Babu R Dandamudi (NPI# 1386645430, PAC ID# 2769507110) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1386645430 |
| PAC ID by PECOS | 2769507110 |
| Professional Enrollment ID | I20100909000182 |
| Full Name | Babu R Dandamudi |
| Organization Legal Name | ST ANTHONY'S PHYSICIAN ORGANIZATION |
| Address |
723 S Laclede Station Rd St Anthonys At Laclede Groves Senior Services St Louis MO 63119-4911 |
| Phone Number | 3144462482 |
| Gender | M |
| Graduation Year | 1980 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | GERIATRIC MEDICINE |
| Group Practice PAC ID | 4880588938 |
| Number of Group Practice Members | 104 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260023 | MERCY HOSPITAL JEFFERSON |
| 260077 | ST ANTHONY'S MEDICAL CENTER |
| 260191 | BARNES-JEWISH ST PETERS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 723 S Laclede Station Rd, St Anthonys At Laclede Groves Senior Services, St Louis, MO 63119-4911 | 3144462482 | 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 |
723 S LACLEDE STATION RD ST ANTHONYS AT LACLEDE GROVES SENIOR SERVICES |
| City | ST LOUIS |
| State | MO |
| Zip | 63119-4911 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina M Digby | Nurse Practitioner | Generation Clinical Partners LLC | 723 S Laclede Station Rd, St Louis, MO 63119-4911 |
| Rex Erwin Hudson | Emergency Medicine | Generation Clinical Partners LLC | 723 S Laclede Station Rd, St Louis, MO 63119-4911 |
| Sarina T Phatak | Internal Medicine | Generation Clinical Partners LLC | 723 S Laclede Station Rd, St Louis, MO 63119-4911 |
| Kaylene Inama | Nurse Practitioner | Generation Clinical Partners LLC | 723 S Laclede Station Rd, St Louis, MO 63119-4911 |
| Francisco Silva | Nurse Practitioner | Generation Clinical Partners LLC | 723 S Laclede Station Rd, St Louis, MO 63119-4911 |
| Theresa M Jones | Nurse Practitioner | St Anthony's Physician Organization | 723 S Laclede Station Rd, St. Louis, MO 63119-4911 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kian Huat Lim | Medical Oncology | Washington University | 8969 Waston Rd, Baker Medical Bldg Card Off, St Louis, MO 63119-0001 |
| Nick E Barnes | Chiropractic | 9586 Manchester Rd, Saint Louis, MO 63119-1313 | |
| Amanda J Heidemann | Family Medicine | Total Access Urgent Care PC | 9556 Manchester Rd, Saint Louis, MO 63119-1313 |
| Taylor Kristen Delmain | Physician Assistant | Total Access Urgent Care PC | 9556 Manchester Rd, Saint Louis, MO 63119-1313 |
| Aaron M Tyree | Physician Assistant | Total Access Urgent Care PC | 9556 Manchester Rd, Saint Louis, MO 63119-1313 |
| Mollie A Spire | Family Medicine | Total Access Urgent Care PC | 9556 Manchester Rd, Saint Louis, MO 63119-1313 |
| Kamal R Demetry | Internal Medicine | Total Access Urgent Care PC | 9556 Manchester Rd, Saint Louis, MO 63119-1313 |
| Helen Lau | Physician Assistant | Total Access Urgent Care PC | 9556 Manchester Rd, Saint Louis, MO 63119-1313 |
| Leslie A Robins | Family Medicine | Total Access Urgent Care PC | 9556 Manchester Rd, Saint Louis, MO 63119-1313 |
| Janene C Sparks | Emergency Medicine | Total Access Urgent Care PC | 9556 Manchester Rd, Saint Louis, MO 63119-1313 |
| Find all physicians in zip 63119 | |||
| City | ST LOUIS |
| Zip Code | 63119 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ST LOUIS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Babu R Dandamudi.
| 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.