. Duane Turpin | Psychiatry & Neurology | 201 Bjc Saint Peters Dr Ste 200, Saint Peters, MO 63376-3386 | 2005-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275047946 | Nicholas Christian Schultz | Dentist | 100 Piper Hill Dr Ste A, Saint Peters, MO 63376 | 2017-11-16 |
| 1982120093 | Carol Weber | Speech-Language Pathologist | 166 Boone Hills Dr., St Peters, MO 63376 | 2017-08-21 |
| 1619424744 | Forefront Dermatology, S.c. | Dermatology | 5700 Mexico Rd, Suite 14, Saint Peters, MO 63376 | 2016-09-07 |
| 1508310632 | Preferred Family Healthcare, Inc. | Counselor | 2120 Parkway Dr, Saint Peters, MO 63376 | 2016-08-05 |
| 1598130676 | Delta Center Personal Attendant Services | In Home Supportive Care | 3833 Mcclay, Suite 61, St. Peters, MO 63376 | 2015-12-01 |
| 1427420314 | Barbara Marlene Edelman | Counselor | 1286 Jungerman Rd. Suite G, St. Peters, MO 63376 | 2015-10-30 |
| 1255740247 | Claire Williams | Dentist | 340 Mid Rivers Mall Drive, Suite E, St. Peters, MO 63376 | 2014-08-05 |
| 1184042855 | Keith Wickenhauser | Internal Medicine | 201 Bjc Saint Peters Dr Ste 100, Saint Peters, MO 63376 | 2014-03-31 |
| 1821415233 | Abby Link | Physician Assistant | 107 Piper Parkway, #150, St. Peters, MO 63376 | 2014-03-24 |
| 1225452105 | Ashley Gagel | Physical Therapist | 7055 Mexico Rd Suite 1601, St. Peters, MO 63376 | 2014-02-12 |
| Find all providers in zip 63376 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699385757 | Mark Steven Routburg | Internal Medicine | 509 Sgt Pepper Dr, Saint Peters, MO 63376-2441 | 2020-08-04 |
| 1184042855 | Keith Wickenhauser | Internal Medicine | 201 Bjc Saint Peters Dr Ste 100, Saint Peters, MO 63376 | 2014-03-31 |
| 1124164066 | Sandeep Hindupur | Internal Medicine | 10 Hospital Dr Ste 100, Saint Peters, MO 63376-1659 | 2007-01-29 |
| 1013973213 | Furqan F Raja | Internal Medicine | 70 Jungermann Circle, Suite 405, Saint Peters, MO 63376 | 2006-04-25 |
| 1275502049 | Timothy R. Smith | Internal Medicine | 3862 Mexico Rd, Saint Peters, MO 63303-3041 | 2006-03-15 |
| 1578531299 | Henrikas Irmantas Juknis | Internal Medicine | 6 Jungermann Cir Ste 215, Saint Peters, MO 63376-1626 | 2006-03-09 |
| 1356349609 | Kurt A Piening | Internal Medicine | 201 Bjc Saint Peters Dr, Suite 100, Saint Peters, MO 63376-3091 | 2005-07-11 |
| 1548730294 | Laura Raley | Internal Medicine | 408 Jungermann Rd, Saint Peters, MO 63376-2799 | 2018-11-26 |
| 1619483294 | Heritage Wellness Clinic LLC | Internal Medicine | 2730 S Saint Peters Pkwy, Saint Peters, MO 63303-5677 | 2017-12-19 |
| 1013310788 | Medical Essentials LLC | Internal Medicine | 2730 S Saint Peters Pkwy, Suite 203, Saint Peters, MO 63303-5677 | 2014-10-08 |
| Find all providers in SAINT PETERS | ||||
| City | SAINT PETERS |
| Zip Code | 63376 |
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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.