Robert B Cusworth (NPI# 1255339560, PAC ID# 2163313065) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1255339560 |
| PAC ID by PECOS | 2163313065 |
| Professional Enrollment ID | I20100118000241 |
| Full Name | Robert B Cusworth |
| Organization Legal Name | BOONSLICK MEDICAL GROUP INC |
| Address |
201 Bjc St Peters Dr Saint Peters MO 63376 |
| Phone Number | 6369168200 |
| Gender | M |
| Medical School | UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY |
| Graduation Year | 1974 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 3779481510 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260005 | SSM HEALTH ST JOSEPH HOSPITAL-ST CHARLES |
| 260191 | BARNES-JEWISH ST PETERS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 201 Bjc St Peters Dr, Saint Peters, MO 63376 | 6369168200 | BOONSLICK MEDICAL GROUP INC |
| 201 Bjc St Peters Dr, Suite 100, Saint Peters, MO 63376 | 6369168200 | BOONSLICK MEDICAL GROUP INC |
| Organization Legal Name | BOONSLICK MEDICAL GROUP INC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie L Puckett | Obstetrics/gynecology | Boonslick Medical Group Inc | 201 Bjc Saint Peters Dr, Suite 100, Saint Peters, MO 63376-3386 |
| Keith William Wickenhauser | Internal Medicine | Boonslick Medical Group Inc | 201 Bjc Saint Peters Dr, Suite 100, Saint Peters, MO 63376-3386 |
| Richard A Geisman | Gastroenterology | Boonslick Medical Group Inc | 201 Bjc Saint Peters Dr, Suite 100, Saint Peters, MO 63376-3386 |
| Kurt A Piening | Internal Medicine | Boonslick Medical Group Inc | 201 Bjc Saint Peters Dr, Suite 100, Saint Peters, MO 63376-3386 |
| Matthew Nissing | Gastroenterology | Boonslick Medical Group Inc | 201 Bjc Saint Peters Dr, Suite 100, Saint Peters, MO 63376-3386 |
| Courtney Crider | Dermatology | Boonslick Medical Group Inc | 201 Bjc Saint Peters Dr, Suite 100, Saint Peters, MO 63376-3386 |
| Evelyne G Schuetz | Obstetrics/gynecology | Boonslick Medical Group Inc | 201 Bjc Saint Peters Dr, Suite 100, Saint Peters, MO 63376-3386 |
| John H Uhlemann | Dermatology | Boonslick Medical Group Inc | 201 Bjc Saint Peters Dr, Suite 100, Saint Peters, MO 63376-3386 |
| Alexander E Schuetz | Family Medicine | Boonslick Medical Group Inc | 201 Bjc Saint Peters Dr, Suite 100, Saint Peters, MO 63376-3386 |
| Gary J Meltz | Internal Medicine | Boonslick Medical Group Inc | 201 Bjc St Peters Dr, Suite 100, Saint Peters, MO 63376 |
| Street Address |
201 BJC ST PETERS DR |
| City | SAINT PETERS |
| State | MO |
| Zip | 63376 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary K Knight Macheca | Nurse Practitioner | Physician Groups Lc | 201 Bjc St Peters Dr, Suite 200, St Peters, MO 63376 |
| Stanley Mathew | Endocrinology | Physician Groups Lc | 201 Bjc St Peters Dr, Suite 200, St Peters, MO 63376 |
| Mei Chris Huang | Gastroenterology | Physician Groups Lc | 201 Bjc St Peters Dr, Suite 200, St Peters, MO 63376 |
| Ranjani P Ramanathan | Endocrinology | Physician Groups Lc | 201 Bjc St Peters Dr, Suite 200, St Peters, MO 63376 |
| Brittany Nicole Lyons | Nurse Practitioner | Physician Groups Lc | 201 Bjc St Peters Dr, Suite 200, St Peters, MO 63376 |
| Prajakta Mungikar | Internal Medicine | Physician Groups Lc | 201 Bjc St Peters Dr, Suite 200, St Peters, MO 63376 |
| Dianna J Ohlman | Nurse Practitioner | Physician Groups Lc | 201 Bjc St Peters Dr, Suite 200, St Peters, MO 63376 |
| Gary J Meltz | Internal Medicine | Boonslick Medical Group Inc | 201 Bjc St Peters Dr, Suite 100, Saint Peters, MO 63376 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Penny L Richardson | Chiropractic | 8471 Mexico Rd, Saint Peters, MO 63376-1103 | |
| Ryan D Mccain | Chiropractic | 8069 Mexico Rd, Saint Peters, MO 63376-1148 | |
| James E Lustig | Chiropractic | 7472 Mexico Rd, St Peters, MO 63376-1305 | |
| Steven Heiland | Chiropractic | 7347 Mexico Rd, Suite 200, Saint Peters, MO 63376-1393 | |
| Kevin G Lydon | Optometry | Pec St Peters LLC | 6764 Mexico Rd, Saint Peters, MO 63376-1505 |
| Mark D Hingst | Family Medicine | Ssm Medical Group Inc | 6994 Mexico Rd, Saint Peters, MO 63376-1512 |
| Cindy Myers | Nurse Practitioner | Ssm Medical Group Inc | 6994 Mexico Rd, Saint Peters, MO 63376-1512 |
| Jessica Lynn Underhill | Family Medicine | Ssm Medical Group Inc | 6994 Mexico Rd, Saint Peters, MO 63376-1512 |
| Deanna Justine Bajala | Family Medicine | Ssm Medical Group Inc | 6994 Mexico Rd, Saint Peters, MO 63376-1512 |
| Michael Nels Kirk | Family Medicine | Ssm Medical Group Inc | 6994 Mexico Rd, Saint Peters, MO 63376-1512 |
| Find all physicians in zip 63376 | |||
| City | SAINT PETERS |
| Zip Code | 63376 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | SAINT PETERS + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Robert B Cusworth.
| 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.