Walter David Kistler Jr. (NPI# 1922005834, PAC ID# 0042314528) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1922005834 |
| PAC ID by PECOS | 0042314528 |
| Professional Enrollment ID | I20070323000196 |
| Full Name | Walter David Kistler Jr. |
| Organization Legal Name | W DAVID KISTLER JR MD LLC |
| Address |
575 Couch Ave Saint Louis MO 63122-5536 |
| Phone Number | 3148229911 |
| Gender | M |
| Credential | MD |
| Medical School | WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1966 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 6507180528 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260179 | ST LUKES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 575 Couch Ave, Saint Louis, MO 63122-5536 | 3148229911 | W DAVID KISTLER JR MD LLC |
| Organization Legal Name | W DAVID KISTLER JR MD LLC |
| Physicians | 1 |
| Street Address |
575 COUCH AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63122-5536 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leigh Ann Young | Occupational Therapy | Aegis Group Practice LLC | 575 Couch Ave, Kirkwood, MO 63122-5536 |
| Nicole L Ewing | Occupational Therapy | Aegis Group Practice LLC | 575 Couch Ave, Kirkwood, MO 63122-5536 |
| Nicole M Sokolic | Qualified Speech Language Pathologist | Aegis Group Practice LLC | 575 Couch Ave, Kirkwood, MO 63122-5536 |
| Mildred C Wolter | Physical Therapy | Aegis Group Practice LLC | 575 Couch Ave, Kirkwood, MO 63122-5536 |
| Kimberly A Sarratt | Occupational Therapy | Aegis Group Practice LLC | 575 Couch Ave, Kirkwood, MO 63122-5536 |
| Nicholas J Striegel | Physical Therapy | Aegis Group Practice LLC | 575 Couch Ave, Kirkwood, MO 63122-5536 |
| Sarah C Barrett | Physical Therapy | Aegis Group Practice LLC | 575 Couch Ave, Kirkwood, MO 63122-5536 |
| Laura B Hufty | Speech Language Pathologist | Aegis Group Practice LLC | 575 Couch Ave, Kirkwood, MO 63122-5536 |
| Barbara K Satterthwaite | Physical Therapy | Aegis Group Practice LLC | 575 Couch Ave, Kirkwood, MO 63122-5536 |
| Natalie C Schroeder | Speech Language Pathologist | Aegis Group Practice LLC | 575 Couch Ave, Kirkwood, MO 63122-5536 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank J Mistretta | Chiropractic | 11229 Manchester Rd, Saint Louis, MO 63122-1122 | |
| Deborah G Lavender | Physical Therapy | 11247 Manchester Rd, Kirkwood, MO 63122-1122 | |
| Linda Patton Walsh | Physical Therapy | Transfiguration Inc | 11247 Manchester Rd, Kirkwood, MO 63122-1122 |
| James W Hankinson | Chiropractic | 11216 Manchester Rd, Kirkwood, MO 63122-1123 | |
| John T Scarlas | Qualified Audiologist | Greentree Audiology Inc | 10900 Manchester Rd, Suite 202, Kirkwood, MO 63122-1200 |
| Russell W Pickett | Qualified Audiologist | Greentree Audiology Inc | 10900 Manchester Rd, Suite 202, Kirkwood, MO 63122-1200 |
| Sherry K Pickett | Qualified Audiologist | Greentree Audiology Inc | 10900 Manchester Rd, Suite 202, Kirkwood, MO 63122-1200 |
| Dawn Gross | Clinical Social Worker | 11042 Manchester Rd, Kirkwood, MO 63122-1244 | |
| Lorie M Mcreynolds | Optometry | 11023 Manchester Rd, Kirkwood, MO 63122-1254 | |
| Sidney D Ybarra | Chiropractic | 11029 Manchester Rd, Saint Louis, MO 63122-1254 | |
| Find all physicians in zip 63122 | |||
| City | SAINT LOUIS |
| Zip Code | 63122 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SAINT LOUIS + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Walter David Kistler Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.