James David Sills Powell (NPI# 1689985087, PAC ID# 5395981179) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
Nation Provider ID (NPI) | 1689985087 |
PAC ID by PECOS | 5395981179 |
Professional Enrollment ID | I20130424000150 |
Full Name | James David Sills Powell |
Address |
1309 Lake Saint Louis Blvd Lake Saint Louis MO 63367-1322 |
Gender | M |
Medical School | BARRY UNIVERSITY SCHOOL PODIATRIC MEDICINE |
Graduation Year | 2010 |
Primary Specialty | PODIATRY |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
260005 | SSM ST JOSEPH HEALTH CENTER |
260200 | SSM ST JOSEPH HOSPITAL WEST |
Address | Phone | Organization |
---|---|---|
1309 Lake Saint Louis Blvd, Lake Saint Louis, MO 63367-1322 |
Street Address |
1309 LAKE SAINT LOUIS BLVD |
City | LAKE SAINT LOUIS |
State | MO |
Zip | 63367-1322 |
Name | Specialty | Organization | Address |
---|---|---|---|
Victoria Lynn Hines | Nurse Practitioner | Forest Physician Services, LLP | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
Patrick D Farrell | Family Medicine | Forest Physician Services, LLP | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
John Long | Anesthesiology | Metro-west Anesthesia Group Inc | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
Gregory Dewitt Folkert | Emergency Medicine | Lake Forest Emergency Group LLC | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
Akiko Okabe | Nurse Practitioner | Southeastern Physician Services PC | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
Kathleen H Kidd | Certified Registered Nurse Anesthetist (crna) | Metro-west Anesthesia Group Inc | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
Vincent Lawrence Boston | Emergency Medicine | Lake Forest Emergency Group LLC | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
Justin Rapoff | Emergency Medicine | Lake Forest Emergency Group LLC | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
Sebastian Puig | Internal Medicine | Forest Physician Services, LLP | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
Stephanie J Sellner | Certified Registered Nurse Anesthetist (crna) | Metro-west Anesthesia Group Inc | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
Find all physicians in zip 63367 |
City | LAKE SAINT LOUIS |
Zip Code | 63367 |
Specialty | PODIATRY |
City + Specialty | LAKE SAINT LOUIS + PODIATRY |
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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.