Kimberly A Deptula (NPI# 1023530896, PAC ID# 0143592634) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1023530896 |
| PAC ID by PECOS | 0143592634 |
| Professional Enrollment ID | I20170817003131 |
| Full Name | Kimberly A Deptula |
| Organization Legal Name | SSM MEDICAL GROUP INC |
| Address |
500 Howdershell Rd Florissant MO 63031-6450 |
| Phone Number | 3146872727 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6608776299 |
| Number of Group Practice Members | 498 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 500 Howdershell Rd, Florissant, MO 63031-6450 | 3146872727 | SSM MEDICAL GROUP INC |
| Organization Legal Name | SSM MEDICAL GROUP INC |
| Physicians | 497 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jodi R Lutz | Nurse Practitioner | Ssm Medical Group Inc | 1650 Washington Ave, Alton, IL 62002-3931 |
| Anne Marie Maestas | Podiatry | Ssm Medical Group Inc | 400 1st Capitol Dr, Suite 301, Saint Charles, MO 63301-2883 |
| Alina V Adams | Nurse Practitioner | Ssm Medical Group Inc | 3555 Sunset Office Dr, Suite C100, Saint Louis, MO 63127-1014 |
| Jared Henrichs | Family Medicine | Ssm Medical Group Inc | 8670 A Big Bend Blvd, Saint Louis, MO 63119-3839 |
| Jamie L Partin | Nurse Practitioner | Ssm Medical Group Inc | 16105 Manchester Rd, Ellisville, MO 63011-2001 |
| Tyla A Johnson | Nurse Practitioner | Ssm Medical Group Inc | 190 N Florissant Rd, Ferguson, MO 63135-1942 |
| Ashfaq Ullah | Pulmonary Disease | Ssm Medical Group Inc | 12255 De Paul Dr, Suite 500, Bridgeton, MO 63044-2515 |
| Katherine E Galliers | Nurse Practitioner | Ssm Medical Group Inc | 8571 Watson Rd, Webster Groves, MO 63119-5218 |
| Kaci Briann Hale | Nurse Practitioner | Ssm Medical Group Inc | 1001 Bowles Ave, Fenton, MO 63026-2338 |
| Tuyche D Sang | Internal Medicine | Ssm Medical Group Inc | 30 Ronnies Plz, Saint Louis, MO 63126-3552 |
| Street Address |
500 HOWDERSHELL RD |
| City | FLORISSANT |
| State | MO |
| Zip | 63031-6450 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lara A Penn | Nurse Practitioner | Ssm Medical Group Inc | 500 Howdershell Rd, Florissant, MO 63031-6450 |
| Elizabeth E King | Nurse Practitioner | Ssm Medical Group Inc | 500 Howdershell Rd, Florissant, MO 63031-6450 |
| Delores Calmese | Nurse Practitioner | Ssm Medical Group Inc | 500 Howdershell Rd, Florissant, MO 63031-6450 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank R Danna Jr. | Clinical Social Worker | Deer Oaks Mental Health Associates PC | 250 New Florissant Rd S, Crystal Creek Nursing and Rehabilition Center, Florissant, MO 63031 |
| Deborah Lynn Tannenbaum | Clinical Social Worker | Deer Oaks Mental Health Associates PC | 615 Rancho Ln, Florissant, MO 63031-1717 |
| Elizabeth A Allen | Clinical Social Worker | 1104 Liberty Gardens Ct, Florissant, MO 63031-1948 | |
| Charles M Lutz | Optometry | Nu-crown, LLC | 935 N Hwy 67 N, Florissant, MO 63031-2917 |
| Joseph A Bendet | Certified Registered Nurse Anesthetist (crna) | 900 N Hwy 67, Florissant, MO 63031-2919 | |
| Mark J Reddan | Optometry | Eye Center Inc | 900 N Us Hwy 67, Florissant, MO 63031-2919 |
| Julie M Sturm | Ophthalmology | Eye Center Inc | 900 N Us Hwy 67, Florissant, MO 63031-2919 |
| Thomas Eric Stickel | Optometry | Eye Center Inc | 900 N Us Hwy 67, Florissant, MO 63031-2919 |
| Daniel J Watson | Ophthalmology | Eye Center Inc | 900 N Us Hwy 67, Florissant, MO 63031-2919 |
| John P Goltschman | Ophthalmology | Eye Center Inc | 900 N Us Hwy 67, Florissant, MO 63031-2919 |
| Find all physicians in zip 63031 | |||
| City | FLORISSANT |
| Zip Code | 63031 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FLORISSANT + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kimberly A Deptula.
| 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.