Jessica M Despotovic (NPI# 1346455490, PAC ID# 0446325682) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1346455490 |
| PAC ID by PECOS | 0446325682 |
| Professional Enrollment ID | I20080821000666 |
| Full Name | Jessica M Despotovic |
| Organization Legal Name | AFFINIA HEALTHCARE |
| Address |
4414 N Florissant Ave Saint Louis MO 63107-1812 |
| Phone Number | 3148981700 |
| Gender | F |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 1052386919 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260032 | BARNES JEWISH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4414 N Florissant Ave, Saint Louis, MO 63107-1812 | 3148981700 | AFFINIA HEALTHCARE |
| Organization Legal Name | AFFINIA HEALTHCARE |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica A Norton | Obstetrics/gynecology | Affinia Healthcare | 4414 N Florissant Ave, Saint Louis, MO 63107-1812 |
| Jaime E Flores Ruiz | Internal Medicine | Affinia Healthcare | 1717 Biddle St, Saint Louis, MO 63106-3454 |
| Juee S Phalak | Psychiatry | Affinia Healthcare | 2220 Lemp Ave, Saint Louis, MO 63104-2700 |
| Paulina Cruz Bravo | Endocrinology | Affinia Healthcare | 3930 S Broadway, Saint Louis, MO 63118-4626 |
| Vani Pachalla | Family Medicine | Affinia Healthcare | 1430 Olive St, Suite 400, Saint Louis, MO 63103-2303 |
| Mary B Keegan | Obstetrics/gynecology | Affinia Healthcare | 1717 Biddle St, Saint Louis, MO 63106-3454 |
| Jared John Visser | Podiatry | Affinia Healthcare | 1717 Biddle St, Saint Louis, MO 63106-3454 |
| Barbara A Lutey | Internal Medicine | Affinia Healthcare | 1717 Biddle St, Saint Louis, MO 63106-3454 |
| Melissa D Tepe | Obstetrics/gynecology | Affinia Healthcare | 2220 Lemp Ave, Saint Louis, MO 63104-2700 |
| Shirley Mae Visser | Podiatry | Affinia Healthcare | 2220 Lemp Ave, Saint Louis, MO 63104-2700 |
| Street Address |
4414 N FLORISSANT AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63107-1812 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica A Norton | Obstetrics/gynecology | Affinia Healthcare | 4414 N Florissant Ave, Saint Louis, MO 63107-1812 |
| Catherine R Moore | Family Medicine | Affinia Healthcare | 4414 N Florissant Ave, Saint Louis, MO 63107-1812 |
| Phillip V Asaro | Family Medicine | Affinia Healthcare | 4414 N Florissant Ave, Saint Louis, MO 63107-1812 |
| City | SAINT LOUIS |
| Zip Code | 63107 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | SAINT LOUIS + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Jessica M Despotovic.
| 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.