Jeffrey Robert Padousis (NPI# 1194807172, PAC ID# 4486613064) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1194807172 |
| PAC ID by PECOS | 4486613064 |
| Professional Enrollment ID | I20041008000318 |
| Full Name | Jeffrey Robert Padousis |
| Organization Legal Name | OPHTHALMOLOGY WEST, INC. |
| Address |
522 N New Ballas Rd Suite 136 Saint Louis MO 63141-6820 |
| Phone Number | 3144327010 |
| Gender | M |
| Credential | MD |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 3870550924 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260191 | BARNES-JEWISH ST PETERS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 522 N New Ballas Rd, Suite 136, Saint Louis, MO 63141-6820 | 3144327010 | OPHTHALMOLOGY WEST, INC. |
| Organization Legal Name | OPHTHALMOLOGY WEST, INC. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barry David Milder | Ophthalmology | Ophthalmology West, Inc. | 522 N New Ballas Rd, Suite 136, Saint Louis, MO 63141-6820 |
| Carrie S Gaines | Optometry | Ophthalmology West, Inc. | 70 Jungermann Cir, Suite 103, Saint Peters, MO 63376-1619 |
| Street Address |
522 N NEW BALLAS RD SUITE 136 |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63141-6820 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Akgun Ince | Rheumatology | Arthritis Consultants Inc | 522 N New Ballas Rd, Suite 240, Saint Louis, MO 63141-6819 |
| Jamie L Griffith | Nurse Practitioner | Jason B. Amato, Md Dermatology, LLC | 522 N New Ballas Rd, Suite 203, Saint Louis, MO 63141-6819 |
| Elaine M Zobrist | Nurse Practitioner | Arthritis Consultants Inc | 522 N New Ballas Rd, Suite 240, Saint Louis, MO 63141-6819 |
| Rafi T Kevorkian | Internal Medicine | 522 N New Ballas Rd, Suite 317, Saint Louis, MO 63141-6840 | |
| Sara E Taylor | Optometry | Hill Vision Services LLC | 522 N New Ballas Rd, Suite 113, Creve Coeur, MO 63141-6820 |
| Timothy Blankenship | Optometry | Hill Vision Services LLC | 522 N New Ballas Rd, Suite 113, Creve Coeur, MO 63141-6820 |
| Christine Donahue Dill | Nurse Practitioner | Jason B. Amato, Md Dermatology, LLC | 522 N New Ballas Rd, Suite 203, Saint Louis, MO 63141-6819 |
| Elsa D Gutierrez | Dermatology | 522 N New Ballas Rd, Suite 180, Saint Louis, MO 63141-6828 | |
| Nigel B Darvell | Clinical Social Worker | Mid-america Psychiatric Consultants LLC | 522 N New Ballas Rd, Suite 334, Saint Louis, MO 63141-6840 |
| Jason B Amato | Dermatology | Jason B. Amato, Md Dermatology, LLC | 522 N New Ballas Rd, Suite 203, Saint Louis, MO 63141-6819 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren M Finnerty | Nurse Practitioner | Associated Physicians Group Ltd | 845 N New Ballas Court, Suite 120, Creve Couer, MO 63141 |
| Enos Moss | Nurse Practitioner | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Matthew Stewart Wilson | Psychiatry | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Erica Chick | Clinical Social Worker | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Thomas Horn | Psychiatry | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Tianyuan Yin Cornell | Psychiatry | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Patricia L Tracy | Physical Therapy | Associated Physicians Group, Ltd | 845 N New Ballas Court, Creve Couer, MO 63141 |
| Kevin O Easley | Gynecological Oncology | Mercy Clinic Gyn Oncology LLC | 607 S New Ballas Rd, Suite 2350, Saint Louis, MO 63141-0001 |
| Kelly L Ball | Nurse Practitioner | Mercy Clinic Gyn Oncology LLC | 607 S New Ballas Rd, Suite 2350, Saint Louis, MO 63141-0001 |
| Amy Kelly Neu | Clinical Social Worker | Fitzgibbons Psychological West County Psychological Associates | 12125 Woodcrest Exec Dr, Suite 110, St Louis, MO 63141-5009 |
| Find all physicians in zip 63141 | |||
| City | SAINT LOUIS |
| Zip Code | 63141 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | SAINT LOUIS + OPHTHALMOLOGY |
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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.