Susan L Luedke (NPI# 1679519508, PAC ID# 0345231742) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MEDICAL ONCOLOGY.
| Nation Provider ID (NPI) | 1679519508 |
| PAC ID by PECOS | 0345231742 |
| Professional Enrollment ID | I20081209000703 |
| Full Name | Susan L Luedke |
| Organization Legal Name | MERCY CLINIC ONCOLOGY LLC |
| Address |
6435 Chippewa St Saint Louis MO 63109-2104 |
| Phone Number | 3143531870 |
| Gender | F |
| Medical School | UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY |
| Graduation Year | 1972 |
| Primary Specialty | MEDICAL ONCOLOGY |
| Group Practice PAC ID | 1153446471 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260020 | MERCY HOSPITAL ST LOUIS |
| 260077 | ST ANTHONY'S MEDICAL CENTER |
| 260179 | ST LUKES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 6435 Chippewa St, Saint Louis, MO 63109-2104 | 3143531870 | MERCY CLINIC ONCOLOGY LLC |
| Organization Legal Name | MERCY CLINIC ONCOLOGY LLC |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Hansen | Nurse Practitioner | Mercy Clinic Oncology LLC | 1350 Us Hwy 61, Festus, MO 63028-4124 |
| John W Finnie | Hematology/oncology | Mercy Clinic Oncology LLC | 901 Patients 1st Dr, Washington, MO 63090-4700 |
| Heide A Rodgers | Hematology/oncology | Mercy Clinic Oncology LLC | 607 S New Ballas Rd, 3300 Mercy Clinic Cancer Care, St Louis, MO 63141-8219 |
| Kayla S Fahle | Physician Assistant | Mercy Clinic Oncology LLC | 901 Patients 1st Dr, Washington, MO 63090-4700 |
| Jennifer S Kloth | Nurse Practitioner | Mercy Clinic Oncology LLC | 901 Patients 1st Dr, Washington, MO 63090-4700 |
| Kavitha V Kosuri | Internal Medicine | Mercy Clinic Oncology LLC | 607 S New Ballas Rd, 3300 Mercy Clinic Cancer Care, St Louis, MO 63141-8219 |
| Craig Stephen Siegel | Internal Medicine | Mercy Clinic Oncology LLC | 620 Maple Valley Dr, Farmington, MO 63640-1976 |
| Michele Nobs | Nurse Practitioner | Mercy Clinic Oncology LLC | 901 Patients 1st Dr, Washington, MO 63090-4700 |
| Muhammad Mirza | Medical Oncology | Mercy Clinic Oncology LLC | 901 Patients 1st Dr, Washington, MO 63090-4700 |
| Christopher N Hueser | Medical Oncology | Mercy Clinic Oncology LLC | 901 Patients 1st Dr, Washington, MO 63090-4700 |
| Street Address |
6435 CHIPPEWA ST |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63109-2104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cassandra R Edwards | Internal Medicine | Mercy Clinic East Communities | 6435 Chippewa St, Saint Louis, MO 63109-2104 |
| Catherine Ash | Internal Medicine | Mercy Clinic East Communities | 6435 Chippewa St, Saint Louis, MO 63109-2104 |
| Somasekhara Bandi | Hematology/oncology | Mercy Clinic Oncology LLC | 6435 Chippewa St, Saint Louis, MO 63109-2104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tom M Hawk | Orthopedic Surgery | 3824 Watson Rd, St Louis, MO 63109-1237 | |
| Rebecca Jean Smith | Physician Assistant | Forefront Dermatology Sc | 3915 Watson Rd, Suite 201, Saint Louis, MO 63109-1251 |
| Tammam Al Joundi | Cardiovascular Disease (cardiology) | Gateway Cardiology PC | 3915 Watson Rd, Suite 103, St Louis, MO 63109-1251 |
| Amee M Rozanc | Physician Assistant | Forefront Dermatology Sc | 3915 Watson Rd, Suite 201, Saint Louis, MO 63109-1251 |
| Liwa T Younis | Cardiovascular Disease (cardiology) | Gateway Cardiology PC | 3915 Watson Rd, Suite 103, St Louis, MO 63109-1251 |
| Elizabeth R Galler | Physician Assistant | Forefront Dermatology Sc | 3915 Watson Rd, Suite 201, Saint Louis, MO 63109-1251 |
| Joseph M Seria | Internal Medicine | 3915 Watson Rd, Suite 204, St Louis, MO 63109-1251 | |
| Vincent Sollecito Iii | Podiatry | 3915 Watson Rd, Suite 200, Saint Louis, MO 63109-1251 | |
| Otha Myles | Internal Medicine | 3915 Watson Rd, Suite 101, Saint Louis, MO 63109-1251 | |
| Edina Karahodzic | Family Medicine | 3915 Watson Rd, Suite 203, Saint Louis, MO 63109-1251 | |
| Find all physicians in zip 63109 | |||
| City | SAINT LOUIS |
| Zip Code | 63109 |
| Specialty | MEDICAL ONCOLOGY |
| City + Specialty | SAINT LOUIS + MEDICAL ONCOLOGY |
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| 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.