Jeffrey Scott Brooks (NPI# 1962418277, PAC ID# 1254344427) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1962418277 |
| PAC ID by PECOS | 1254344427 |
| Professional Enrollment ID | I20101102001533 |
| Full Name | Jeffrey Scott Brooks |
| Organization Legal Name | SPECIAL CARE PODIATRY OF MISSOURI LLC |
| Address |
2415 N Kingshighway Blvd St Louis MO 63113-1109 |
| Phone Number | 8552599183 |
| Gender | M |
| Medical School | NEW YORK COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1974 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 1850514423 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2415 N Kingshighway Blvd, St Louis, MO 63113-1109 | 8552599183 | SPECIAL CARE PODIATRY OF MISSOURI LLC |
| Organization Legal Name | SPECIAL CARE PODIATRY OF MISSOURI LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel Alyse Schlachter | Podiatry | Special Care Podiatry of Missouri LLC | 2415 N Kingshighway, Northview Village Nursing Home, St Louis, MO 63113-1109 |
| Naresh Kumar Dugal | Podiatry | Special Care Podiatry of Missouri LLC | 2415 N Kingshighway, Northview Village Nursing Home, St Louis, MO 63113-1109 |
| Street Address |
2415 N KINGSHIGHWAY BLVD |
| City | ST LOUIS |
| State | MO |
| Zip | 63113-1109 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel Alyse Schlachter | Podiatry | Special Care Podiatry of Missouri LLC | 2415 N Kingshighway, Northview Village Nursing Home, St Louis, MO 63113-1109 |
| Naresh Kumar Dugal | Podiatry | Special Care Podiatry of Missouri LLC | 2415 N Kingshighway, Northview Village Nursing Home, St Louis, MO 63113-1109 |
| Michael A Specter | Podiatry | Carestl Health | 2425 N Whittier St, Homer G Phillips Health Ctr, Saint Louis, MO 63113-2950 |
| Geannette L Walls | Clinical Social Worker | Carestl Health | 2425 N Whittier St, Homer G Phillips Health Ctr, Saint Louis, MO 63113-2950 |
| City | ST LOUIS |
| Zip Code | 63113 |
| Specialty | PODIATRY |
| City + Specialty | ST LOUIS + PODIATRY |
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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.