Tara E Flynn (NPI# 1740306216, PAC ID# 1658463237) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1740306216 |
PAC ID by PECOS | 1658463237 |
Professional Enrollment ID | I20070828000200 |
Full Name | Tara E Flynn |
Organization Legal Name | DRX - EAST MISSOURI PROVIDERS PC |
Address |
2341 S Brentwood Blvd Afc Urgent Care Brentwood St Louis MO 63144-2033 |
Phone Number | 3147316265 |
Gender | F |
Medical School | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
Graduation Year | 1998 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 8921294257 |
Number of Group Practice Members | 5 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
260141 | UNIVERSITY OF MISSOURI HOSPITAL & CLINICS |
Address | Phone | Organization |
---|---|---|
465 S Mount Auburn Rd, Suite 103, Cape Girardeau, MO 63703-4900 | 5733352900 | DRX - EAST MISSOURI PROVIDERS PC |
2341 S Brentwood Blvd, Afc Urgent Care Brentwood, St Louis, MO 63144-2033 | 3147316265 | DRX - EAST MISSOURI PROVIDERS PC |
Organization Legal Name | DRX - EAST MISSOURI PROVIDERS PC |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mark A Sindecuse | Internal Medicine | Drx - East Missouri Providers PC | 2341 S Brentwood Blvd, Afc Urgent Care Brentwood, St Louis, MO 63144-2033 |
Carmelita M Hudson Kane | Internal Medicine | Drx - East Missouri Providers PC | 465 S Mount Auburn Rd, Suite 103, Cape Girardeau, MO 63703-4900 |
Street Address |
2341 S BRENTWOOD BLVD AFC URGENT CARE BRENTWOOD |
City | ST LOUIS |
State | MO |
Zip | 63144-2033 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mark A Sindecuse | Internal Medicine | Drx - East Missouri Providers PC | 2341 S Brentwood Blvd, Afc Urgent Care Brentwood, St Louis, MO 63144-2033 |
Name | Specialty | Organization | Address |
---|---|---|---|
Caroline M Keane | Physical Therapy | Aegis Group Practice LLC | 8825 Eager Rd, Saint Louis, MO 63144-1205 |
Chung W Chiu-begemann | Physical Therapy | Aegis Group Practice LLC | 8825 Eager Rd, Saint Louis, MO 63144-1205 |
Jacquelyn N Ball | Physical Therapy | Aegis Group Practice LLC | 8825 Eager Rd, Saint Louis, MO 63144-1205 |
Ann K Schnitzmeier | Occupational Therapy | Aegis Group Practice LLC | 8825 Eager Rd, Saint Louis, MO 63144-1205 |
Mary K Bland | Speech Language Pathologist | Aegis Group Practice LLC | 8825 Eager Rd, Saint Louis, MO 63144-1205 |
Jessica L Otte | Physical Therapy | Aegis Group Practice LLC | 8825 Eager Rd, Saint Louis, MO 63144-1205 |
Rhonda Stewart | Occupational Therapy | Aegis Group Practice LLC | 8825 Eager Rd, Saint Louis, MO 63144-1205 |
Cynthia E Peters | Occupational Therapy | Aegis Group Practice LLC | 8825 Eager Rd, Saint Louis, MO 63144-1205 |
Jennifer M Cox | Speech Language Pathologist | Aegis Group Practice LLC | 8825 Eager Rd, Saint Louis, MO 63144-1205 |
Carolyn S Rochester | Speech Language Pathologist | Aegis Group Practice LLC | 8825 Eager Rd, Saint Louis, MO 63144-1205 |
Find all physicians in zip 63144 |
City | ST LOUIS |
Zip Code | 63144 |
Specialty | FAMILY MEDICINE |
City + Specialty | ST LOUIS + FAMILY MEDICINE |
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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.