SUSAN E MYERS (NPI# 1861507220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861507220 |
| Entity Type | Individual |
| Full Name | SUSAN E MYERS |
| Credential | MD |
| Practice Address |
1465 S Grand Blvd St. Louis MO 63104-1003 |
| Mailing Address |
1465 S Grand Blvd Saint Louis MO 63104-1003 |
| Practice Telephone | 3142684010 |
| Practice Fax Number | 3142686448 |
| Mailing Telephone | 3142684010 |
| Mailing Fax Number | 3142686448 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2019-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
104538 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902283666 | Susan Myers | Registered Nurse | 9888 Kent Ave Ne, Hartville, OH 44632-8752 | 2015-05-01 |
| 1821360561 | Susan Myers | Occupational Therapy Assistant | 16280 72nd Rd N, Loxahatchee, FL 33470-3107 | 2012-01-26 |
| 1861713299 | Susan Myers | Speech-Language Pathologist | 3999 Number Nine Rd, Cazenovia, NY 13035-9475 | 2010-06-21 |
| 1801077409 | Susan Michele Myers | Counselor | 2076 Main St Unit 4, Ferndale, WA 98248-9468 | 2007-11-26 |
| 1699981027 | Susan Marie Myers | Specialist | 109 Northampton Dr, Hampton, VA 23666-2012 | 2007-05-15 |
| 1134251499 | Susan Marie Myers | Pharmacist | 2571 Cherry Ridge Dr, Fremont, OH 43420-9120 | 2007-03-12 |
| 1225118870 | Susan Myers | Psychiatry & Neurology | 161 Magnolia Square Ct, Aberdeen, NC 28315-2225 | 2006-10-17 |
| 1912959958 | Susan Marie Myers | Chiropractor | 15294 Liberty St, San Leandro, CA 94578-2029 | 2006-05-17 |
| 1366433294 | Susan Ellen Myers | Nurse Practitioner | 3 Charleston Center Dr, Charleston County Health Clinic, Charleston, SC 29401-1162 | 2005-10-31 |
| 1265087621 | Susan Myers | Pharmacist | 324 W Agency Rd, West Burlington, IA 52655-1674 | 2019-08-02 |
| Street Address |
1465 S GRAND BLVD |
| City | ST. LOUIS |
| State | MO |
| Zip Code | 63104-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033115589 | Shulamit Menashe Portnoy | Pediatrics | 1465 S Grand Blvd, St. Louis, MO 63104-1003 | 2005-06-21 |
| 1982959433 | Anya Jennifer Freedman | Pediatrics | 1465 S Grand Blvd, St. Louis, MO 63104-1003 | 2012-07-20 |
| 1508125295 | Neal Russell Hartman | Emergency Medicine | 1465 S Grand Blvd, St. Louis, MO 63104-1003 | 2012-05-15 |
| 1275820359 | Joseph George Maliakkal | Pediatrics | 1465 S Grand Blvd, St. Louis, MO 63104-1003 | 2011-07-08 |
| 1043500416 | Lauren Rhae Draper | Pediatrics | 1465 S Grand Blvd, Department of Pediatrics Division of Heme/onc, St. Louis, MO 63104 | 2011-04-19 |
| 1043500507 | Debra H Zand | Psychologist | 1465 S Grand Blvd, St. Louis, MO 63104-1003 | 2011-04-18 |
| 1548569734 | Elisa Rachel Pincus | Pediatrics | 1465 S Grand Blvd, St. Louis, MO 63104-1003 | 2011-03-28 |
| 1265747596 | Dhiren Ranchhodbhai Patel | Pediatrics | 1465 S Grand Blvd, St. Louis, MO 63104-1003 | 2010-08-11 |
| 1346404191 | Justin B Josephsen | Pediatrics | 1465 S Grand Blvd, St. Louis, MO 63104-1003 | 2008-07-10 |
| 1043471477 | Rocio Del Carmen Zeballos-chavez | Internal Medicine | 1465 S Grand Blvd, St. Louis, MO 63104-1003 | 2008-06-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407469570 | Family Care Health Centers | Clinic/Center | 2717 Sidney Street, St. Louis, MO 63104 | 2020-08-28 |
| 1023638038 | Laura Ann Humphrey | Physician Assistant | Allied Health Building 3437 Caroline Street, Room 3015, Saint Louis, MO 63104 | 2020-04-20 |
| 1174187264 | Ahsan Ali | Student in an Organized Health Care Education/Training Program | 1438 South Grand Blvd, Monteleone Hall, St. Louis, MO 63104 | 2019-04-24 |
| 1205359916 | Brenda Eve Ladin | Behavior Technician | 1221 Allen Market Lane Rear, St. Louis, MO 63104 | 2017-07-25 |
| 1841722063 | Gustavo G Mendez | Student in an Organized Health Care Education/Training Program | 1465 South Grand Bulevard Rm 2717, Ssm Health Cardinal Glennon Children's Hospital, Saint Louis, MO 63104 | 2017-03-28 |
| 1053776716 | Carmella Harper | Respiratory Therapist, Certified | 2678 Park Ave, St Louis, MO 63104 | 2015-12-23 |
| 1922485986 | Alexander Tremont | Internal Medicine | 1402 S Grand Blvd Rm M260, Saint Louis, MO 63104 | 2015-04-29 |
| 1306233341 | Healthcare R Us | Home Health | 2859 Sidney St, St Louis, MO 63104 | 2015-04-16 |
| 1396159091 | Daniela Hermelin | Pathology | 1402 South Grane, St. Louis, MO 63104 | 2014-06-20 |
| 1992117881 | Kelly Denise Durbin | Social Worker | 1920 S 7th St, Saint Louis, MO 63104 | 2014-05-27 |
| Find all providers in zip 63104 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013195122 | Margaret Kathleen Siska | Pediatrics | 1465 S Grand Blvd, St. Louis, MO 63104-1003 | 2008-01-31 |
| 1396850749 | Sherida E Tollefsen | Pediatrics | 1465 S Grand, St. Louis, MO 63104 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558909564 | Lester E Cox Medical Centers | Pediatrics | 1011 E Montclair St, Springfield, MO 65807-5075 | 2019-12-20 |
| 1710320775 | Sonalee Jaya Ravi | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2013-04-09 |
| 1386905768 | Jennifer Walters Boyd | Pediatrics | 2401 Gillham Rd, Endocrinology, Kansas City, MO 64108 | 2012-06-02 |
| 1912264789 | Sarah Jane Lenihan Tsai | Pediatrics | 2401 Gillham Rd, Children's Mercy Hospital, Division of Endocrinology, Kansas City, MO 64108-4619 | 2012-04-18 |
| 1609183284 | Pratibha Rana | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108 | 2010-09-02 |
| 1083843346 | Kiran S Choudhry | Pediatrics | 402 N Keene St, Ste 101, Columbia, MO 65201-6986 | 2009-07-08 |
| 1114114691 | Childrens Endocrine Care of St. Louis, LLC | Pediatrics | 621 S New Ballas Rd, Suite 3002 B, Creve Coeur, MO 63141-8232 | 2007-09-28 |
| 1932393105 | Julia Rodica Broussard | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2007-08-30 |
| 1588857817 | Yun Yan | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2007-08-21 |
| 1992902837 | Mark A Clements | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2007-07-02 |
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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.