Shannon M Grabosch (NPI# 1003136151, PAC ID# 3678792744) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GYNECOLOGICAL ONCOLOGY.
| Nation Provider ID (NPI) | 1003136151 |
| PAC ID by PECOS | 3678792744 |
| Professional Enrollment ID | I20180723001874 |
| Full Name | Shannon M Grabosch |
| Organization Legal Name | ST LOUIS UNIVERSITY |
| Address |
3635 Vista Ave Saint Louis MO 63110-2539 |
| Phone Number | 3149777455 |
| Gender | F |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | GYNECOLOGICAL ONCOLOGY |
| Secondary Specialties | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 8022921964 |
| Number of Group Practice Members | 503 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260091 | SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS |
| Address | Phone | Organization |
|---|---|---|
| 1031 Bellevue Ave, Suite 400, Saint Louis, MO 63117-1858 | 3149777455 | ST LOUIS UNIVERSITY |
| 3635 Vista Ave, Saint Louis, MO 63110-2539 | 3149777455 | ST LOUIS UNIVERSITY |
| 3655 Vista Ave, Saint Louis, MO 63110-2539 | 3149777455 | ST LOUIS UNIVERSITY |
| 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 3149777455 | ST LOUIS UNIVERSITY |
| Organization Legal Name | ST LOUIS UNIVERSITY |
| Physicians | 566 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mandip Singh | Orthopedic Surgery | St Louis University | 1755 S Grand Blvd, Saint Louis, MO 63104-1540 |
| Elizabeth Walden | Nurse Practitioner | St Louis University | 3518 Laclede Ave, Saint Louis, MO 63103-2011 |
| Sandra L Pepper | Nurse Practitioner | St Louis University | 1034 S Brentwood, 1120 Slucare, Saint Louis, MO 63117-1211 |
| Matthew R Smeds | Vascular Surgery | St Louis University | 3655 Vista Ave, Saint Louis, MO 63110-2539 |
| Shubhangi S Peche | Neurology | St Louis University | 2133 Vadabalene, Maryville, IL 62062 |
| David M Picker | Pulmonary Disease | St Louis University | 3660 Vista Ave, Saint Louis, MO 63110-2540 |
| Nirav Patel | Infectious Disease | St Louis University | 3691 Rutger St, Saint Louis, MO 63110-2515 |
| Katherine J Robbins | Pathology | St Louis University | 1402 S Grand Blvd, Saint Louis, MO 63104-1004 |
| Roula Al Dahhak | Neurology | St Louis University | 1438 S Grand Blvd, Saint Louis, MO 63104-1027 |
| Timothy J Kutz | Pediatric Medicine | St Louis University | 1465 S Grand, Saint Louis, MO 63104-1003 |
| Street Address |
3635 VISTA AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63110-2539 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Doug Robert Longo I | Nurse Practitioner | Slh Physicians LLC | 3635 Vista Ave, Saint Louis, MO 63110-2539 |
| Kristin M Salmon | Physician Assistant | St Louis University | 3635 Vista Ave, Saint Louis, MO 63110-2539 |
| Jacob Manoj Kitchener | Interventional Radiology | St Louis University | 3635 Vista Ave, Saint Louis, MO 63110-2539 |
| Christopher Kim | Orthopedic Surgery | St Louis University | 3635 Vista Ave, Saint Louis, MO 63110-2539 |
| Mary L Ponder | Certified Registered Nurse Anesthetist (crna) | Ssm Health Slu Hospital Anesthesia Physician Billing LLC | 3635 Vista Ave, Saint Louis, MO 63110-2539 |
| Punita Tripathi | Anesthesiology | Ssm Health Slu Hospital Anesthesia Physician Billing LLC | 3635 Vista Ave, Saint Louis, MO 63110-2539 |
| Thomas J Revak | Orthopedic Surgery | St Louis University | 3635 Vista Ave, Saint Louis, MO 63110-2539 |
| Shamseldeen Mahmoud | Diagnostic Radiology | St Louis University | 3635 Vista Ave, Saint Louis, MO 63110-2539 |
| Luther J Willmore | Neurology | St Louis University | 3635 Vista Ave, Saint Louis, MO 63110-2539 |
| Krista L Lentine | Nephrology | Slh Physicians LLC | 3635 Vista Ave, Saint Louis, MO 63110-2539 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sue M Katzer | Clinical Social Worker | Wellqor Psychological Services of Wisconsin, S.c. | 6180 S Creekside Dr, Cudahy, WI 63110 |
| Theresa M Spitznagle | Physical Therapy | Washington University | 509 S Euclid, Nwj Bldg Rm 216 2nd Fl, St Louis, MO 63110-0001 |
| Kathleen A Dolan | Occupational Therapy | Washington University | 509 S Euclid, Nwj Bldg Rm 216 2nd Fl, St Louis, MO 63110-0001 |
| Meredith M Whitehead | Physical Therapy | Washington University | 509 S Euclid, Nwj Bldg Rm 216 2nd Fl, St Louis, MO 63110-0001 |
| Carrie L Mosley | Qualified Speech Language Pathologist | Washington University | 509 S Euclid, Nwj Bldg Rm 216 2nd Fl, St Louis, MO 63110-0001 |
| Rebecca D Hamm | Occupational Therapy | Washington University | 509 S Euclid, Nwj Bldg Rm 216 2nd Fl, St Louis, MO 63110-0001 |
| Jennifer A Miller Katsafanas | Physical Therapy | Washington University | 509 S Euclid, Nwj Bldg Rm 216 2nd Fl, St Louis, MO 63110-0001 |
| Stacy Lynne Tylka | Physical Therapy | Washington University | 509 S Euclid, Nwj Bldg Rm 216 2nd Fl, St Louis, MO 63110-0001 |
| Jennifer A Dubbert | Physical Therapy | Washington University | 509 S Euclid, Nwj Bldg Rm 216 2nd Fl, St Louis, MO 63110-0001 |
| Donna L Schroeder | Physical Therapy | Washington University | 509 S Euclid, Nwj Bldg Rm 216 2nd Fl, St Louis, MO 63110-0001 |
| Find all physicians in zip 63110 | |||
| City | SAINT LOUIS |
| Zip Code | 63110 |
| Specialty | GYNECOLOGICAL ONCOLOGY |
| City + Specialty | SAINT LOUIS + GYNECOLOGICAL ONCOLOGY |
Please comment or provide details below to improve the information on Shannon M Grabosch.
| 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.