SAINT LOUIS UNIVERSITY (NPI# 1861611493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861611493 |
| Entity Type | Organization |
| Organization Name | SAINT LOUIS UNIVERSITY |
| Other Organization Name | SLUCARE |
| Practice Address |
3660 Vista Ave Saint Louis MO 63110-2540 |
| Mailing Address |
3691 Rutger St Saint Louis MO 63110-2515 |
| Practice Telephone | 3149776125 |
| Mailing Telephone | 3149776828 |
| Mailing Fax Number | 3149776777 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOHN SEAY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3149776828 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SLUCARE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215468491 | Saint Louis University | Student in an Organized Health Care Education/Training Program | 3660 Vista Ave, Saint Louis, MO 63110-2540 | 2017-03-21 |
| 1104377431 | Saint Louis University | Clinic/Center | 3320 Rutger St, Saint Louis, MO 63104-1122 | 2016-10-21 |
| 1710210281 | Saint Louis University | General Acute Care Hospital | 1402 S Grand Blvd, Saint Louis, MO 63104-1004 | 2009-09-15 |
| 1487819009 | Saint Louis University | General Acute Care Hospital | 3635 Vista Ave, Saint Louis, MO 63110-2539 | 2008-07-23 |
| 1265652515 | Saint Louis University | Urology | 3660 Vista Ave, Saint Louis, MO 63110-2540 | 2007-04-27 |
| 1558581801 | Saint Louis University | Surgery | 3660 Vista Ave, Saint Louis, MO 63110-2540 | 2007-04-27 |
| 1831317635 | Saint Louis University | Otolaryngology | 3660 Vista Ave, Saint Louis, MO 63110-2540 | 2007-04-24 |
| 1952520587 | Saint Louis University | Neurological Surgery | 3660 Vista Ave, Saint Louis, MO 63110-2540 | 2007-04-24 |
| 1467671057 | Saint Louis University | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3660 Vista Ave, Saint Louis, MO 63110-2540 | 2007-04-24 |
| Street Address |
3660 VISTA AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-2540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871582692 | Alan P K Wild | Otolaryngology | 3660 Vista Ave, Ste. 312, Saint Louis, MO 63110 | 2005-10-14 |
| 1922627207 | Emily Bayliss Worrall | Student in an Organized Health Care Education/Training Program | 3660 Vista Ave, Saint Louis, MO 63110-2540 | 2020-04-16 |
| 1508485988 | Jackson Jeffrey Meland | Student in an Organized Health Care Education/Training Program | 3660 Vista Ave, Saint Louis, MO 63110-2540 | 2020-04-15 |
| 1316566748 | Katherine Elizabeth Oberhelman | Student in an Organized Health Care Education/Training Program | 3660 Vista Ave, Saint Louis, MO 63110-2540 | 2020-04-15 |
| 1063031664 | Elizabeth Jane De Quetteville Robin | Student in an Organized Health Care Education/Training Program | 3660 Vista Ave, Saint Louis, MO 63110-2540 | 2020-04-14 |
| 1053930586 | Tim Brotherton Jr. | Student in an Organized Health Care Education/Training Program | 3660 Vista Ave, Saint Louis, MO 63110-2540 | 2020-04-14 |
| 1285253328 | Eugene Chiemeka Nwankwo Jr. | Student in an Organized Health Care Education/Training Program | 3660 Vista Ave, Saint Louis, MO 63110-2540 | 2020-04-09 |
| 1124647318 | Christian Hendrix | Student in an Organized Health Care Education/Training Program | 3660 Vista Ave, Saint Louis, MO 63110-2540 | 2020-04-08 |
| 1851920730 | Kellen J Smutz | Student in an Organized Health Care Education/Training Program | 3660 Vista Ave, Saint Louis, MO 63110-2540 | 2020-04-03 |
| 1487283172 | Abhinav Reddy | Student in an Organized Health Care Education/Training Program | 3660 Vista Ave, Saint Louis, MO 63110-2540 | 2020-04-03 |
| 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 | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649296948 | Patrick A Dillon | Surgery | 1 Childrens Pl Ste A, Ste A, Saint Louis, MO 63110-1002 | 2006-07-14 |
| 1386130102 | Pattamon Sutthatarn | Surgery | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2018-07-04 |
| 1336588326 | Nicole April Wilson | Surgery | 1 Childrens Pl, Saint Louis, MO 63110 | 2013-06-23 |
| 1740447200 | Gustavo Adolfo Villalona | Surgery | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2008-05-21 |
| 1669662714 | Kathryn Quitasol Bernabe | Surgery | 1 Childrens Pl, Ste A, Saint Louis, MO 63110-1002 | 2007-07-25 |
| 1710185392 | Jesse Daya Vrecenak | Surgery | 1 Childrens Pl Ste A, Ste A, Saint Louis, MO 63110-1002 | 2007-07-05 |
| 1417155383 | Colleen M. Fitzpatrick | Surgery | 1465 S Grand Blvd, Pediatric Surgery, Saint Louis, MO 63104-1003 | 2007-07-03 |
| 1366521551 | Thomas V Cradock | Surgery | 621 S New Ballas Rd, Suite 6018b, Saint Louis, MO 63141-8232 | 2006-11-06 |
| 1972682169 | Martin J Bell | Surgery | 621 S New Ballas Rd, Suite 6018b, Saint Louis, MO 63141-8232 | 2006-11-06 |
| 1457430969 | Charles E Coln | Surgery | 621 S New Ballas Rd, Suite 6018b, Saint Louis, MO 63141-8232 | 2006-11-03 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63110 |
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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.