Edward A Puro (NPI# 1356409957, PAC ID# 3375540719) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1356409957 |
| PAC ID by PECOS | 3375540719 |
| Professional Enrollment ID | I20110915000883 |
| Full Name | Edward A Puro |
| Address |
1265 Graham Rd Suite 3 Florissant MO 63031-8018 |
| Gender | M |
| Medical School | WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1975 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260180 | CHRISTIAN HOSPITAL NORTHEAST |
| 260104 | SSM DEPAUL HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1265 Graham Rd, Suite 3, Florissant, MO 63031-8018 |
| Street Address |
1265 GRAHAM RD SUITE 3 |
| City | FLORISSANT |
| State | MO |
| Zip | 63031-8018 |
| 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 | INTERNAL MEDICINE |
| City + Specialty | FLORISSANT + INTERNAL MEDICINE |
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| 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.