DR. RAYMOND EARLE BOUREY (NPI# 1982607578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982607578 |
| Entity Type | Individual |
| Full Name | DR. RAYMOND EARLE BOUREY |
| Credential | M.D. |
| Practice Address |
3660 Vista Ave., Rm 204 Doctors' Office Building, Slu Saint Louis MO 63110 |
| Mailing Address |
1402 South Grand Ave., M412 Saint Louis University Div. of Endocrinology and Metab St. Louis MO 63104 |
| Practice Telephone | 3149776157 |
| Mailing Telephone | 3149778458 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2015-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 2014014492 | MO | Allopathic & Osteopathic Physicians |
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
2014014492 | MO | Allopathic & Osteopathic Physicians |
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
35-066898 | OH | Allopathic & Osteopathic Physicians |
| N | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
2014014492 | MO | Allopathic & Osteopathic Physicians |
| N | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
35-066898 | OH | Allopathic & Osteopathic Physicians |
| Y | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
2014014492 | MO | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
35-066898 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
3660 VISTA AVE., RM 204 DOCTORS' OFFICE BUILDING, SLU |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110 |
| 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 | 207RS0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sleep Medicine |
| An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912281718 | St Louis University | Internal Medicine | 3660 Vista Ave, Saint Louis, MO 63110-2540 | 2011-09-29 |
| 1831259373 | Advantage Pulmonary, P.C. | Internal Medicine | 969 N Mason Rd, Suite 250, Saint Louis, MO 63141-6338 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043401284 | Bothwell Regional Health Center | Internal Medicine | 110 Tower Dr, Sutie B, Warsaw, MO 65355 | 2007-08-05 |
| 1679728000 | Midwest Sleep Specialists LLC | Internal Medicine | 3470 Ne Ralph Powell Rd, Suite B, Lees Summit, MO 64064-2336 | 2008-11-26 |
| 1306020268 | Advanced Sleep Labs, L.L.C. | Internal Medicine | 525 N. Keene Street, Suite 302, Columbia, MO 65201 | 2007-12-27 |
| 1447476957 | Tapan K. Chaudhri, Md | Internal Medicine | 6225 Raytown Trfy, Raytown, MO 64133-3846 | 2007-04-17 |
| 1477503977 | Bothwell Regional Heatlh Center | Internal Medicine | 601 E 14th St, Sedalia, MO 65301-5972 | 2006-05-12 |
| 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.