Thomas Kuciejczyk-kernan (NPI# 1669478970, PAC ID# 4486778974) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1669478970 |
| PAC ID by PECOS | 4486778974 |
| Professional Enrollment ID | I20100907000365 |
| Full Name | Thomas Kuciejczyk-kernan |
| Organization Legal Name | AFFINIA HEALTHCARE |
| Address |
2220 Lemp Ave Saint Louis MO 63104-2700 |
| Phone Number | 3148981700 |
| Gender | M |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1052386919 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260032 | BARNES JEWISH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1717 Biddle St, Saint Louis, MO 63106-3454 | 3148981700 | AFFINIA HEALTHCARE |
| 2220 Lemp Ave, Saint Louis, MO 63104-2700 | 3148981700 | AFFINIA HEALTHCARE |
| 3930 S Broadway, Saint Louis, MO 63118-4626 | 3148981700 | AFFINIA HEALTHCARE |
| Organization Legal Name | AFFINIA HEALTHCARE |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica A Norton | Obstetrics/gynecology | Affinia Healthcare | 4414 N Florissant Ave, Saint Louis, MO 63107-1812 |
| Jaime E Flores Ruiz | Internal Medicine | Affinia Healthcare | 1717 Biddle St, Saint Louis, MO 63106-3454 |
| Juee S Phalak | Psychiatry | Affinia Healthcare | 2220 Lemp Ave, Saint Louis, MO 63104-2700 |
| Paulina Cruz Bravo | Endocrinology | Affinia Healthcare | 3930 S Broadway, Saint Louis, MO 63118-4626 |
| Vani Pachalla | Family Medicine | Affinia Healthcare | 1430 Olive St, Suite 400, Saint Louis, MO 63103-2303 |
| Mary B Keegan | Obstetrics/gynecology | Affinia Healthcare | 1717 Biddle St, Saint Louis, MO 63106-3454 |
| Jared John Visser | Podiatry | Affinia Healthcare | 1717 Biddle St, Saint Louis, MO 63106-3454 |
| Barbara A Lutey | Internal Medicine | Affinia Healthcare | 1717 Biddle St, Saint Louis, MO 63106-3454 |
| Melissa D Tepe | Obstetrics/gynecology | Affinia Healthcare | 2220 Lemp Ave, Saint Louis, MO 63104-2700 |
| Jessica M Despotovic | Obstetrics/gynecology | Affinia Healthcare | 4414 N Florissant Ave, Saint Louis, MO 63107-1812 |
| Street Address |
2220 LEMP AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63104-2700 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Juee S Phalak | Psychiatry | Affinia Healthcare | 2220 Lemp Ave, Saint Louis, MO 63104-2700 |
| Melissa D Tepe | Obstetrics/gynecology | Affinia Healthcare | 2220 Lemp Ave, Saint Louis, MO 63104-2700 |
| Shirley Mae Visser | Podiatry | Affinia Healthcare | 2220 Lemp Ave, Saint Louis, MO 63104-2700 |
| David A Miller | Family Medicine | Affinia Healthcare | 2220 Lemp Ave, Saint Louis, MO 63104-2700 |
| Hari K Nallapaneni | Internal Medicine | Affinia Healthcare | 2220 Lemp Ave, Saint Louis, MO 63104-2700 |
| Margaret E Baum | Obstetrics/gynecology | Affinia Healthcare | 2220 Lemp Ave, Saint Louis, MO 63104-2700 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy J Kutz | Pediatric Medicine | St Louis University | 1465 S Grand, Saint Louis, MO 63104-1003 |
| Aki S Puryear | Orthopedic Surgery | St Louis University | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 |
| Margaret K Siska | Endocrinology | St Louis University | 1465 S Grand, Saint Louis, MO 63104-1003 |
| Rocio D Zeballos-chavez | Sleep Medicine | St Louis University | 1465 S Grand Blvd, St Louis, MO 63104-1003 |
| Philippe Ja Mercier | Neurosurgery | St Louis University | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 |
| David P Dempsher | Endocrinology | St Louis University | 1465 S Grand, Saint Louis, MO 63104-1003 |
| Caroline T Meyer | Gastroenterology | St Louis University | 1465 S Grand, Saint Louis, MO 63104-1003 |
| Connie D Anderson | Pediatric Medicine | St Louis University | 1465 S Grand, Saint Louis, MO 63104-1003 |
| Pin Yue | Anesthesiology Assistant | St Louis University | 1465 S Grand Blvd, St Louis, MO 63104-1003 |
| Elizabeth Engel | Orthopedic Surgery | St Louis University | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 |
| Find all physicians in zip 63104 | |||
| City | SAINT LOUIS |
| Zip Code | 63104 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SAINT LOUIS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Thomas Kuciejczyk-kernan.
| 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.