ST LOUIS UNIVERSITY (NPI# 1992778237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992778237 |
| Entity Type | Organization |
| Organization Name | ST LOUIS UNIVERSITY |
| Other Organization Name | SLUCARE DEPARTMENT OF UROLOGY SURGERY |
| Practice Address |
3655 Vista Ave Saint Louis MO 63110-2539 |
| Mailing Address |
1831 Chestnut St Ste 650 Saint Louis MO 63103-2236 |
| Practice Telephone | 3149776125 |
| Practice Fax Number | 3142685239 |
| Mailing Telephone | 3149776828 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2019-10-21 |
| Authorized Official Name | MRS. ALYCE LANXON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3149776828 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SLUCare Department of Urology Surgery | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487869863 | St Louis University | Eyewear Supplier (Equipment, not the service) | 1755 South Grand, St Louis, MO 63104 | 2007-05-11 |
| 1194892463 | St Louis University | Orthopaedic Surgery | 1831 Chestnut St Ste 650, Saint Louis, MO 63103 | 2006-11-29 |
| 1093894842 | St Louis University | Internal Medicine | 10 Franklin, Washington, MO 63090 | 2006-11-03 |
| 1417035759 | St Louis University | Audiologist | 3750 Lindell, St Louis, MO 63108 | 2006-11-02 |
| 1164495412 | St Louis University | Pathology | 1402 South Grand, St Louis, MO 63104 | 2006-02-08 |
| 1801869136 | St Louis University | Psychiatry & Neurology | 1438 S Grand Blvd, Saint Louis, MO 63104-1027 | 2006-02-08 |
| 1740253095 | St Louis University | Dermatology | 1755 S Grand Blvd, Saint Louis, MO 63104-1540 | 2006-02-08 |
| 1184266413 | St Louis University | Pediatrics | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2019-10-08 |
| 1184908865 | St Louis University | Urology | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2011-09-29 |
| 1912281718 | St Louis University | Internal Medicine | 3660 Vista Ave, Saint Louis, MO 63110-2540 | 2011-09-29 |
| Street Address |
3655 VISTA AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-2539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841824455 | Heather J. Sanders | Nurse Practitioner | 3655 Vista Ave, Saint Louis, MO 63110-2539 | 2020-02-24 |
| 1124664800 | Caitlyn Blessman | Nurse Practitioner | 3655 Vista Ave, Saint Louis, MO 63110-2539 | 2019-11-18 |
| 1992356570 | Caitlyn Leigh Schweickart | Nurse Practitioner | 3655 Vista Ave, Saint Louis, MO 63110-2539 | 2019-09-24 |
| 1881246502 | Ariel Ashley Schnell | Physician Assistant | 3655 Vista Ave, Saint Louis, MO 63110-2539 | 2019-07-12 |
| 1376010181 | Meghan Schutt | Nurse Practitioner | 3655 Vista Ave, Saint Louis, MO 63110-2539 | 2018-10-30 |
| 1225543226 | Maria Giubardo Rolwes | Nurse Practitioner | 3655 Vista Ave, Saint Louis, MO 63110 | 2017-12-12 |
| 1538607742 | Kelly Sue Kunkle | Nurse Practitioner | 3655 Vista Ave, Saint Louis, MO 63110-2539 | 2017-02-08 |
| 1841641164 | Jared Koen | Surgery | 3655 Vista Ave, Suite 116, Saint Louis, MO 63110-2539 | 2016-06-28 |
| 1679929244 | Lisa Marie Buss | Registered Nurse | 3655 Vista Ave, Saint Louis, MO 63110-2539 | 2016-05-12 |
| 1982063624 | Kaci Spencer | Physician Assistant | 3655 Vista Ave, Saint Louis, MO 63110-2539 | 2016-02-22 |
| Find all providers in the same location | ||||
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437412582 | Andrew T Blackburne | Urology | 11155 Dunn Rd Ste 309e, Saint Louis, MO 63136 | 2012-06-22 |
| 1083902852 | Gurdarshan S Sandhu | Urology | 607 South New Ballas Road, Suite 3100, Saint Louis, MO 63141 | 2011-07-14 |
| 1265690978 | Richard Louis Mackey | Urology | 2 Bennington Ln, Saint Louis, MO 63124-1235 | 2008-05-29 |
| 1396963658 | Matthew C Kincade | Urology | 607 S New Ballas Rd Ste 3100, Saint Louis, MO 63141-8219 | 2007-04-23 |
| 1699812990 | Ramarao Kaza | Urology | 2312 Lemay Ferry Rd, Saint Louis, MO 63125-3127 | 2007-01-30 |
| 1972665461 | Urology of St. Louis, Inc. | Urology | 12855 N 40 Dr Ste 375, Saint Louis, MO 63141-8657 | 2006-12-14 |
| 1972600559 | Christopher Thomas Arett | Urology | 1040 N Mason Rd Ste 122, Ste 122, Saint Louis, MO 63141-6361 | 2006-09-17 |
| 1578667051 | Metropolitan Urological Specialists PC | Urology | 10296 Big Bend Rd Ste 206, Saint Louis, MO 63122 | 2006-09-12 |
| 1548286768 | Ramakrishna Venkatesh | Urology | 11133 Dunn Rd Ste 202n, Ste 202n, Saint Louis, MO 63136-6163 | 2006-07-14 |
| 1376569509 | Sam B Bhayani | Urology | 4921 Parkview Pl Ste 11c, Ste 11c, Saint Louis, MO 63110-1032 | 2006-07-14 |
| Find all providers in SAINT LOUIS | ||||
| 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.