Colleen M Fitzpatrick (NPI# 1417155383, PAC ID# 4789733957) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PEDIATRIC MEDICINE.
| Nation Provider ID (NPI) | 1417155383 |
| PAC ID by PECOS | 4789733957 |
| Professional Enrollment ID | I20121205000241 |
| Full Name | Colleen M Fitzpatrick |
| Organization Legal Name | SSM CARDINAL GLENNON CHILDREN'S HOSPITAL |
| Address |
3878 Pershall Rd Saint Louis MO 63135-1246 |
| Phone Number | 3143446021 |
| Gender | F |
| Medical School | UNIVERSITY OF MIAMI SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | PEDIATRIC MEDICINE |
| Secondary Specialties | GENERAL SURGERY |
| Group Practice PAC ID | 7012828163 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3878 Pershall Rd, Saint Louis, MO 63135-1246 | 3143446021 | SSM CARDINAL GLENNON CHILDREN'S HOSPITAL |
| Organization Legal Name | SSM CARDINAL GLENNON CHILDREN'S HOSPITAL |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carole A Vogler | Pathology | Ssm Cardinal Glennon Children's Hospital | 1465 S Grand Blvd, Cardinal Glennon Phy Billing, Saint Louis, MO 63104-1095 |
| Chetana M Reddy | Cardiovascular Disease (cardiology) | Ssm Cardinal Glennon Children's Hospital | 1465 S Grand Blvd, Cardinal Glennon Phy Billing, Saint Louis, MO 63104-1095 |
| Kia S Lannaman | Obstetrics/gynecology | Ssm Cardinal Glennon Children's Hospital | 232 S Woods Mill Rd, Cardinal Glennon Phy Billing, Chesterfield, MO 63017-3417 |
| Jennifer M Goldkamp | Obstetrics/gynecology | Ssm Cardinal Glennon Children's Hospital | 232 S Woods Mill Rd, Cardinal Glennon Phy Billing, Chesterfield, MO 63017-3417 |
| Jerome L Kao | Interventional Radiology | Ssm Cardinal Glennon Children's Hospital | 1465 S Grand Blvd, Cardinal Glennon Phy Billing, Saint Louis, MO 63104-1095 |
| Mehrdad John Sehi | Diagnostic Radiology | Ssm Cardinal Glennon Children's Hospital | 1465 S Grand Blvd, Cardinal Glennon Phy Billing, Saint Louis, MO 63104-1095 |
| Jason F Tobler | Radiation Oncology | Ssm Cardinal Glennon Children's Hospital | 3878 Pershall Rd, Saint Louis, MO 63135-1246 |
| Kim M Vierling | Certified Clinical Nurse Specialist (cns) | Ssm Cardinal Glennon Children's Hospital | 1465 S Grand Blvd, Cardinal Glennon Phy Billing, Saint Louis, MO 63104-1095 |
| Gregory D Launius | Diagnostic Radiology | Ssm Cardinal Glennon Children's Hospital | 1465 S Grand Blvd, Cardinal Glennon Phy Billing, Saint Louis, MO 63104-1095 |
| Shannon G Farmakis | Diagnostic Radiology | Ssm Cardinal Glennon Children's Hospital | 1465 S Grand Blvd, Cardinal Glennon Phy Billing, Saint Louis, MO 63104-1095 |
| Street Address |
3878 PERSHALL RD |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63135-1246 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason F Tobler | Radiation Oncology | Ssm Cardinal Glennon Children's Hospital | 3878 Pershall Rd, Saint Louis, MO 63135-1246 |
| Yosef J Greenspon | General Surgery | Ssm Cardinal Glennon Children's Hospital | 3878 Pershall Rd, Saint Louis, MO 63135-1246 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tyla A Johnson | Nurse Practitioner | Ssm Medical Group Inc | 190 N Florissant Rd, Ferguson, MO 63135-1942 |
| Kelli P Unland | Nurse Practitioner | Ssm Medical Group Inc | 190 N Florissant Rd, Ferguson, MO 63135-1942 |
| William J Declue | Nurse Practitioner | Ssm Medical Group Inc | 190 N Florissant Rd, Ferguson, MO 63135-1942 |
| Michel R Cherazard | Psychiatry | 111 Church St, Suite 109, Ferguson, MO 63135-2457 |
| City | SAINT LOUIS |
| Zip Code | 63135 |
| Specialty | PEDIATRIC MEDICINE |
| City + Specialty | SAINT LOUIS + PEDIATRIC MEDICINE |
Please comment or provide details below to improve the information on Colleen M Fitzpatrick.
| 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.