SIGNATURE HEALTH SERVICES (NPI# 1962432492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962432492 |
| Entity Type | Organization |
| Organization Name | SIGNATURE HEALTH SERVICES |
| Practice Address |
12639 Old Tesson Rd Suite 115 Saint Louis MO 63128-2786 |
| Mailing Address |
12639 Old Tesson Toad Suite 115 St. Louis MO 63128 |
| Practice Telephone | 3148490311 |
| Practice Fax Number | 3148494423 |
| Mailing Telephone | 3148490311 |
| Mailing Fax Number | 3148494423 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2008-06-13 |
| Authorized Official Name | MR. JAN VEST (CEO) |
| Authorized Official Telephone | 3148490311 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities | ||
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | HEALTHLINK | 620955 | 01 |
| MO | UNITED HEALTHCARE | 1601036 | 01 |
| MO | GROUP HEALTHPLAN | 81493 | 01 |
| MO | CIGNA | 0725114 | 01 |
| MO | BLUE CROSS BLUE SHIELD | 194369 | 01 |
| MO | 711357707 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043514078 | Signature Health Services | Obstetrics & Gynecology | 12266 De Paul Dr, Suite 200, Bridgeton, MO 63044-2514 | 2011-01-05 |
| 1205940970 | Signature Health Services | Obstetrics & Gynecology | 12266 De Paul Dr, Suite 200, Bridgeton, MO 63044-2514 | 2006-08-18 |
| Street Address |
12639 OLD TESSON RD SUITE 115 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63128-2786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831191014 | Jeremy D Dunbarr | Physician Assistant | 12639 Old Tesson Rd, Suite 115, Saint Louis, MO 63128-2786 | 2005-06-01 |
| 1558978403 | Christopher Scott Thaller | Physical Therapist | 12639 Old Tesson Rd, Saint Louis, MO 63128-2711 | 2020-09-24 |
| 1225652514 | Erica Nicole Reeg | Nurse Practitioner | 12639 Old Tesson Rd, Saint Louis, MO 63128-2711 | 2020-06-02 |
| 1356615538 | Shayna Leigh Laramore | Nurse Practitioner | 12639 Old Tesson Rd, Suite, Saint Louis, MO 63128-2786 | 2012-03-06 |
| 1467729988 | Signature Medical Grou P of Kc, P.a. | Durable Medical Equipment & Medical Supplies | 12639 Old Tesson Rd, Suite 115, Saint Louis, MO 63128-2786 | 2011-11-29 |
| 1477876415 | Meghan C Flynn | Physician Assistant | 12639 Old Tesson Rd, Suite 115, Saint Louis, MO 63128-2786 | 2010-03-04 |
| 1376789362 | Dana Kay Mcquade | Physical Therapy Assistant | 12639 Old Tesson Rd, Suite 120, Saint Louis, MO 63128-2786 | 2008-12-23 |
| 1114171535 | Medical Implant Sloutions, LLC | Durable Medical Equipment & Medical Supplies | 12639 Old Tesson Rd, 116, Saint Louis, MO 63128-2786 | 2008-11-12 |
| 1154572170 | Signature Healthcare Foundation | Durable Medical Equipment & Medical Supplies | 12639 Old Tesson Rd, Suite 120, Saint Louis, MO 63128-2786 | 2008-10-08 |
| 1396991436 | Meghan D Sinon | Physician Assistant | 12639 Old Tesson Rd, Suite 115, Saint Louis, MO 63128-2786 | 2008-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
| 1326504655 | Nikodem Dental Holdings | Dentist | 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 | 2019-02-12 |
| 1932678505 | Michelle Anne Arvidson | Physical Therapy Assistant | Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2018-11-13 |
| 1245726710 | Kristen Rider | Nurse Practitioner | 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 | 2018-07-07 |
| 1306217427 | Sophia Bednarski | Dentist | 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2015-10-15 |
| 1427434224 | Darcie Burrus | Counselor | 12523 Old Tesson Rd G, St Louis, MO 63128 | 2015-08-04 |
| 1710368584 | Sara Hawatmeh | Internal Medicine | 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 | 2015-06-17 |
| 1871989590 | Celia Grace Montes-kolence | Speech-Language Pathologist | 12335 W Bend Drive, Saint Louis, MO 63128 | 2015-04-09 |
| 1245629302 | Marius Antonio Evans | Dentist | 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 | 2015-01-13 |
| 1801230313 | Sarah Elizabeth Walsh | Emergency Medicine | 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 | 2013-04-26 |
| Find all providers in zip 63128 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659325876 | Precision Imaging, LLC | Clinic/Center | 1028 Old Des Peres Rd, Saint Louis, MO 63131-1865 | 2006-05-20 |
| 1538339841 | Tesson Heights Orthopedic | Clinic/Center | 12152 Tesson Ferry Rd, Saint Louis, MO 63128-1726 | 2008-03-04 |
| 1790720936 | Open Mri of Missouri, L.L.C. | Clinic/Center | 1034 S Brentwood Blvd, Suite 111, Saint Louis, MO 63117-1223 | 2006-06-19 |
| 1134120454 | Des Peres Square Imaging Center LLC | Clinic/Center | 1050 Old Des Peres Rd, Suite 75, Saint Louis, MO 63131-1873 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750583423 | Team Diagnostics LLC | Clinic/Center | 102 C. Progress Drive, Sullivan, MO 63080-2359 | 2007-06-04 |
| 1598841140 | Mri of Springfield, Inc | Clinic/Center | 1420 E Bradford Pkwy, Springfield, MO 65804-6563 | 2006-10-27 |
| 1437253754 | Cyber Diagnostic Medicine LLC | Clinic/Center | 11901 W Florissant Ave, Florissant, MO 63033-6778 | 2006-09-08 |
| 1679688360 | Rivercity Imaging | Clinic/Center | 623 S Silver Springs Rd Ste 720, Cape Girardeau, MO 63703-7500 | 2006-08-20 |
| 1073522801 | Big Bend Imaging, LLC | Clinic/Center | 1001 S Kirkwood Rd Ste 110, Kirkwood, MO 63122-7250 | 2006-08-08 |
| 1730124918 | Open Mri of Missouri II, L.L.C. | Clinic/Center | 5650 Mexico Rd, Suite 10, Saint Peters, MO 63376-1696 | 2006-06-19 |
| 1407845472 | Poplar Bluff Medical Partners, LLC | Clinic/Center | 221 Physicians Park, Poplar Bluff, MO 63901-3956 | 2005-10-20 |
| 1508869397 | Open Mri of Missouri II LLC | Clinic/Center | 3431 S Hwy 291, Independence, MO 64057-2341 | 2005-05-24 |
| 1548685753 | Spero Medical Imaging LLC | Clinic/Center | 17020 E Us Highway 40, Suite 4, Independence, MO 64055-5361 | 2014-02-25 |
| 1225466691 | Alpha Medical Imaging Inc | Clinic/Center | 5650 Mexico Rd, Suite 15, Saint Peters, MO 63376-1696 | 2013-10-23 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS |
| Zip Code | 63128 |
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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.