Vandana Dalton (NPI# 1508126889, PAC ID# 1951538792) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1508126889 |
| PAC ID by PECOS | 1951538792 |
| Professional Enrollment ID | I20160822000314 |
| Full Name | Vandana Dalton |
| Organization Legal Name | ST ANTHONY'S PHYSICIAN ORGANIZATION |
| Address |
714 Gravois Rd Suite 115 Fenton MO 63026-7723 |
| Phone Number | 6367176775 |
| Gender | F |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 4880588938 |
| Number of Group Practice Members | 104 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260077 | ST ANTHONY'S MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 714 Gravois Rd, Suite 115, Fenton, MO 63026-7723 | 6367176775 | ST ANTHONY'S PHYSICIAN ORGANIZATION |
| Organization Legal Name | ST ANTHONY'S PHYSICIAN ORGANIZATION |
| Physicians | 112 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren Elise Carqueville | Nurse Practitioner | St Anthony's Physician Organization | 1001 S Kirkwood Rd, Suite 300, Kirkwood, MO 63122-7250 |
| Samantha E Kamp | Nurse Practitioner | St Anthony's Physician Organization | 7345 Watson Rd, St Anthony's Neurosurgery Specialists, Saint Louis, MO 63119-4405 |
| Amila Tomas | Nurse Practitioner | St Anthony's Physician Organization | 12700 Southfork Rd, Suite 200, Saint Louis, MO 63128-3201 |
| Michael Farell Massa | Psychiatry | St Anthony's Physician Organization | 10020 Kennerly Rd, Saint Louis, MO 63128-2106 |
| Rachel M Ott | Nurse Practitioner | St Anthony's Physician Organization | 12700 Kennerly Rd, Suite 220, Saint Louis, MO 63128 |
| Hisham Taher | Critical Care (intensivists) | St Anthony's Physician Organization | 4850 Lemay Ferry Rd, Suite 210, Saint Louis, MO 63129-1576 |
| Nancy Birner | Pediatric Medicine | St Anthony's Physician Organization | 2900 Lemay Ferry Rd, Suite 104, Saint Louis, MO 63125-3915 |
| Panduranga R Koya | Internal Medicine | St Anthony's Physician Organization | 313 Augustine Rd, Eureka, MO 63025-1935 |
| Mena M Luangjamekorn | Family Medicine | St Anthony's Physician Organization | 1717 Catlin Dr, Barnhart, MO 63012-1216 |
| Bassam Ar Hadi | Neurosurgery | St Anthony's Physician Organization | 5425 Southfield Ctr, Saint Louis, MO 63123-5984 |
| Street Address |
714 GRAVOIS RD SUITE 115 |
| City | FENTON |
| State | MO |
| Zip | 63026-7723 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sheila M Mueller | Nurse Practitioner | Physicians of St Anthonys Medical Center Lc | 714 Gravois Rd, Suite 100, Fenton, MO 63026-7723 |
| Charity Michelle Huff | Nurse Practitioner | Physicians of St Anthonys Medical Center Lc | 714 Gravois Rd, Suite 100, Fenton, MO 63026-7723 |
| Kristin B Aubuchon | Nurse Practitioner | Physicians of St Anthonys Medical Center Lc | 714 Gravois Rd, Suite 100, Fenton, MO 63026-7723 |
| Justin E Hugo | Family Medicine | American Multispecialty Group Inc | 714 Gravois Rd, Suite 210, Fenton, MO 63026-7723 |
| Sudha Pai | Family Medicine | Physicians of St Anthonys Medical Center Lc | 714 Gravois Rd, Suite 100, Fenton, MO 63026-7723 |
| Rachel K Sestrich | Registered Dietitian Or Nutrition Professional | American Multispecialty Group Inc | 714 Gravois Rd, Suite 210, Fenton, MO 63026-7723 |
| Jessica Nicole Hoffmann | Nurse Practitioner | American Multispecialty Group Inc | 714 Gravois Rd, Suite 210, Fenton, MO 63026-7723 |
| Stefanie R Brier | Physician Assistant | American Multispecialty Group Inc | 714 Gravois Rd, Suite 210, Fenton, MO 63026-7723 |
| Rebecca Heimburger | Nurse Practitioner | St Anthony's Physician Organization | 714 Gravois Rd, Suite 115, Fenton, MO 63026-7723 |
| Dermond C Henry | Family Medicine | Physicians of St Anthonys Medical Center Lc | 714 Gravois Rd, Suite 100, Fenton, MO 63026-7723 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Becker Koepke | Hematology/oncology | Ssm Medical Group Inc | 1011 Bowles Ave, Suite G50, Fenton, MO 63026-0562 |
| Naomi Sharon | Nurse Practitioner | Ssm Medical Group Inc | 1011 Bowles Ave, Suite G50, Fenton, MO 63026-0562 |
| David E Morris | Radiation Oncology | Ssm Medical Group Inc | 1011 Bowles Ave, Suite G50, Fenton, MO 63026-0562 |
| Carol Yacula | Nurse Practitioner | Ssm Medical Group Inc | 1011 Bowles Ave, Suite G50, Fenton, MO 63026-0562 |
| Janelle Roethemeyer | Internal Medicine | American Multispecialty Group Inc | 1011 Bowles Ave, Suite 450, Fenton, MO 63026-0562 |
| Sri D Kolli | Internal Medicine | American Multispecialty Group Inc | 1011 Bowles Ave, Suite 450, Fenton, MO 63026-0562 |
| Katherine C Schoo | Nurse Practitioner | Mercy Clinic East Communities | 1375 N Hwy Dr, Mercy Clinic At Work Maritz, Fenton, MO 63026-1929 |
| Matthew J Tiefenbrunn | Family Medicine | Mercy Clinic East Communities | 1375 N Hwy Dr, Mercy Clinic At Work Maritz, Fenton, MO 63026-1929 |
| Evelyn Barton | Physical Therapy | 1700 B Gilsinn Ln, Fenton, MO 63026-2004 | |
| Adeluola G Lipede | Thoracic Surgery | 960s Hwy Dr, Fenton, MO 63026-2023 | |
| Find all physicians in zip 63026 | |||
| City | FENTON |
| Zip Code | 63026 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | FENTON + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Vandana Dalton.
| 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.