Kristin Harris Drake (NPI# 1609130566, PAC ID# 5597061440) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1609130566 |
| PAC ID by PECOS | 5597061440 |
| Professional Enrollment ID | I20181010003003 |
| Full Name | Kristin Harris Drake |
| Organization Legal Name | WEST COUNTY RADIOLOGICAL GROUP INC |
| Address |
851 E 5th St Suite 100 Washington MO 63090-3128 |
| Phone Number | 6362398539 |
| Gender | F |
| Medical School | CHICAGO COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 8527966944 |
| Number of Group Practice Members | 66 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260020 | MERCY HOSPITAL ST LOUIS |
| 260052 | MERCY HOSPITAL WASHINGTON |
| 261319 | LINCOLN COUNTY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 621 S New Ballas Rd, 23a, Saint Louis, MO 63141-8251 | 3142515678 | WEST COUNTY RADIOLOGICAL GROUP INC |
| 851 E 5th St, Suite 100, Washington, MO 63090-3128 | 6362398539 | WEST COUNTY RADIOLOGICAL GROUP INC |
| Organization Legal Name | WEST COUNTY RADIOLOGICAL GROUP INC |
| Physicians | 61 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cindy X Zhang | Diagnostic Radiology | West County Radiological Group Inc | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 |
| Robert A Yuen | Diagnostic Radiology | West County Radiological Group Inc | 1400 Us Hwy 61, Festus, MO 63028-4100 |
| Jenny Lynne Shaffer | Radiation Oncology | West County Radiological Group Inc | 1400 Us Hwy 61, Festus, MO 63028-4100 |
| Debra Rosenthal | Diagnostic Radiology | West County Radiological Group Inc | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 |
| Robert W Smith | Diagnostic Radiology | West County Radiological Group Inc | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 |
| Jordan Michael Gutovich | Diagnostic Radiology | West County Radiological Group Inc | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 |
| Vilaas S Shetty | Diagnostic Radiology | West County Radiological Group Inc | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 |
| Christine B Ormsby | Diagnostic Radiology | West County Radiological Group Inc | 1400 Us Hwy 61, Festus, MO 63028-4100 |
| Satheavy L Moore | Diagnostic Radiology | West County Radiological Group Inc | 15945 Clayton Rd, Suite 110, Ballwin, MO 63011-2490 |
| Julie A. Mai | Radiation Oncology | West County Radiological Group Inc | 15945 Clayton Rd, Suite 100, Ballwin, MO 63011-2155 |
| Street Address |
851 E 5TH ST SUITE 100 |
| City | WASHINGTON |
| State | MO |
| Zip | 63090-3128 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Rahrig | Anesthesiology | Mercy Clinic Pain Management LLC | 851 E 5th St, 226 Mercy Spine and Pain Services Was, Washington, MO 63090-3129 |
| Vivian M Dudley | Nurse Practitioner | Mercy Clinic East Communities | 851 E 5th St, Washington, MO 63090-3130 |
| Amy L Marquitz | Nurse Practitioner | Mercy Clinic East Communities | 851 E 5th St, Washington, MO 63090-3130 |
| Victoria L Yenzer | Nurse Practitioner | Mercy Clinic East Communities | 851 E 5th St, Washington, MO 63090-3130 |
| Susanne S Kindel | Optometry | Mercy Health Services LLC | 851 E 5th St, Washington, MO 63090-3135 |
| Lisa A Dickinson | Nurse Practitioner | Mercy Clinic East Communities | 851 E 5th St, Suite 328, Washington, MO 63090-3130 |
| Corinne A Coppinger | Nurse Practitioner | Mercy Hospitals East Communities | 851 E 5th St, Suite 200, Washington, MO 63090-3129 |
| Kenneth Justin Naylor | Anesthesiology | Mercy Clinic Pain Management LLC | 851 E 5th St, Washington, MO 63090-3129 |
| Kenneth K Hamai | Obstetrics/gynecology | Mercy Hospitals East Communities | 851 E 5th St, Suite 200, Washington, MO 63090-3129 |
| Jessica L Latham | Nurse Practitioner | Mercy Clinic Pain Management LLC | 851 E 5th St, Washington, MO 63090-3129 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristopher J Feldmann | Chiropractic | Washington Chiropractic Clinic PC | 819 W 5th St, Washington, MO 63090-1923 |
| Lawrence M Gerstein | Chiropractic | Washington Chiropractic Clinic PC | 819 W 5th St, Washington, MO 63090-1923 |
| Edward Obermark | Optometry | 222 W Main St, Washington, MO 63090-2154 | |
| Timothy G Jones | Clinical Social Worker | 309 W 4th St, Suite 101, Washington, MO 63090-2335 | |
| Maria Bitzer | Nurse Practitioner | Psych Care Consultants LLC | 205 Elm St, Suite 202, Washington, MO 63090-2342 |
| Bradly Gould | Chiropractic | 707 Jefferson St, Washington, MO 63090-2709 | |
| Yael Y Diplacido-eastman | Clinical Social Worker | 426 E 5th St, Washington, MO 63090-2811 | |
| Holly S Schmitt | Clinical Social Worker | 426 E 5th St, Washington, MO 63090-2811 | |
| Daryl L Meisburger | Clinical Psychologist | 529 E 5th St, Washington, MO 63090-2903 | |
| Michael Korenfeld | Ophthalmology | Comprehensive Eye Care, Ltd. | 901 E 3rd St, Washington, MO 63090-3010 |
| Find all physicians in zip 63090 | |||
| City | WASHINGTON |
| Zip Code | 63090 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | WASHINGTON + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Kristin Harris Drake.
| 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.