DR. LESLIE M. THARENOS (NPI# 1972684264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972684264 |
| Entity Type | Individual |
| Full Name | DR. LESLIE M. THARENOS |
| Credential | MD, MPH |
| Practice Address |
5000 Manchester Ave Saint Louis MO 63110-2012 |
| Mailing Address |
16199 Wilson Manor Dr Chesterfield MO 63005-4583 |
| Practice Telephone | 3147475800 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
2003011044 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
5000 MANCHESTER AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-2012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013369628 | Charles Massie | Counselor | 5000 Manchester Ave, Saint Louis, MO 63110-2012 | 2016-07-07 |
| 1902208101 | Molly Dee Haynes | Nurse Practitioner | 5000 Manchester Ave, Saint Louis, MO 63110-2012 | 2014-09-18 |
| 1508279142 | Edward Augustine Stapleton | General Practice | 5000 Manchester Ave, Saint Louis, MO 63110-2012 | 2014-06-10 |
| 1790928059 | Karen Elizabeth Bass | Nurse Practitioner | 5000 Manchester Ave, Saint Louis, MO 63110-2012 | 2009-04-15 |
| 1356598890 | Susan Alice Colburn | Nurse Practitioner | 5000 Manchester Ave, Saint Louis, MO 63110-2012 | 2008-08-27 |
| 1326250143 | Karen Shockley | Preventive Medicine | 5000 Manchester Ave, Saint Louis, MO 63110-2012 | 2007-05-04 |
| 1174740781 | Henry M Duhadway | Nurse Practitioner | 5000 Manchester Ave, Saint Louis, MO 63110-2012 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| 1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
| 1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
| 1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
| 1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
| 1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
| Find all providers in zip 63110 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376940080 | Healthstat On-site Clinic Watlow St. Louis | Preventive Medicine | 12001 Lackland Rd, Saint Louis, MO 63146-4001 | 2014-11-24 |
| 1659677656 | Belisario R Cabanilla | Preventive Medicine | 800 N Lindbergh Blvd # Lc1f, Saint Louis, MO 63167-0001 | 2011-02-08 |
| 1770989022 | Healthstat On-site Clinic Polsinelli St. Louis | Preventive Medicine | 100 S 4th St, Suite 1000, Saint Louis, MO 63102-1800 | 2014-11-14 |
| 1326250143 | Karen Shockley | Preventive Medicine | 5000 Manchester Ave, Saint Louis, MO 63110-2012 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821609421 | Healthstat Inc Parker Sporlan | Preventive Medicine | 206 Lange Dr, Washington, MO 63090-1040 | 2020-08-17 |
| 1699279604 | Kim Krystal Koike | Preventive Medicine | 13 Great Lakes Dr, Saint Peters, MO 63376-3225 | 2018-03-23 |
| 1700393840 | Healthstat American National Insurance Co | Preventive Medicine | 1949 E Sunshine St, Springfield, MO 65899-0001 | 2018-01-10 |
| 1720486756 | Healthstat On-site Clinic Watlow Hannibal Mo | Preventive Medicine | 6 Industrial Loop, Hannibal, MO 63401-6052 | 2014-12-08 |
| 1558769596 | Healthstat On-site Clinic Watlow Columbia Mo | Preventive Medicine | 2101 Pennsylvania Dr, Columbia, MO 65202-1937 | 2014-12-08 |
| 1437555729 | Health On-site Clinic Polsinelli Kansas City Mo | Preventive Medicine | 900 W 48th Pl, Suite 900, Kansas City, MO 64112-1895 | 2014-11-13 |
| 1255684452 | Healthstat On-site Clinic/mcc | Preventive Medicine | 3444 Broadway St, Kansas City, MO 64111-2412 | 2012-10-25 |
| 1194075788 | Healthstat- Independence School District | Preventive Medicine | 1516 W. Maple, Independence, MO 64050 | 2012-09-12 |
| 1376748863 | Midwest Occupational Medicine, PC | Preventive Medicine | 3037 Main St, Suite 201, Kansas City, MO 64108-3357 | 2007-06-15 |
| 1679783930 | Gary J Fortune | Preventive Medicine | 18375 Walnut Crst, Marthasville, MO 63357-2159 | 2007-05-23 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS |
| Zip Code | 63110 |
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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.