LUKE NATHAN PREST (NPI# 1912369695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912369695 |
| Entity Type | Individual |
| Full Name | LUKE NATHAN PREST |
| Credential | M.D. |
| Practice Address |
902 N Riverside Rd Ste 100 Saint Joseph MO 64507 |
| Mailing Address |
902 N Riverside Rd Ste 100 Saint Joseph MO 64507-2566 |
| Practice Telephone | 8162715167 |
| Practice Fax Number | 8162718836 |
| Mailing Telephone | 8162715167 |
| Mailing Fax Number | 8162718836 |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2019-10-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 94-09120 | KS | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 2016022483 | MO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2401 Gillham Rd, Kansas City, MO 641084619 | 8162343000 |
| Street Address |
902 N RIVERSIDE RD STE 100 |
| City | SAINT JOSEPH |
| State | MO |
| Zip Code | 64507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356496442 | Ruth A Kiekhaefer | Clinical Nurse Specialist | 902 N Riverside Rd Ste 100, Saint Joseph, MO 64507-2566 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346644044 | Janaha Anderson | Dental Hygienist | 4073 Se Cunningham Rd, St. Joseph, MO 64507 | 2014-10-09 |
| 1518229772 | Andrew L Walker | Radiology | 902 N Riverside Rd Ste 201, Saint Joseph, MO 64507 | 2012-06-13 |
| 1619105731 | Pamela M. Lotz | Clinical Nurse Specialist | 902 No. Riverside Rd, Suite 200, St. Joseph, MO 64507 | 2009-06-26 |
| 1356300735 | St Joseph Oncology Inc | Internal Medicine | 902 No Riverside Rd, Suite 200, St Joseph, MO 64507 | 2006-03-22 |
| 1962478560 | Douglas Chyatte | Neurological Surgery | 802 N Riverside Rd Ste 120, Saint Joseph, MO 64507 | 2006-02-24 |
| 1073089546 | Chaz Caleb Johnson | Physical Therapist | 5506 Corporate Dr Ste 1800, Saint Joseph, MO 64507 | 2018-10-22 |
| 1295228344 | Julie Odonnell Phd LLC | Clinic/Center | 708 S Woodbine Rd Ste A, Saint Joseph, MO 64507 | 2018-06-13 |
| 1396007894 | Brian Wright Roe | Internal Medicine | 5514 Corporate Dr Ste 150, Saint Joseph, MO 64507 | 2012-06-11 |
| 1861873952 | Edison Derr II | Specialist/Technologist | 2214 Maple St, Saint Joseph, MO 64507-1413 | 2015-06-15 |
| 1184740342 | Progressive Community Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2612 Doniphan Ave, Saint Joseph, MO 64507-1457 | 2007-03-21 |
| Find all providers in zip 64507 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1831259654 | Michelle Y Cebulko | Pediatrics | 805 N 36th St Ste B, Saint Joseph, MO 64506-2954 | 2006-12-11 |
| 1871591768 | Douglas Eugene Evans | Pediatrics | 3912 Sherman Ave, Saint Joseph, MO 64506-3648 | 2005-07-13 |
| 1255338075 | Cornerstone Pediatrics, PC | Pediatrics | 1419 Village Dr, Saint Joseph, MO 64506-2459 | 2005-07-07 |
| 1598399784 | Peacock Pediatrics, LLC | Pediatrics | 805 N 36th St Ste B, Saint Joseph, MO 64506-2954 | 2020-02-26 |
| 1790161156 | Priya Joseph | Pediatrics | 1234 Napier Ave, Saint Joseph, MI 49085 | 2015-08-07 |
| 1518374131 | Xinyue Pan | Pediatrics | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2014-07-15 |
| 1093033029 | Desire M Andersen | Pediatrics | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2010-05-14 |
| 1386970648 | Kosse Pediatrics, P.C. | Pediatrics | 3945 Sherman Ave, Saint Joseph, MO 64506-3649 | 2009-10-21 |
| 1184867855 | Carmen Marie Ford | Pediatrics | 105 Far West Dr, Heartland Pediatric and Adult Care Suite 100, Saint Joseph, MO 64506-3514 | 2009-04-10 |
| 1902079189 | Amanda Dawn Williams | Pediatrics | 805 N 36th St Ste B, Saint Joseph, MO 64506-2954 | 2008-04-08 |
| Find all providers in SAINT JOSEPH | ||||
| City | SAINT JOSEPH |
| Zip Code | 64507 |
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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.