Nicholas J Mayer (NPI# 1104075597, PAC ID# 4082767066) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1104075597 |
| PAC ID by PECOS | 4082767066 |
| Professional Enrollment ID | I20090810000242 |
| Full Name | Nicholas J Mayer |
| Organization Legal Name | ST. LOUIS KIDNEY CARE LLC |
| Address |
11155 Dunn Rd Suite 211n Saint Louis MO 63136-6166 |
| Phone Number | 3147411600 |
| Gender | M |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | NEPHROLOGY |
| Group Practice PAC ID | 6305130667 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260104 | SSM DEPAUL HEALTH CENTER |
| 260180 | CHRISTIAN HOSPITAL NORTHEAST |
| 140125 | GATEWAY REGIONAL MEDICAL CENTER |
| 140002 | ALTON MEMORIAL HOSPITAL |
| 140289 | ANDERSON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2044 Madison Ave, Suite 15, Granite City, IL 62040-4641 | 6184528420 | ST. LOUIS KIDNEY CARE LLC |
| 11155 Dunn Rd, Suite 211n, Saint Louis, MO 63136-6166 | 3147411600 | ST. LOUIS KIDNEY CARE LLC |
| Organization Legal Name | ST. LOUIS KIDNEY CARE LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annette Hood | Nurse Practitioner | St. Louis Kidney Care LLC | 11155 Dunn Rd, Suite 211n, Saint Louis, MO 63136-6166 |
| Maisa A Nazzal | Nephrology | St. Louis Kidney Care LLC | 11155 Dunn Rd, Suite 211n, Saint Louis, MO 63136-6166 |
| Street Address |
11155 DUNN RD SUITE 211N |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63136-6166 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher Louis Beuer | Anesthesiology | Midwest Anesthesia Associates PC | 11155 Dunn Rd, Suite 204n, Saint Louis, MO 63136-6149 |
| Asim Razzaq | Urology | Urology of St. Louis, Inc | 11155 Dunn Rd, Suite 309e, Saint Louis, MO 63136-6111 |
| Christopher M Perry | Family Medicine | 11155 Dunn Rd, Suite 102n, Saint Louis, MO 63136-6148 | |
| Annette Hood | Nurse Practitioner | St. Louis Kidney Care LLC | 11155 Dunn Rd, Suite 211n, Saint Louis, MO 63136-6166 |
| Muhammad Yasin | General Surgery | Washington University | 11155 Dunn Rd, Saint Louis, MO 63136-6150 |
| Maisa A Nazzal | Nephrology | St. Louis Kidney Care LLC | 11155 Dunn Rd, Suite 211n, Saint Louis, MO 63136-6166 |
| Erik D Daniels | Nephrology | 11155 Dunn Rd, Suite 211n, Saint Louis, MO 63136-6166 | |
| Kalu I Onuma | Psychiatry | Physician Groups Lc | 11155 Dunn Rd, Bldg 1, Saint Louis, MO 63136-6150 |
| Jennifer Burns | Nurse Practitioner | St Louis Heart and Vascular PC | 11155 Dunn Rd, 304e, Saint Louis, MO 63136-6111 |
| Sherry L Franklin | Nurse Practitioner | St Louis Heart and Vascular PC | 11155 Dunn Rd, 304e, Saint Louis, MO 63136-6111 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tanika C Mcclary | Nurse Practitioner | 10135 W Florissant Ave, Saint Louis, MO 63136-2103 | |
| Bhajan S Dara | Internal Medicine | Metro St Louis Renal Services Inc | 10160 W Florissant Ave, Suite 200, Saint Louis, MO 63136-2104 |
| Pradeep A Chandra | Cardiovascular Disease (cardiology) | St Louis Heart and Vascular PC | 2880 Netherton Dr, Suite 102, Saint Louis, MO 63136-4649 |
| Akinrinola Fatoki | Family Medicine | 2880 Netherton Dr, Suite 200, Saint Louis, MO 63136-4649 | |
| Reynal L Caldwell | General Practice | 2880 Netherton Dr, Suite 103, Saint Louis, MO 63136-4649 | |
| Meredith A Schoene | Nurse Practitioner | David J. Pernikoff, Md, PC | 2865 Netherton, St Louis, MO 63136-4674 |
| Juan O Carden | Hematology/oncology | 2865 Netherton Dr, Saint Louis, MO 63136-4674 | |
| Kamil Dostalik | Physical Therapy | Physical Therapy Consultants, Inc | 2865 Netherton Dr, Saint Louis, MO 63136-4674 |
| Steven M Mense | Physical Therapy | Physical Therapy Consultants, Inc | 2865 Netherton Dr, Saint Louis, MO 63136-4674 |
| Michael P Tuckey | Physical Therapy | Physical Therapy Consultants, Inc | 2865 Netherton Dr, Saint Louis, MO 63136-4674 |
| Find all physicians in zip 63136 | |||
| City | SAINT LOUIS |
| Zip Code | 63136 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SAINT LOUIS + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Nicholas J Mayer.
| 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.