DR. ANUBHA MUTNEJA (NPI# 1811208267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811208267 |
| Entity Type | Individual |
| Full Name | DR. ANUBHA MUTNEJA |
| Credential | MD |
| Practice Address |
5201 Mid America Plz Ste 2300 Saint Louis MO 63129-0002 |
| Mailing Address |
660 S Euclid Ave Cb 8126 Saint Louis MO 63110-1010 |
| Practice Telephone | 3143627603 |
| Practice Fax Number | 3147475213 |
| Mailing Telephone | 3143627603 |
| Mailing Fax Number | 3147475213 |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2020-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
2018041664 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 200071622 | 05 |
| Street Address |
5201 MID AMERICA PLZ STE 2300 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63129-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346208394 | Nicole Marie Ducharme | Internal Medicine | 5201 Mid America Plz, Saint Louis, MO 63129-0002 | 2006-05-01 |
| 1780180497 | John Lucas Runde | Specialist/Technologist | 5201 Mid America Plz, Saint Louis, MO 63129-0002 | 2018-04-02 |
| 1699290122 | Kristen Caroline Kemper | Nurse Practitioner | 5201 Mid America Plz, Ste 1500, Saint Louis, MO 63129-0002 | 2017-08-05 |
| 1750817342 | Anna M Guimbarda | Occupational Therapist | 5201 Mid America Plz, Suite 2600, Saint Louis, MO 63129-0002 | 2017-05-03 |
| 1700230646 | Prorehab PC | Physical Therapist | 5201 Mid America Plz, Suite 2600, Saint Louis, MO 63129-0002 | 2016-04-18 |
| 1649631425 | Washington University | Durable Medical Equipment & Medical Supplies | 5201 Mid America Plz, Suite 1500, Saint Louis, MO 63129-0002 | 2016-03-08 |
| 1902265994 | Washington University | Clinic/Center | 5201 Mid America Plz, Suite 2200, Saint Louis, MO 63129-0002 | 2016-02-18 |
| 1831469188 | Patricia R Gorenc | Physician Assistant | 5201 Mid America Plz, Ste 1500, Saint Louis, MO 63129-0002 | 2012-01-04 |
| 1194013086 | Angela Joann Demetrulias | Optometrist | 5201 Mid America Plz, Saint Louis, MO 63129-0002 | 2011-07-13 |
| 1275561086 | Steven A Lauter | Internal Medicine | 5201 Mid America Plz, Saint Louis, MO 63129-0002 | 2006-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447730742 | Total Access Urgent Care, PC | Clinic/Center | 4400 Telegraph Road, 4400 Telegraph Road, St. Louis, MO 63129 | 2018-08-16 |
| 1679061808 | Susan Swyers Grogan | Occupational Therapist | 2806 Flamewood Drive, St. Louis, MO 63129 | 2018-04-24 |
| 1376073981 | Eric Piatchek | Specialist/Technologist | 2661 Bluff Ridge Drive, St. Louis, MO 63129 | 2017-06-15 |
| 1033647144 | Keona E Smith | Nurse Practitioner | 7334 Lindbergh Blvd, Ballwin, MO 63129 | 2017-06-02 |
| 1588036966 | Sarah Michelle Corry | Occupational Therapist | 5043 Telegraph Rd, St Louis, MO 63129 | 2015-10-26 |
| 1598169120 | Vivian Carr | Counselor | 5266 Sir Bors Drive, St. Louis, MO 63129 | 2014-10-10 |
| 1982044327 | Andrew Michael Bryant | Family Medicine | 4280 Mid America Lane, Saint Louis, MO 63129 | 2013-06-30 |
| 1306185533 | John Alexander Miller | Registered Nurse | 4220 Robert Koch Hospital Rd, Saint Louis, MO 63129 | 2013-02-07 |
| 1346597457 | Pain and Performance Relief LLC | Physical Medicine & Rehabilitation | 4175 Crescent Dr Ste A, Saint Louis, MO 63129 | 2012-08-08 |
| 1366721516 | Teresa Lyn Bitter | Speech-Language Pathologist | 7325 Summerview Manor Lane, St. Louis, MO 63129 | 2011-08-05 |
| Find all providers in zip 63129 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1033649819 | Taewoo Lee | Internal Medicine | 3635 Vista Ave Saint Louis University Medical Center, Division of Nephrology, Saint Louis, MO 63110 | 2017-06-14 |
| 1780058727 | St Louis Kidney Care LLC | Internal Medicine | 11155 Dunn Rd Ste 211n, Saint Louis, MO 63136-6166 | 2015-11-13 |
| 1184056830 | Ralph Robert Hatlelid | Internal Medicine | 318 E Swon Ave, Saint Louis, MO 63119-3112 | 2013-08-05 |
| 1497000194 | Siddiq Anwar | Internal Medicine | 660 S Euclid Ave # 8129, Renal Fellowship Program, Saint Louis, MO 63110-1010 | 2012-07-18 |
| 1588764724 | Douglass Takashi Domoto | Internal Medicine | 2606 Clark Ave, Saint Louis, MO 63103-2502 | 2006-09-25 |
| 1699708016 | Bhajanlal S Dara | Internal Medicine | 10160 W Florissant Ave, Suite 200, Saint Louis, MO 63136-2104 | 2006-07-09 |
| 1962432807 | Guner Buyukkus Gulmen | Internal Medicine | 100 N Euclid Ave, Suite 800, Saint Louis, MO 63108-1529 | 2006-07-04 |
| 1710920947 | Rajalakshmi T Gopalakrishnan | Internal Medicine | 915, North Grand Boulevard, Saint Louis, MO 63106 | 2006-06-14 |
| 1457348286 | Kira S Mailey | Internal Medicine | 18 Chapel Hill Est, Saint Louis, MO 63131-1315 | 2005-10-06 |
| 1376166066 | Nhs South LLC | Internal Medicine | 10004 Kennerly Rd, Saint Louis, MO 63128-2141 | 2020-05-28 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63129 |
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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.