JOSHUA PAUL BRANHAM (NPI# 1942519046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942519046 |
Entity Type | Individual |
Full Name | JOSHUA PAUL BRANHAM |
Credential | PAC |
Practice Address |
4414 N Florissant Ave Saint Louis MO 63107-1812 |
Mailing Address |
1717 Biddle St Saint Louis MO 63106-3454 |
Practice Telephone | 3148981700 |
Practice Fax Number | 3148148542 |
Mailing Telephone | 3148981700 |
Mailing Fax Number | 3148148542 |
Enumeration Date | 2010-10-07 |
Last Update Date | 2016-09-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2014025050 | MO | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669907374 | Joshua Branham | Pharmacist | 965 Poplar St, Nelsonville, OH 45764-1442 | 2017-05-01 |
Street Address |
4414 N FLORISSANT AVE |
City | SAINT LOUIS |
State | MO |
Zip Code | 63107-1812 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518930502 | Lisa L. Armbruster | Family Medicine | 4414 N Florissant Ave, Saint Louis, MO 63107-1812 | 2006-02-09 |
1285244368 | Sima Shakiba | Dentist | 4414 N Florissant Ave, Saint Louis, MO 63107-1812 | 2020-08-04 |
1245741784 | Amy R Adams | Dental Hygienist | 4414 N Florissant Ave, Saint Louis, MO 63107-1812 | 2017-10-23 |
1154849578 | Karen D Paschel | Nurse Practitioner | 4414 N Florissant Ave, Saint Louis, MO 63107-1812 | 2017-09-06 |
1285157958 | Brandy Ladora Macon | Physician Assistant | 4414 N Florissant Ave, Saint Louis, MO 63107-1812 | 2017-07-24 |
1154670826 | Carla Ruth Duban | Pediatrics | 4414 N Florissant Ave, Saint Louis, MO 63107-1812 | 2012-09-10 |
1528320447 | Kelli M. Dorsey | Dentist | 4414 N Florissant Ave, Saint Louis, MO 63107-1812 | 2012-06-15 |
1144533902 | Anniece Spencer | Nurse Practitioner | 4414 N Florissant Ave, Saint Louis, MO 63107-1812 | 2010-07-22 |
1538333620 | Lab One LLC | Clinical Medical Laboratory | 4414 N Florissant Ave, Saint Louis, MO 63107-1812 | 2008-04-18 |
1336321199 | Robert Taxman | Internal Medicine | 4414 N Florissant Ave, Saint Louis, MO 63107-1812 | 2007-12-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851937676 | Elizabeth Lawton | Counselor | Elizabeth Lawton, 4220 North Grand Boulevard, Saint Louis, MO 63107 | 2019-11-27 |
1518486885 | Sunflower Podiatry and Wellness | Podiatrist | 1316 Hebert Street, Saint Louis, MO 63107 | 2017-09-18 |
1609328996 | Gina Lagarce | Contractor | 801 N. 11th Street, St. Louis Public Schools, Saint Louis, MO 63107 | 2016-11-02 |
1932515012 | Christopher L Adams | Counselor | 4220 North Grand Blvd, St.louis, MO 63107 | 2014-07-09 |
1902212160 | Nora Ann Boland II | Counselor | 4220 North Grand Blvd., St. Louis, MO 63107 | 2014-07-09 |
1700209467 | Calvin Garner | Social Worker | 7018 Destrehan, St Louis, MO 63107 | 2014-01-30 |
1225464001 | Spring Manor LLC | Assisted Living Facility | 3610 Palm St., Apt/suite, Saint Louis, MO 63107 | 2013-09-24 |
1518189141 | Excel Home Health Care | Chore Provider | 2125 Bissell St, St. Louis, MO 63107 | 2007-05-03 |
1407375314 | Shayla Dana Smith | Counselor | 4220 Grand Ave, St Louis, MO 63107 | 2017-09-12 |
1528468147 | Annette Michelle Cook | Counselor | 4218 North Grand Blvd, St. Louis, MO 63107 | 2014-09-02 |
Find all providers in zip 63107 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891227393 | Hollis Smith | Physician Assistant | 2015 Maplewood Commons Dr, Saint Louis, MO 63143-1003 | 2017-04-03 |
1649397894 | Rachel S Tarr | Physician Assistant | 2208 Richert Pl, Saint Louis, MO 63143-2522 | 2007-03-23 |
1528198439 | Jonathan Adam Pellechia | Physician Assistant | 11155 Dunn Rd Ste 315e, Saint Louis, MO 63136-6111 | 2007-03-07 |
1376174417 | Robert Cory Proffer | Physician Assistant | 607 S New Ballas Rd Ste 2300, Saint Louis, MO 63141-8234 | 2020-01-28 |
1881246502 | Ariel Ashley Schnell | Physician Assistant | 3655 Vista Ave, Saint Louis, MO 63110-2539 | 2019-07-12 |
1194296186 | Jacob Bast | Physician Assistant | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2018-12-17 |
1508335779 | Gerard Forster | Physician Assistant | 12647 Olive Blvd Ste 600, Saint Louis, MO 63141-6346 | 2018-11-17 |
1124509773 | Sara Burke Connolly | Physician Assistant | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2018-08-22 |
1831675545 | Kyle Patrick Mclafferty | Physician Assistant | 11133 Dunn Rd, Saint Louis, MO 63136-6163 | 2018-07-16 |
1649768995 | Paul Thomas Mrotek | Physician Assistant | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2018-04-23 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63107 |
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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.