Dermond C Henry (NPI# 1508205543, PAC ID# 5698071470) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1508205543 |
PAC ID by PECOS | 5698071470 |
Professional Enrollment ID | I20160706002301 |
Full Name | Dermond C Henry |
Organization Legal Name | PHYSICIANS OF ST ANTHONYS MEDICAL CENTER LC |
Address |
714 Gravois Rd Suite 100 Fenton MO 63026-7723 |
Phone Number | 6363266100 |
Gender | M |
Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
Graduation Year | 2013 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 3476690058 |
Number of Group Practice Members | 22 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
260077 | ST ANTHONY'S MEDICAL CENTER |
260020 | MERCY HOSPITAL ST LOUIS |
Address | Phone | Organization |
---|---|---|
714 Gravois Rd, Suite 100, Fenton, MO 63026-7723 | 6363266100 | PHYSICIANS OF ST ANTHONYS MEDICAL CENTER LC |
1001 S Kirkwood Rd, 300 St Anthony's Plaza Ob/gyn Specialis, Saint Louis, MO 63122-7250 | 3145435943 | ST ANTHONY'S PHYSICIAN ORGANIZATION |
10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 3145251000 | PHYSICIANS OF ST ANTHONYS MEDICAL CENTER LC |
1001 S Kirkwood Rd, 300 St Anthony's At Kirkwood Family Medicine, St Louis, MO 63122-7254 | 3145435943 | ST ANTHONY'S PHYSICIAN ORGANIZATION |
Organization Legal Name | PHYSICIANS OF ST ANTHONYS MEDICAL CENTER LC |
Physicians | 38 |
Name | Specialty | Organization | Address |
---|---|---|---|
Sheila M Mueller | Nurse Practitioner | Physicians of St Anthonys Medical Center Lc | 714 Gravois Rd, Suite 100, Fenton, MO 63026-7723 |
Karen A Lickenbrock | Family Medicine | Physicians of St Anthonys Medical Center Lc | 3619 Richardson Square Dr, Arnold, MO 63010-6022 |
Charity Michelle Huff | Nurse Practitioner | Physicians of St Anthonys Medical Center Lc | 714 Gravois Rd, Suite 100, Fenton, MO 63026-7723 |
Kristin B Aubuchon | Nurse Practitioner | Physicians of St Anthonys Medical Center Lc | 714 Gravois Rd, Suite 100, Fenton, MO 63026-7723 |
Sudha Pai | Family Medicine | Physicians of St Anthonys Medical Center Lc | 714 Gravois Rd, Suite 100, Fenton, MO 63026-7723 |
Melissa P Pennington | Physician Assistant | Physicians of St Anthonys Medical Center Lc | 3619 Richardson Square Dr, Arnold, MO 63010-6022 |
Fariha Qayum | Family Medicine | Physicians of St Anthonys Medical Center Lc | 3619 Richardson Square Dr, Arnold, MO 63010-6022 |
Rachel A Cook | Nurse Practitioner | Physicians of St Anthonys Medical Center Lc | 3619 Richardson Square Dr, Arnold, MO 63010-6022 |
Teresa L Brewer | Nurse Practitioner | Physicians of St Anthonys Medical Center Lc | 3619 Richardson Square Dr, Arnold, MO 63010-6022 |
Patricia A Weilert | Family Medicine | Physicians of St Anthonys Medical Center Lc | 3619 Richardson Square Dr, Arnold, MO 63010-6022 |
Street Address |
714 GRAVOIS RD SUITE 100 |
City | FENTON |
State | MO |
Zip | 63026-7723 |
Name | Specialty | Organization | Address |
---|---|---|---|
Sheila M Mueller | Nurse Practitioner | Physicians of St Anthonys Medical Center Lc | 714 Gravois Rd, Suite 100, Fenton, MO 63026-7723 |
Charity Michelle Huff | Nurse Practitioner | Physicians of St Anthonys Medical Center Lc | 714 Gravois Rd, Suite 100, Fenton, MO 63026-7723 |
Kristin B Aubuchon | Nurse Practitioner | Physicians of St Anthonys Medical Center Lc | 714 Gravois Rd, Suite 100, Fenton, MO 63026-7723 |
Justin E Hugo | Family Medicine | American Multispecialty Group Inc | 714 Gravois Rd, Suite 210, Fenton, MO 63026-7723 |
Sudha Pai | Family Medicine | Physicians of St Anthonys Medical Center Lc | 714 Gravois Rd, Suite 100, Fenton, MO 63026-7723 |
Rachel K Sestrich | Registered Dietitian Or Nutrition Professional | American Multispecialty Group Inc | 714 Gravois Rd, Suite 210, Fenton, MO 63026-7723 |
Jessica Nicole Hoffmann | Nurse Practitioner | American Multispecialty Group Inc | 714 Gravois Rd, Suite 210, Fenton, MO 63026-7723 |
Stefanie R Brier | Physician Assistant | American Multispecialty Group Inc | 714 Gravois Rd, Suite 210, Fenton, MO 63026-7723 |
Rebecca Heimburger | Nurse Practitioner | St Anthony's Physician Organization | 714 Gravois Rd, Suite 115, Fenton, MO 63026-7723 |
Vandana Dalton | Obstetrics/gynecology | St Anthony's Physician Organization | 714 Gravois Rd, Suite 115, Fenton, MO 63026-7723 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Stephanie Becker Koepke | Hematology/oncology | Ssm Medical Group Inc | 1011 Bowles Ave, Suite G50, Fenton, MO 63026-0562 |
Naomi Sharon | Nurse Practitioner | Ssm Medical Group Inc | 1011 Bowles Ave, Suite G50, Fenton, MO 63026-0562 |
David E Morris | Radiation Oncology | Ssm Medical Group Inc | 1011 Bowles Ave, Suite G50, Fenton, MO 63026-0562 |
Carol Yacula | Nurse Practitioner | Ssm Medical Group Inc | 1011 Bowles Ave, Suite G50, Fenton, MO 63026-0562 |
Janelle Roethemeyer | Internal Medicine | American Multispecialty Group Inc | 1011 Bowles Ave, Suite 450, Fenton, MO 63026-0562 |
Sri D Kolli | Internal Medicine | American Multispecialty Group Inc | 1011 Bowles Ave, Suite 450, Fenton, MO 63026-0562 |
Katherine C Schoo | Nurse Practitioner | Mercy Clinic East Communities | 1375 N Hwy Dr, Mercy Clinic At Work Maritz, Fenton, MO 63026-1929 |
Matthew J Tiefenbrunn | Family Medicine | Mercy Clinic East Communities | 1375 N Hwy Dr, Mercy Clinic At Work Maritz, Fenton, MO 63026-1929 |
Evelyn Barton | Physical Therapy | 1700 B Gilsinn Ln, Fenton, MO 63026-2004 | |
Adeluola G Lipede | Thoracic Surgery | 960s Hwy Dr, Fenton, MO 63026-2023 | |
Find all physicians in zip 63026 |
City | FENTON |
Zip Code | 63026 |
Specialty | FAMILY MEDICINE |
City + Specialty | FENTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Dermond C Henry.
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.