GILBERT L PHON (NPI# 1952440703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952440703 |
| Entity Type | Individual |
| Full Name | GILBERT L PHON |
| Credential | AU.D., FAAA |
| Practice Address |
4200 N Cloverleaf Dr Suite B Saint Peters MO 63376-6436 |
| Practice Telephone | 6364417470 |
| Practice Fax Number | 6364414270 |
| Mailing Telephone | 6364417470 |
| Mailing Fax Number | 6364414270 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 684 | MO | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BLUE CROSS BLUE SHIELD | 192715 | 01 |
| MO | MERCY PREMIER | 00000002201 | 01 |
| Street Address |
4200 N CLOVERLEAF DR SUITE B |
| City | SAINT PETERS |
| State | MO |
| Zip Code | 63376-6436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275532913 | Kimberly Burns | Social Worker | 4200 N Cloverleaf Dr, Suite J - K, Saint Peters, MO 63376-6436 | 2005-07-15 |
| 1710375928 | Wuca - Cloverleaf Pediatrics, LLC | Pediatrics | 4200 N Cloverleaf Dr, Suite F, Saint Peters, MO 63376-6436 | 2014-12-23 |
| 1487067187 | Seim Chiropractic LLC | Chiropractor | 4200 N Cloverleaf Dr, Suite M, Saint Peters, MO 63376-6436 | 2014-06-10 |
| 1538439435 | Ibrahim S Umar M P C | Clinic/Center | 4200 N Cloverleaf Dr, Suite N, Saint Peters, MO 63376-6436 | 2012-01-09 |
| 1780915488 | Sitarski Chiropractic LLC | Chiropractor | 4200 N Cloverleaf Dr, Suite M, Saint Peters, MO 63376-6436 | 2010-01-19 |
| 1043543291 | Christopher Edward Sitarski | Chiropractor | 4200 N Cloverleaf Dr, Suite M, Saint Peters, MO 63376-6436 | 2009-09-04 |
| 1649437112 | William C. Dale, Dmd, LLC | Clinic/Center | 4200 N Cloverleaf Dr, Ste. Q, Saint Peters, MO 63376-6436 | 2008-05-21 |
| 1407065113 | William Charles Dale IIi | Dentist | 4200 N Cloverleaf Dr, Ste. Q, Saint Peters, MO 63376-6436 | 2007-05-21 |
| 1811003890 | Ibrahim Suleman Umar | Pediatrics | 4200 N Cloverleaf Dr, Suite N, Saint Peters, MO 63376-6436 | 2006-08-22 |
| 1679591572 | Khaled M Abdel-hamid | Allergy & Immunology | 4200 N Cloverleaf Dr, Ste A, Saint Peters, MO 63376-6436 | 2006-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275047946 | Nicholas Christian Schultz | Dentist | 100 Piper Hill Dr Ste A, Saint Peters, MO 63376 | 2017-11-16 |
| 1982120093 | Carol Weber | Speech-Language Pathologist | 166 Boone Hills Dr., St Peters, MO 63376 | 2017-08-21 |
| 1619424744 | Forefront Dermatology, S.c. | Dermatology | 5700 Mexico Rd, Suite 14, Saint Peters, MO 63376 | 2016-09-07 |
| 1508310632 | Preferred Family Healthcare, Inc. | Counselor | 2120 Parkway Dr, Saint Peters, MO 63376 | 2016-08-05 |
| 1598130676 | Delta Center Personal Attendant Services | In Home Supportive Care | 3833 Mcclay, Suite 61, St. Peters, MO 63376 | 2015-12-01 |
| 1427420314 | Barbara Marlene Edelman | Counselor | 1286 Jungerman Rd. Suite G, St. Peters, MO 63376 | 2015-10-30 |
| 1255740247 | Claire Williams | Dentist | 340 Mid Rivers Mall Drive, Suite E, St. Peters, MO 63376 | 2014-08-05 |
| 1184042855 | Keith Wickenhauser | Internal Medicine | 201 Bjc Saint Peters Dr Ste 100, Saint Peters, MO 63376 | 2014-03-31 |
| 1821415233 | Abby Link | Physician Assistant | 107 Piper Parkway, #150, St. Peters, MO 63376 | 2014-03-24 |
| 1225452105 | Ashley Gagel | Physical Therapist | 7055 Mexico Rd Suite 1601, St. Peters, MO 63376 | 2014-02-12 |
| Find all providers in zip 63376 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689952988 | Colleen Nicole Basler | Audiologist | 4200 N Cloverleaf Dr Ste B, Saint Peters, MO 63376-6436 | 2011-08-03 |
| 1538481742 | Jane Carol Eppel | Audiologist | 318 Mid Rivers Mall Dr Ste M, Saint Peters, MO 63376-1575 | 2010-02-16 |
| 1245489798 | Lori A Norby | Audiologist | 654 River Moss Dr, Saint Peters, MO 63376-5338 | 2008-09-09 |
| 1366920555 | The Audiology Center, LLC | Audiologist | 4200 N Cloverleaf Dr Ste B, Saint Peters, MO 63376-6436 | 2018-07-31 |
| 1013369396 | Kathryn Phillippe | Audiologist | 4790 Executive Centre Pkwy, Saint Peters, MO 63376-1606 | 2016-07-11 |
| 1386959443 | Mary Elizabeth Rybak Rice | Audiologist | 4790 Executive Centre Pkwy, Saint Peters, MO 63376-1606 | 2010-08-13 |
| 1255581765 | Sandi Hopper Fontecchio | Audiologist | 4790 Executive Centre Pkwy, Saint Peters, MO 63376-1606 | 2008-09-22 |
| 1851567911 | Trisha Kay Hackman | Audiologist | 4790 Executive Centre Pkwy, Saint Peters, MO 63376-1606 | 2008-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415381 | Eleni Beeve | Audiologist | 10004 Kennerly Rd Ste 205a, Saint Louis, MO 63128-5108 | 2020-10-19 |
| 1508484072 | Victoria Elizabeth Eschmann | Audiologist | 1551 Wall St Ste 100, Saint Charles, MO 63303-3540 | 2020-07-10 |
| 1174146591 | Leah Stanza | Audiologist | 1812 Nw Vesper St, Blue Springs, MO 64015-3206 | 2020-05-20 |
| 1861013500 | Concierge Hearing Care, LLC | Audiologist | 5315 Mirasol Manor Way, Eureka, MO 63025-2751 | 2020-05-05 |
| 1326685421 | Escobar Mobile Aud of Mo LLC | Audiologist | 221 Bolivar St, Jefferson City, MO 65101-1572 | 2019-12-08 |
| 1760031009 | Patty Taylor Gilberto | Audiologist | 2487 County Road 309, Poplar Bluff, MO 63901-4999 | 2019-09-10 |
| 1528611399 | Lynsey Ralston | Audiologist | 4880 Ne Goodview Cir Ste B, Lees Summit, MO 64064-1946 | 2019-07-22 |
| 1760944565 | Hearing and Audiology Sevices, LLC | Audiologist | 1722 S Glenstone Ave Ste J1, Springfield, MO 65804-1530 | 2019-04-02 |
| 1649742982 | Abdullah M Jamos | Audiologist | 3106 E Kingsley St, Springfield, MO 65804-6689 | 2018-12-27 |
| 1033695143 | Chelsea Marie Tisckos | Audiologist | 6400 Clayton Rd Ste 405, Saint Louis, MO 63117-1850 | 2018-07-12 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PETERS |
| Zip Code | 63376 |
Please comment or provide details below to improve the information on GILBERT L PHON.
| 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.