PRIMARY CARE INC. (NPI# 1912255753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912255753 |
| Entity Type | Organization |
| Organization Name | PRIMARY CARE INC. |
| Practice Address |
2315 Dougherty Ferry Rd Saint Louis MO 63122-3383 |
| Mailing Address |
3505 College Ave Alton IL 62002-5065 |
| Practice Telephone | 3149091920 |
| Practice Fax Number | 3149091980 |
| Mailing Telephone | 6184629695 |
| Mailing Fax Number | 6184629651 |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2012-08-28 |
| Authorized Official Name | FAIYAZ SULAIMAN (MANAGER) |
| Authorized Official Telephone | 9159260982 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 036115808 | IL | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | 2008026704 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
2315 DOUGHERTY FERRY RD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63122-3383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467450577 | Kirk E Flury | Internal Medicine | 2315 Dougherty Ferry Rd, Suite 205, Saint Louis, MO 63122-3383 | 2005-07-12 |
| 1366801524 | Brett Stuppy | Physical Therapist | 2315 Dougherty Ferry Rd, Suite 209, Saint Louis, MO 63122-3383 | 2016-02-16 |
| 1053799239 | Crhc Anesthesia LLC | Nurse Anesthetist, Certified Registered | 2315 Dougherty Ferry Rd, Saint Louis, MO 63122-3383 | 2015-05-08 |
| 1831594233 | Advanced Sight Center, Inc | Ophthalmology | 2315 Dougherty Ferry Rd, Saint Louis, MO 63122-3383 | 2014-10-28 |
| 1295177970 | Lauren E Vaughn | Physical Therapist | 2315 Dougherty Ferry Rd, Ste 209, Saint Louis, MO 63122-3383 | 2013-07-23 |
| 1487918215 | Texas Co Anesthesia LLC | Nurse Anesthetist, Certified Registered | 2315 Dougherty Ferry Rd, Suite 107, Saint Louis, MO 63122-3383 | 2012-06-26 |
| 1518251578 | Christine M Wood | Audiologist | 2315 Dougherty Ferry Rd, Suite 103, Saint Louis, MO 63122-3383 | 2011-06-07 |
| 1700180346 | Next Step Foot and Ankle Centers, Inc | Durable Medical Equipment & Medical Supplies | 2315 Dougherty Ferry Rd, Suite 110, Saint Louis, MO 63122-3383 | 2010-12-22 |
| 1386953560 | Jared Glesne | Physical Therapist | 2315 Dougherty Ferry Rd, Suite 209, Saint Louis, MO 63122-3383 | 2010-10-05 |
| 1225353006 | Melissa Ann Mitchell | Physician Assistant | 2315 Dougherty Ferry Rd, Suite 109, Saint Louis, MO 63122-3383 | 2010-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659933174 | Keela Rushing | Physical Therapist | 439 S Kirkwood Rd Ste 200, Kirkwood, MO 63122 | 2019-07-04 |
| 1730643461 | Kirkwood Family Dental | Dentist | 333 S Kirkwood Road, Suite 105, Kirkwood, MO 63122 | 2019-01-28 |
| 1477061166 | Total Access Urgent Care, PC | Clinic/Center | 2980 Dougherty Ferry Rd, Saint Louis, MO 63122 | 2018-01-16 |
| 1760933469 | Missouri Cvs Pharmacy, L.l.c | Durable Medical Equipment & Medical Supplies | 10820 Manchester Rd, Kirkwood, MO 63122 | 2016-10-18 |
| 1518321041 | M. Kathleen Blanchard | Counselor | 11042 Manchester Rd., Kirkwood, MO 63122 | 2016-04-11 |
| 1265801914 | Kim Grega | Counselor | 700 S Kirkwood Rd, Kirkwood, MO 63122 | 2015-09-23 |
| 1245617943 | Mark Edward Taylor | Dentist | 610 North Geyer, Kirkwood, MO 63122 | 2015-05-01 |
| 1467843094 | Mary Elizabeth Boomgarden | Physical Therapist | 9645 Big Bend Boulevard, Saint Louis, MO 63122 | 2015-02-18 |
| 1760725717 | Michael Diller Counseling | Counselor | 144 W Madison Avenue, Kirkwood, MO 63122 | 2013-03-28 |
| 1427309954 | Anne Marie Delaplain | Dentist | 725 Laclede Station Road, Webster Groves, MO 63122 | 2012-09-24 |
| Find all providers in zip 63122 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649628454 | Sphere Medical Group | Emergency Medicine | 916 Olive St Fl 4, Saint Louis, MO 63101-1459 | 2016-06-02 |
| 1922448000 | Scott Birdwell | Emergency Medicine | 1st Floor Em Administration, Saint Louis University Hospital 3635 Vista, Saint Louis, MO 63110 | 2013-07-03 |
| 1174963052 | John Blakeney Morrison | Emergency Medicine | 4946 Buckingham Ct, Apt 2w, Saint Louis, MO 63108-1430 | 2013-06-25 |
| 1598109001 | Total Access Urgent Care, PC | Emergency Medicine | 12616 Lamplighter Square Shpg Ctr, Saint Louis, MO 63128-2746 | 2013-04-26 |
| 1003179151 | Sean Oliver Cavanaugh | Emergency Medicine | 660 S Euclid Ave # 8072, Washington University Emergency Medicine, Saint Louis, MO 63110-1010 | 2012-06-22 |
| 1730476573 | Yonitte Kinsella | Emergency Medicine | 660 S. Euclid Ave., Campus Box 8072, Saint Louis, MO 63110 | 2011-06-30 |
| 1023304524 | Mary Samantha Jones | Emergency Medicine | 5733 Mcpherson Ave, Saint Louis, MO 63112-1620 | 2011-06-22 |
| 1851527469 | Kimberly Ann Hess | Emergency Medicine | 621 S New Ballas Rd Ste 1001, Tower B, Saint Louis, MO 63141-8264 | 2009-06-09 |
| 1710130919 | Lee Hunter Young | Emergency Medicine | 5168 Amberglow Dr, Saint Louis, MO 63129-3204 | 2008-10-31 |
| 1306019914 | Stephan Brenner | Emergency Medicine | 4628 Mcpherson Ave, Saint Louis, MO 63108-1937 | 2008-04-04 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63122 |
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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.