Carl O Deetz (NPI# 1629232491, PAC ID# 2466693841) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1629232491 |
| PAC ID by PECOS | 2466693841 |
| Professional Enrollment ID | I20130726000728 |
| Full Name | Carl O Deetz |
| Organization Legal Name | ANALYTICAL PATHOLOGY SERVICES LTD |
| Address |
1225 Graham Rd Florissant MO 63031-8014 |
| Phone Number | 3149536000 |
| Gender | M |
| Medical School | UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 6800825480 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260023 | MERCY HOSPITAL JEFFERSON |
| 260180 | CHRISTIAN HOSPITAL NORTHEAST |
| 140002 | ALTON MEMORIAL HOSPITAL |
| 261311 | PERRY COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1 Memorial Dr, Alton, IL 62002-6722 | 6184637311 | ANALYTICAL PATHOLOGY SERVICES LTD |
| 1900 State St, Chester, IL 62233-1116 | 6188264581 | ANALYTICAL PATHOLOGY SERVICES LTD |
| 1225 Graham Rd, Florissant, MO 63031-8014 | 3149536000 | ANALYTICAL PATHOLOGY SERVICES LTD |
| 11133 Dunn Rd, Saint Louis, MO 63136-6163 | 3146535630 | ANALYTICAL PATHOLOGY SERVICES LTD |
| Organization Legal Name | ANALYTICAL PATHOLOGY SERVICES LTD |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Chu | Pathology | Analytical Pathology Services Ltd | 1400 Hwy 61 S, Crystal City, MO 63019-0350 |
| Susan C Rayne | Pathology | Analytical Pathology Services Ltd | 1 Memorial Dr, Alton, IL 62002-6722 |
| Olaronke A Akintola-ogunremi | Pathology | Analytical Pathology Services Ltd | 11133 Dunn Rd, Saint Louis, MO 63136-6163 |
| Gregory S King | Pathology | Analytical Pathology Services Ltd | 1 Memorial Dr, Alton, IL 62002-6722 |
| Michael Vanvrancken | Pathology | Analytical Pathology Services Ltd | 1400 Hwy 61 S, Crystal City, MO 63019-0350 |
| John L Rollo | Pathology | Analytical Pathology Services Ltd | 11133 Dunn Rd, Saint Louis, MO 63136-6119 |
| Steven M Johnson | Pathology | Analytical Pathology Services Ltd | 1 Memorial Dr, Alton, IL 62002-6722 |
| Street Address |
1225 GRAHAM RD |
| City | FLORISSANT |
| State | MO |
| Zip | 63031-8014 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ann M Davis | Nurse Practitioner | Fairview Heights Medical Group Sc | 1225 Graham Rd, Suite 2310, Florissant, MO 63031-8023 |
| Jareer Farah | Interventional Cardiology | Fairview Heights Medical Group Sc | 1225 Graham Rd, Suite 2310, Florissant, MO 63031-8023 |
| Shereece Nichole Wallace | Nurse Practitioner | Fairview Heights Medical Group Sc | 1225 Graham Rd, Suite 1340, Florissant, MO 63031-8019 |
| Keiko Sawano | Nurse Practitioner | Fairview Heights Medical Group Sc | 1225 Graham Rd, Suite C 2320, Florissant, MO 63031-8030 |
| Gerald W Moritz | Otolaryngology | Fairview Heights Medical Group Sc | 1225 Graham Rd, Suite 1340, Florissant, MO 63031-8019 |
| Doris J Tribune Brown | Family Medicine | Physician Groups Lc | 1225 Graham Rd, Suite C 2320, Florissant, MO 63031-8030 |
| Daren G Kest | Plastic and Reconstructive Surgery | Fairview Heights Medical Group Sc | 1225 Graham Rd, Suite 2310, Florissant, MO 63031-8023 |
| Allison E Jordan | Hospice/palliative Care | Fairview Heights Medical Group Sc | 1225 Graham Rd, Suite 1340, Florissant, MO 63031-8019 |
| Daniel R Herleth | Family Medicine | Physician Groups Lc | 1225 Graham Rd, Suite C 2320, Florissant, MO 63031-8030 |
| Kayleigh Ann Fischer | Pediatric Medicine | Washington University | 1225 Graham Rd, Florissant, MO 63031-8012 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank R Danna Jr. | Clinical Social Worker | Deer Oaks Mental Health Associates PC | 250 New Florissant Rd S, Crystal Creek Nursing and Rehabilition Center, Florissant, MO 63031 |
| Deborah Lynn Tannenbaum | Clinical Social Worker | Deer Oaks Mental Health Associates PC | 615 Rancho Ln, Florissant, MO 63031-1717 |
| Elizabeth A Allen | Clinical Social Worker | 1104 Liberty Gardens Ct, Florissant, MO 63031-1948 | |
| Charles M Lutz | Optometry | Nu-crown, LLC | 935 N Hwy 67 N, Florissant, MO 63031-2917 |
| Joseph A Bendet | Certified Registered Nurse Anesthetist (crna) | 900 N Hwy 67, Florissant, MO 63031-2919 | |
| Mark J Reddan | Optometry | Eye Center Inc | 900 N Us Hwy 67, Florissant, MO 63031-2919 |
| Julie M Sturm | Ophthalmology | Eye Center Inc | 900 N Us Hwy 67, Florissant, MO 63031-2919 |
| Thomas Eric Stickel | Optometry | Eye Center Inc | 900 N Us Hwy 67, Florissant, MO 63031-2919 |
| Daniel J Watson | Ophthalmology | Eye Center Inc | 900 N Us Hwy 67, Florissant, MO 63031-2919 |
| John P Goltschman | Ophthalmology | Eye Center Inc | 900 N Us Hwy 67, Florissant, MO 63031-2919 |
| Find all physicians in zip 63031 | |||
| City | FLORISSANT |
| Zip Code | 63031 |
| Specialty | PATHOLOGY |
| City + Specialty | FLORISSANT + PATHOLOGY |
Please comment or provide details below to improve the information on Carl O Deetz.
| 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.