DONNA T. THACKREY (NPI# 1942260484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942260484 |
| Entity Type | Individual |
| Full Name | DONNA T. THACKREY |
| Other Name | DONNA T. PERDAN |
| Credential | M.D. |
| Practice Address |
2740 S Highway 94 Suite A Saint Peters MO 63303-5609 |
| Practice Telephone | 6364415437 |
| Practice Fax Number | 6364414398 |
| Mailing Telephone | 6364415437 |
| Mailing Fax Number | 6364414398 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2012-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 106364 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
2740 S HIGHWAY 94 SUITE A |
| City | SAINT PETERS |
| State | MO |
| Zip Code | 63303-5609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497721476 | Joseph A Kahn | Pediatrics | 2740 S Highway 94, Suite A, Saint Peters, MO 63303-5609 | 2006-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214787 | Michael Frederick | Pharmacist | 2855 Veterans Memorial Parkway, (pharmacy), Saint Charles, MO 63303 | 2020-10-30 |
| 1710525639 | Cheryl Ann O'dell | Pharmacist | Schnucks Pharmacy, 60 Harvester Square, St Charles, MO 63303 | 2019-12-11 |
| 1255821302 | Melinda R Winfield | Nurse Practitioner | 1313 Park Ct, Saint Charles, MO 63303 | 2018-05-15 |
| 1467904839 | Heather Lilledahl | Speech-Language Pathologist | 2800 Old Muegge Road, Saint Charles, MO 63303 | 2016-11-01 |
| 1437608312 | Preferred Family Healthcare | Counselor | 1559 Old S. River Road, St.charles, MO 63303 | 2016-10-03 |
| 1487109146 | Annette Patricia Davenport | Nurse Practitioner | 1551 Wall Street, Logistics Health Inc, Suite 100, Saint Charles, MO 63303 | 2016-08-23 |
| 1053762328 | Sarah Biondo | Speech-Language Pathologist | 7204 Fountainview Circle, Ofallon, MO 63303 | 2016-06-28 |
| 1710331335 | Lindsey Ann Eilers | Counselor | 1570 South Main, Saint Charles, MO 63303 | 2016-04-20 |
| 1174914600 | Jacquelyn Michele Miller | Pharmacy Technician | 3881 Mexico Road, Saint Charles, MO 63303 | 2015-02-05 |
| 1164838132 | Francelle Denise Neal | Counselor | 2480 Executive Dr Ste 111, Saint Charles, MO 63303 | 2014-07-10 |
| Find all providers in zip 63303 | ||||
| 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 |
|---|---|---|---|---|
| 1457593865 | Jesse Groh | Pediatrics | 2740 S Saint Peters Pkwy, Suite A, Saint Peters, MO 63303-6355 | 2009-03-31 |
| 1497721476 | Joseph A Kahn | Pediatrics | 2740 S Highway 94, Suite A, Saint Peters, MO 63303-5609 | 2006-02-28 |
| 1558335638 | Robert John Bradshaw | Pediatrics | 107 Piper Hill Dr, Suite 130, Saint Peters, MO 63376-1651 | 2006-02-15 |
| 1518941145 | Robert J Lobonc | Pediatrics | 4704 Mexico Rd, Saint Peters, MO 63376-1663 | 2005-12-06 |
| 1710375928 | Wuca - Cloverleaf Pediatrics, LLC | Pediatrics | 4200 N Cloverleaf Dr, Suite F, Saint Peters, MO 63376-6436 | 2014-12-23 |
| 1811003890 | Ibrahim Suleman Umar | Pediatrics | 4200 N Cloverleaf Dr, Suite N, Saint Peters, MO 63376-6436 | 2006-08-22 |
| 1487602850 | Larry A Jones | Pediatrics | 2730 S Highway 94, Suite 202, Saint Peters, MO 63303-5677 | 2006-05-05 |
| 1972579654 | Angela M Jones | Pediatrics | 4200 N Cloverleaf Dr, Ste F, Saint Peters, MO 63376-6436 | 2006-02-23 |
| 1548234974 | Alla Dorfman | Pediatrics | 4200 N Cloverleaf Dr, Ste F, Saint Peters, MO 63376-6436 | 2006-02-14 |
| 1124092788 | Lorena Buffa | Pediatrics | 4200 N Cloverleaf Dr, Ste F, Saint Peters, MO 63376-6436 | 2006-02-13 |
| Find all providers in SAINT PETERS | ||||
| City | SAINT PETERS |
| Zip Code | 63303 |
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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.