SANFORD MYRON THAL (NPI# 1952527640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952527640 |
| Entity Type | Individual |
| Full Name | SANFORD MYRON THAL |
| Credential | M.D. |
| Practice Address |
2040 Concourse Dr Saint Louis MO 63146-4119 |
| Practice Telephone | 3145673905 |
| Practice Fax Number | 3148727155 |
| Mailing Telephone | 3145673905 |
| Mailing Fax Number | 3148727155 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
04-31574 | KS | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
23326 | NE | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
173539-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
E-4688 | AR | Allopathic & Osteopathic Physicians |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
36215 | MO | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
IL | Allopathic & Osteopathic Physicians |
| Street Address |
2040 CONCOURSE DR |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63146-4119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790849842 | John Todd Meredith | Pathology | 2040 Concourse Dr, Saint Louis, MO 63146-4119 | 2006-12-21 |
| 1235319906 | George Dado Bollozos | Clinical Medical Laboratory | 2040 Concourse Dr, Saint Louis, MO 63146-4119 | 2007-11-09 |
| 1295953776 | Norman Armin Grossl | Pathology | 2040 Concourse Dr, Saint Louis, MO 63146-4119 | 2007-04-23 |
| 1205959475 | Gary Craig Mockli | Pathology | 2040 Concourse Dr, Quest Diagnostics, Saint Louis, MO 63146-4119 | 2007-04-10 |
| 1437203767 | Thuy-lieu Thi Vo | Pathology | 2040 Concourse Dr, Saint Louis, MO 63146-4119 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553118 | Chelsea Ann Garbs | Nurse Practitioner | 1249 Woodland Point Dr Unit E, St. Louis, MO 63146 | 2020-09-17 |
| 1538790647 | Supreme Quality Care LLC | Home Health | 111 West Port Plaza, Floor 6, Maryland Heights, MO 63146 | 2020-01-28 |
| 1942854492 | Winning Hands Home Health Care Services LLC | In Home Supportive Care | 12738 Fee Fee Rd, Saint Louis, MO 63146 | 2019-08-01 |
| 1144883893 | Tylians T Smith | Physical Therapy Assistant | 12544 Fee Fee Rd, Saint Louis, MO 63146 | 2019-04-18 |
| 1528533049 | Veterans Home Care, LLC | Durable Medical Equipment & Medical Supplies | 11861 Westline Industrial Drive, Suite 750, St. Louis, MO 63146 | 2018-10-11 |
| 1417433558 | Alexandria Marie Falck | Pharmacist | 577 Mid Rivers Mall Drive, Saint Louis, MO 63146 | 2018-07-12 |
| 1043702897 | Equal Shares Parenting, LLC | Marriage & Family Therapist | 10313 Corbeil Dr., Unit D, St. Louis, MO 63146 | 2018-06-06 |
| 1588189930 | Anita Shawke | Physical Therapist | 11960 Westline Industrial Drive, Suite 201, St. Louis, MO 63146 | 2017-08-07 |
| 1174047005 | Midwest Spine & Injury Centers, Inc. | Chiropractor | 2108 Schuetz Road, Maryland Heights, MO 63146 | 2017-08-02 |
| 1447700604 | Compassus Op of Missouri LLC | Hospice Care, Community Based | 11872 Westline Industrial Dr Ste 160, Saint Louis, MO 63146 | 2016-10-11 |
| Find all providers in zip 63146 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609247543 | Muhammad Atif Atlaf Salyana | Pathology | 3635 Vista Ave Fl 4, Saint Louis University Hospital- Pathology Residency, Saint Louis, MO 63110-2539 | 2015-10-19 |
| 1194193326 | Mid-america Pathology Consultants, LLC | Pathology | 12898 Thornhill Ct, Saint Louis, MO 63131-1883 | 2015-09-03 |
| 1407260938 | Selvaraj Muthusamy | Pathology | 1325 S Grand Blvd, Room 436, Saint Louis, MO 63104-1018 | 2014-06-12 |
| 1184050031 | Rosa Perez Toro | Pathology | 350 Country Glen Ln, Saint Louis, MO 63141-6637 | 2013-09-24 |
| 1629326137 | Andrew Stephen Koopmeiners | Pathology | 660 So. Euclid, Box 8118, Washington University Department of Pathology, Saint Louis, MO 63108 | 2012-08-15 |
| 1912052416 | Mark Alan Hiken | Pathology | 9129 Wrenwood Ln, Saint Louis, MO 63144-1603 | 2007-01-24 |
| 1790849842 | John Todd Meredith | Pathology | 2040 Concourse Dr, Saint Louis, MO 63146-4119 | 2006-12-21 |
| 1255424974 | Jamie Cassity | Pathology | One Barnes-jewish Hospital Plaza, Saint Louis, MO 63110-1092 | 2006-10-02 |
| 1750315958 | Timothy D Fagen | Pathology | 1402 S Grand Blvd Ste M260, St Louis University Gme, Saint Louis, MO 63104-1004 | 2006-07-11 |
| 1316994726 | Sandra Faye Gibson | Pathology | 915 N Grand Blvd Pathology and Lab 113-jc, Va Medical Center, Saint Louis, MO 63106-1621 | 2006-05-30 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63146 |
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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.