MIDWEST LITHOTRIPSY, LLC (NPI# 1831198639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831198639 |
| Entity Type | Organization |
| Organization Name | MIDWEST LITHOTRIPSY, LLC |
| Practice Address |
1 Barnes Jewish Hospital Plz Mail Stop 90-52-343 Saint Louis MO 63110-1003 |
| Mailing Address |
12166 Old Big Bend Rd Suite 110 Saint Louis MO 63122-6844 |
| Practice Telephone | 3148351549 |
| Practice Fax Number | 3148350069 |
| Mailing Telephone | 3148351549 |
| Mailing Fax Number | 3148350069 |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KIM R SKRAINKA (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3148351549 |
| Authorized Official Credential | MHA, MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers |
| Street Address |
1 BARNES JEWISH HOSPITAL PLZ MAIL STOP 90-52-343 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801898010 | Jessica R Doiron | Nurse Practitioner | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2005-06-01 |
| 1295335966 | Tracy Novak | Nurse Practitioner | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-10-30 |
| 1437759545 | Michelle Nicole Rutter | Nurse Practitioner | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-10-28 |
| 1861092108 | John Michael Luker | Nurse Practitioner | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-10-27 |
| 1396344289 | Jordana Culanculan | Nurse Practitioner | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-10-21 |
| 1871192799 | Harold Anthony Tatum Jr. | Student in an Organized Health Care Education/Training Program | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-10-21 |
| 1245839323 | Michelle Juengling | Nurse Practitioner | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-10-20 |
| 1962018382 | Adeel Haq | Radiology | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-09-21 |
| 1568077568 | Joseph Daniel Balassi | Nurse Anesthetist, Certified Registered | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-09-15 |
| 1053924464 | Melissa Lee Prewitt | Nurse Practitioner | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-08-25 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 63110 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881240349 | Jerry Lee Long Jr. | Durable Medical Equipment & Medical Supplies | 6654 Bitteroot Ln, Saint Louis, MO 63134-1451 | 2019-08-12 |
| 1417252602 | Medcuro Manufacturing, LLC | Durable Medical Equipment & Medical Supplies | 9959 Lin Ferry Dr, Saint Louis, MO 63123-6913 | 2011-01-19 |
| 1184885188 | James Allen Cohen | Durable Medical Equipment & Medical Supplies | 99 Lake Forest Dr, Saint Louis, MO 63117-1361 | 2008-06-23 |
| 1013102334 | Kreg Therapeutics, Inc. | Durable Medical Equipment & Medical Supplies | 11040 Lin Valle Dr, Suite E, Saint Louis, MO 63123-7210 | 2007-09-10 |
| 1235329616 | Sourceone Medical Inc | Durable Medical Equipment & Medical Supplies | 1872 Craigshire Rd, Saint Louis, MO 63146-4006 | 2007-07-31 |
| 1013136720 | United Access LLC | Durable Medical Equipment & Medical Supplies | 9389 Natural Bridge Rd, Saint Louis, MO 63134-3145 | 2007-04-24 |
| 1689673493 | Midwest Stone Institute | Durable Medical Equipment & Medical Supplies | 12166 Old Big Bend Rd Ste 110, Saint Louis, MO 63122-6836 | 2005-07-14 |
| 1407852577 | Support Surfaces, Inc | Durable Medical Equipment & Medical Supplies | 10770 Midwest Industrial Blvd, Saint Louis, MO 63132-1610 | 2005-06-23 |
| 1447788823 | Custom Medical Solutions Inc | Durable Medical Equipment & Medical Supplies | 10770 Midwest Industrial Blvd, Saint Louis, MO 63132-1610 | 2017-05-30 |
| 1053850909 | Wolken Dental D D S P C | Durable Medical Equipment & Medical Supplies | 8888 Ladue Rd, Saint Louis, MO 63124-2056 | 2017-02-13 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63110 |
Please comment or provide details below to improve the information on MIDWEST LITHOTRIPSY, LLC.
| 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.