Manuel L San (NPI# 1245443548, PAC ID# 2567540040) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1245443548 |
| PAC ID by PECOS | 2567540040 |
| Professional Enrollment ID | I20080424000058 |
| Full Name | Manuel L San |
| Organization Legal Name | FAST TRACK MEDICAL LLC |
| Address |
2686 N Hwy 67 Florissant MO 63033-1438 |
| Phone Number | 3149217300 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | GERIATRIC MEDICINE |
| Group Practice PAC ID | 2062693336 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260064 | SSM HEALTH ST. MARY'S HOSPITAL-AUDRAIN |
| Address | Phone | Organization |
|---|---|---|
| 2686 N Hwy 67, Florissant, MO 63033-1438 | 3149217300 | FAST TRACK MEDICAL LLC |
| 12942 Wornall Rd, Kansas City, MO 64145-1253 | 8169426705 | JOY E CUEZZE MD LLC |
| 3621 Warwick Blvd, Clara Manor Nursing Home, Kansas City, MO 64111-1403 | 9132155008 | JOY E CUEZZE MD LLC |
| 6101 W 119th St, Brookdale Place Overland Park, Overland Park, KS 66209-2728 | 9133459339 | JOY E CUEZZE MD LLC |
| 7105 Mission Rd, Prairie Village, KS 66208-3000 | 9132621611 | JOY E CUEZZE MD LLC |
| Organization Legal Name | FAST TRACK MEDICAL LLC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward O Buschmiller | Internal Medicine | Fast Track Medical LLC | 5701 Chippewa St, Saint Louis, MO 63109-1544 |
| Nancy E Noel | Emergency Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| Cynthia X Wiederholt | Emergency Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| Bessevelyn M Tables | Family Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| David Dunn | Family Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| Phillip J Greene | Family Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| Kathryn A Followell | Family Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| Paul D D Rains | Family Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| Pilaipun Williams | Internal Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| Sanit Saengsamran | Internal Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| Street Address |
2686 N HWY 67 |
| City | FLORISSANT |
| State | MO |
| Zip | 63033-1438 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy E Noel | Emergency Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| Cynthia X Wiederholt | Emergency Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| Bessevelyn M Tables | Family Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| David Dunn | Family Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| Phillip J Greene | Family Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| Kathryn A Followell | Family Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| Paul D D Rains | Family Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| Pilaipun Williams | Internal Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| Sanit Saengsamran | Internal Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| Ashley S Emmert | Allergy/immunology | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol F Merritt | Optometry | 2750 N Hwy 67, Florissant, MO 63033-1402 | |
| Kevin L Mcclain | Chiropractic | 2640 N Us Hwy 67, Florissant, MO 63033-1438 | |
| Melvyn R Goldberg | Pediatric Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| Raymond Leung | Internal Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| Brian C Ruiz | Internal Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| Natalia M Wetterer | Pediatric Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| Gene Dennis Bell | Chiropractic | 3300 N Us Hwy 67, Bell Chiropractic Center, Florissant, MO 63033-1605 | |
| David Brown | Internal Medicine | Mercy Clinic East Communities | 1776 New Florissant Rd, Mercy Clinic Internal Medicine, Florissant, MO 63033-1906 |
| Jacqueline E Hayes | Family Medicine | Ssm Medical Group Inc | 14021 New Halls Ferry Rd, Florissant, MO 63033-2708 |
| David K Bean | Family Medicine | Ssm Medical Group Inc | 14021 New Halls Ferry Rd, Florissant, MO 63033-2708 |
| Find all physicians in zip 63033 | |||
| City | FLORISSANT |
| Zip Code | 63033 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | FLORISSANT + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Manuel L San.
| 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.