SOUTHAMPTON HEALTHCARE INC (NPI# 1982756771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982756771 |
| Entity Type | Organization |
| Organization Name | SOUTHAMPTON HEALTHCARE INC |
| Practice Address |
2340 Hampton Ave Saint Louis MO 63139-2909 |
| Mailing Address |
Po Box 952024 Saint Louis MO 63195-2024 |
| Practice Telephone | 3146472200 |
| Mailing Telephone | 3146472200 |
| Mailing Fax Number | 3146474172 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2008-01-23 |
| Authorized Official Name | MR. DAVID PRELUTSKY (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3146472200 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | RR MEDICARE | CH6460 | 01 |
| Street Address |
2340 HAMPTON AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63139-2909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457354276 | David J Prelutsky | Internal Medicine | 2340 Hampton Ave, Saint Louis, MO 63139-2909 | 2005-05-24 |
| 1972114098 | Jami Pachesa | Pharmacist | 2340 Hampton Ave, Saint Louis, MO 63139-2935 | 2020-08-12 |
| 1720616816 | Dainielle J Fox | Pharmacist | 2340 Hampton Ave, Saint Louis, MO 63139-2935 | 2020-04-01 |
| 1295233468 | Matthew Marshall | Technician/Technologist | 2340 Hampton Ave, Saint Louis, MO 63139-2935 | 2018-01-23 |
| 1336683812 | Debra Shaw | Registered Nurse | 2340 Hampton Ave, Saint Louis, MO 63139-2935 | 2016-12-18 |
| 1548601180 | Bohan Li | Pharmacist | 2340 Hampton Ave, Saint Louis, MO 63139-2935 | 2013-07-11 |
| 1720363302 | Daron L Smith | Pharmacist | 2340 Hampton Ave, Saint Louis, MO 63139-2935 | 2011-10-14 |
| 1871889303 | Tassy N. Hayden | Family Medicine | 2340 Hampton Ave, Saint Louis, MO 63139-2935 | 2011-06-23 |
| 1972748226 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2340 Hampton Ave, Saint Louis, MO 63139-2935 | 2008-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174160337 | Dawn Martina Clark | Social Worker | 1150 Graham Road, St. Louis, MO 63139 | 2019-12-06 |
| 1013479716 | Cerner Health Connections, Inc. | Pharmacy | 1403 Hampton Avenue, St. Louis, MO 63139 | 2019-04-02 |
| 1447699335 | Beth Renee Groenke | Dentist | 1403 Hampton Ave, St. Louis, MO 63139 | 2013-06-24 |
| 1295866648 | Occupational Health Centers of Kansas Pa | Clinic/Center | 6726 Manchester Road, St. Louis, MO 63139 | 2007-03-08 |
| 1912069733 | Daniel G Armbruster Dc PC | Acupuncturist | 2730 Watson Rd, St Louis, MO 63139 | 2006-12-15 |
| 1831250125 | Kathia Denise Betts | Counselor | 3309 S. Kingshighway Blvd., St.louis, MO 63139 | 2006-12-12 |
| 1841350220 | Denzel Dean Jines II | Dentist | 2340 Hampton Avenue, Suite 3, St. Louis, MO 63139 | 2006-12-08 |
| 1285718163 | Rakhshanda Hassan | Psychiatry & Neurology | St Louis Psychiatric Rehabilitation Center, 5300 Arsenal, St Louis, MO 63139 | 2006-10-25 |
| 1952490682 | City of St. Louis | Ambulance | 2634 Hampton Avenue, City of St Louis Emergency Medical Services, St Louis, MO 63139 | 2006-10-12 |
| 1104917434 | Select Physical Therapy Holdings Inc | Clinic/Center | 1900 South Hampton, St Louis, MO 63139 | 2006-09-28 |
| Find all providers in zip 63139 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528246071 | Rajashree Gottimukkula | Internal Medicine | 3691 Rutger St Ste 100, Drummond Hall, Saint Louis, MO 63110-2515 | 2008-02-07 |
| 1881885044 | Getahun Abate | Internal Medicine | 1100 S. Grand Blvd., Drc-8th Floor, Saint Louis, MO 63104-3325 | 2007-08-05 |
| 1174742753 | Qual-t-med, Inc | Internal Medicine | 1501 Hampton Ave, Saint Louis, MO 63139-3038 | 2007-04-24 |
| 1679629703 | Baligh Ramzi Yehia | Internal Medicine | 4600 Edmundson Rd, Saint Louis, MO 63134 | 2007-01-25 |
| 1215039128 | Guy William Chambers IIi | Internal Medicine | 3009 N Ballas Rd Ste 213b, Saint Louis, MO 63131-2323 | 2006-09-01 |
| 1538177407 | Irene L Graham | Internal Medicine | 1100 S Grand Blvd, Drc 1st Floor, Saint Louis, MO 63104-1015 | 2006-08-04 |
| 1922032994 | Infectious Disease Consultants, Inc. | Internal Medicine | 621 S New Ballas Rd Ste 70b, Saint Louis, MO 63141-8251 | 2006-07-10 |
| 1144250028 | Jad Antoine Khoury | Internal Medicine | 621 S New Ballas Rd # 7018, Saint Louis, MO 63141-8232 | 2006-07-04 |
| 1790344430 | Dr. Otha Myles & Associates, LLC | Internal Medicine | 3915 Watson Rd Ste 203, Saint Louis, MO 63109-1251 | 2019-06-06 |
| 1588222913 | Sasinuch Rutjanawech | Internal Medicine | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2019-05-31 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63139 |
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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.