Mirha Avdagic (NPI# 1154625887, PAC ID# 2769653997) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1154625887 |
| PAC ID by PECOS | 2769653997 |
| Professional Enrollment ID | I20110920000752 |
| Full Name | Mirha Avdagic |
| Organization Legal Name | ST ANTHONY'S PHYSICIAN ORGANIZATION |
| Address |
3619 Richardson Square Dr Suite 170 Arnold MO 63010-6014 |
| Phone Number | 6367176776 |
| Gender | F |
| Graduation Year | 1987 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4880588938 |
| Number of Group Practice Members | 104 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260077 | ST ANTHONY'S MEDICAL CENTER |
| 260020 | MERCY HOSPITAL ST LOUIS |
| 260023 | MERCY HOSPITAL JEFFERSON |
| Address | Phone | Organization |
|---|---|---|
| 3619 Richardson Square Dr, Suite 170, Arnold, MO 63010-6014 | 6367176776 | 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 |
3619 RICHARDSON SQUARE DR SUITE 170 |
| City | ARNOLD |
| State | MO |
| Zip | 63010-6014 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen A Lickenbrock | Family Medicine | Physicians of St Anthonys Medical Center Lc | 3619 Richardson Square Dr, Arnold, MO 63010-6022 |
| Melissa P Pennington | Physician Assistant | Physicians of St Anthonys Medical Center Lc | 3619 Richardson Square Dr, Arnold, MO 63010-6022 |
| Jeanine Michelle Weinkauf | Nurse Practitioner | Medwin Primary Care LLC | 3619 Richardson Square Dr, Suite 150, Arnold, MO 63010-6021 |
| Fariha Qayum | Family Medicine | Physicians of St Anthonys Medical Center Lc | 3619 Richardson Square Dr, Arnold, MO 63010-6022 |
| Rachel A Cook | Nurse Practitioner | Physicians of St Anthonys Medical Center Lc | 3619 Richardson Square Dr, Arnold, MO 63010-6022 |
| Teresa L Brewer | Nurse Practitioner | Physicians of St Anthonys Medical Center Lc | 3619 Richardson Square Dr, Arnold, MO 63010-6022 |
| Kara J Stackley | Nurse Practitioner | St Anthony's Physician Organization | 3619 Richardson Square Dr, Suite 170, Arnold, MO 63010-6014 |
| Patricia A Weilert | Family Medicine | Physicians of St Anthonys Medical Center Lc | 3619 Richardson Square Dr, Arnold, MO 63010-6022 |
| Paul D Hansen | Emergency Medicine | Physicians of St Anthonys Medical Center Lc | 3619 Richardson Square Dr, Arnold, MO 63010-6022 |
| Sharon M Sweet | Nurse Practitioner | Physicians of St Anthonys Medical Center Lc | 3619 Richardson Square Dr, Arnold, MO 63010-6022 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy J Oldani | Podiatry | Center for Advanced Foot and Ankle Surgery Inc | 1515 Astra Way, Arnold, MO 63010-1146 |
| Seth M Anderson | Podiatry | Center for Advanced Foot and Ankle Surgery Inc | 1515 Astra Way, Arnold, MO 63010-1146 |
| Holly Rae Ackermann | Nurse Practitioner | Midwest Medical Practitioners LLC | 525 Jeffco Blvd, Arnold, MO 63010-1407 |
| Cynthia Snider | Nurse Practitioner | Midwest Medical Practitioners LLC | 525 Jeffco Blvd, Arnold, MO 63010-1407 |
| Danish A Jabbar | Internal Medicine | Midwest Medical Practitioners LLC | 525 Jeffco Blvd, Arnold, MO 63010-1407 |
| Lacy L Hosay | Nurse Practitioner | Midwest Medical Practitioners LLC | 525 Jeffco Blvd, Arnold, MO 63010-1407 |
| Diana Elizabeth Toler | Chiropractic | 2190 Tenbrook Rd, Arnold, MO 63010-1515 | |
| Nancy M Birtley | Nurse Practitioner | 100 Woodland Mnr, Woodland Manor, Arnold, MO 63010-2030 | |
| Gayle M Ostermiller | Nurse Practitioner | Ssm Health Care St Louis | 1296 Jeffco Blvd, Suite B, Arnold, MO 63010-2138 |
| Cynthia Visintine | Nurse Practitioner | Ssm Health Care St Louis | 1296 Jeffco Blvd, Suite B, Arnold, MO 63010-2138 |
| Find all physicians in zip 63010 | |||
| City | ARNOLD |
| Zip Code | 63010 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ARNOLD + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Mirha Avdagic.
| 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.