Crystel D Knierim (NPI# 1023034857, PAC ID# 2264462704) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1023034857 |
| PAC ID by PECOS | 2264462704 |
| Professional Enrollment ID | I20100824001180 |
| Full Name | Crystel D Knierim |
| Organization Legal Name | SSM MEDICAL GROUP INC |
| Address |
12349 De Paul Dr Suite 100 Bridgeton MO 63044-2512 |
| Phone Number | 3142917900 |
| Gender | F |
| Medical School | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 6608776299 |
| Number of Group Practice Members | 498 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260104 | SSM DEPAUL HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 12349 De Paul Dr, Suite 100, Bridgeton, MO 63044-2512 | 3142917900 | SSM MEDICAL GROUP INC |
| Organization Legal Name | SSM MEDICAL GROUP INC |
| Physicians | 497 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jodi R Lutz | Nurse Practitioner | Ssm Medical Group Inc | 1650 Washington Ave, Alton, IL 62002-3931 |
| Anne Marie Maestas | Podiatry | Ssm Medical Group Inc | 400 1st Capitol Dr, Suite 301, Saint Charles, MO 63301-2883 |
| Alina V Adams | Nurse Practitioner | Ssm Medical Group Inc | 3555 Sunset Office Dr, Suite C100, Saint Louis, MO 63127-1014 |
| Jared Henrichs | Family Medicine | Ssm Medical Group Inc | 8670 A Big Bend Blvd, Saint Louis, MO 63119-3839 |
| Jamie L Partin | Nurse Practitioner | Ssm Medical Group Inc | 16105 Manchester Rd, Ellisville, MO 63011-2001 |
| Tyla A Johnson | Nurse Practitioner | Ssm Medical Group Inc | 190 N Florissant Rd, Ferguson, MO 63135-1942 |
| Ashfaq Ullah | Pulmonary Disease | Ssm Medical Group Inc | 12255 De Paul Dr, Suite 500, Bridgeton, MO 63044-2515 |
| Katherine E Galliers | Nurse Practitioner | Ssm Medical Group Inc | 8571 Watson Rd, Webster Groves, MO 63119-5218 |
| Kaci Briann Hale | Nurse Practitioner | Ssm Medical Group Inc | 1001 Bowles Ave, Fenton, MO 63026-2338 |
| Tuyche D Sang | Internal Medicine | Ssm Medical Group Inc | 30 Ronnies Plz, Saint Louis, MO 63126-3552 |
| Street Address |
12349 DE PAUL DR SUITE 100 |
| City | BRIDGETON |
| State | MO |
| Zip | 63044-2512 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory N Nelson | Orthopedic Surgery | Ssm Medical Group Inc | 12349 De Paul Dr, Suite 100, Bridgeton, MO 63044-2512 |
| Terry J Weis | Orthopedic Surgery | Ssm Medical Group Inc | 12349 De Paul Dr, Suite 100, Bridgeton, MO 63044-2512 |
| Aaron M. Weber | Hand Surgery | Ssm Medical Group Inc | 12349 De Paul Dr, Suite 100, Bridgeton, MO 63044-2512 |
| Randall D Roush | Orthopedic Surgery | Ssm Medical Group Inc | 12349 De Paul Dr, Suite 100, Bridgeton, MO 63044-2512 |
| Katherine A Burns | Orthopedic Surgery | Ssm Medical Group Inc | 12349 De Paul Dr, Suite 100, Bridgeton, MO 63044-2512 |
| Lynn M Robbins | Physician Assistant | Ssm Medical Group Inc | 12349 De Paul Dr, Suite 100, Bridgeton, MO 63044-2512 |
| Paul J Diesfeld | Physician Assistant | Ssm Medical Group Inc | 12349 De Paul Dr, Suite 100, Bridgeton, MO 63044-2512 |
| Courtney C Grodie | Physician Assistant | Ssm Medical Group Inc | 12349 De Paul Dr, Suite 100, Bridgeton, MO 63044-2512 |
| William C Schroer | Orthopedic Surgery | Ssm Medical Group Inc | 12349 De Paul Dr, Suite 100, Bridgeton, MO 63044-2512 |
| Ryan J Pomajzl | Orthopedic Surgery | Ssm Medical Group Inc | 12349 De Paul Dr, Suite 100, Bridgeton, MO 63044-2512 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adnan Y Siddiqui | Infectious Disease | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
| Duong T Ho | Nurse Practitioner | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
| Molly F Caldwell Mcmillan | Infectious Disease | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
| Shahzad Hasan | Internal Medicine | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
| Phillip G Zinser | Infectious Disease | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
| Jeanalyn S Guthrie | Nurse Practitioner | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
| Julie A Shapiro | Infectious Disease | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
| Manpreet Kaur Budhan | Nurse Practitioner | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
| Hassan R Jafri | Physical Therapy | 12800 Boenker Ln, Bridgeton, MO 63044-2438 | |
| Timothy R Knuuttila | Chiropractic | 12258 St Charles Rock Rd, Bridgeton, MO 63044-2501 | |
| Find all physicians in zip 63044 | |||
| City | BRIDGETON |
| Zip Code | 63044 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | BRIDGETON + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Crystel D Knierim.
| 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.