Andrea M Holthaus (NPI# 1528031473, PAC ID# 6608859038) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1528031473 |
| PAC ID by PECOS | 6608859038 |
| Professional Enrollment ID | I20041006000362 |
| Full Name | Andrea M Holthaus |
| Organization Legal Name | SOUTHEASTERN PHYSICIAN SERVICES PC |
| Address |
10 Hospital Dr Saint Peters MO 63376-1659 |
| Phone Number | 8005019855 |
| Gender | F |
| Credential | MD |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0042307852 |
| Number of Group Practice Members | 385 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260191 | BARNES-JEWISH ST PETERS HOSPITAL |
| 260219 | PROGRESS WEST HOSPITAL |
| 260032 | BARNES JEWISH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 10 Hospital Dr, Saint Peters, MO 63376-1659 | 8005019855 | SOUTHEASTERN PHYSICIAN SERVICES PC |
| Organization Legal Name | SOUTHEASTERN PHYSICIAN SERVICES PC |
| Physicians | 263 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Faisal A Soliman | Internal Medicine | Southeastern Physician Services PC | 1995 Hwy 51 S, Covington, TN 38019-3635 |
| Tia Camille Joyce | Nurse Practitioner | Southeastern Physician Services PC | 157 Ross Carter Blvd, Duffield, VA 24244-5116 |
| Patrick C Finney | Internal Medicine | Southeastern Physician Services PC | 2501 Kentucky Ave, Paducah, KY 42003-3813 |
| Carol Ann Berger | Nurse Practitioner | Southeastern Physician Services PC | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 |
| William T Rawlinson | Internal Medicine | Southeastern Physician Services PC | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 |
| Mark D Nowell | Emergency Medicine | Southeastern Physician Services PC | 723 Burkesville Rd, Albany, KY 42602-1654 |
| Lavada Smith | Nurse Practitioner | Southeastern Physician Services PC | 894 Leland Ave, Saint Louis, MO 63130-3239 |
| Kevin L Flowers | Family Medicine | Southeastern Physician Services PC | 1100 Brookhaven Rd, Franklin, KY 42134-2746 |
| Peter J Anderson | Internal Medicine | Southeastern Physician Services PC | 989 Medical Park Dr, Maysville, KY 41056-8750 |
| Hunter Stidham | Physician Assistant | Southeastern Physician Services PC | 310 S Limestone, Lexington, KY 40508-3008 |
| Street Address |
10 HOSPITAL DR |
| City | SAINT PETERS |
| State | MO |
| Zip | 63376-1659 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexander M Berry | Urology | Holyoke Medical Center Inc | 10 Hospital Dr, Suite 203, Holyoke, MA 01040-6643 |
| Andrew S Levin | Internal Medicine | 10 Hospital Dr, Suite 307, Holyoke, MA 01040-6603 | |
| Shelly Clifton | Nurse Practitioner | Morrilton Medical Clinic, P.a. | 10 Hospital Dr, Morrilton, AR 72110-4510 |
| Anna Puzanov | Pathology | Great Falls Pathology, P.a. | 10 Hospital Dr, Bridgton, ME 04009-1148 |
| Christian L Hodach | Anesthesiology | Midwest Anesthesia Providers Sc | 10 Hospital Dr, Saint Peters, MO 63376-1659 |
| Sandeep Hindupur | Interventional Cardiology | Physician Groups Lc | 10 Hospital Dr, Suite 100, Saint Peters, MO 63376-1659 |
| April Thebeau | Internal Medicine | Southeastern Physician Services PC | 10 Hospital Dr, Saint Peters, MO 63376-1659 |
| Peter Morris Gardiner | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 10 Hospital Dr, Saint Peters, MO 63376-1691 |
| Mohammad S Bajwa | Internal Medicine | Holyoke Medical Center Inc | 10 Hospital Dr, Suite 203, Holyoke, MA 01040-6643 |
| Robert J Wilkerson | Internal Medicine | Morrilton Medical Clinic, P.a. | 10 Hospital Dr, Morrilton, AR 72110-4510 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary K Knight Macheca | Nurse Practitioner | Physician Groups Lc | 201 Bjc St Peters Dr, Suite 200, St Peters, MO 63376 |
| Stanley Mathew | Endocrinology | Physician Groups Lc | 201 Bjc St Peters Dr, Suite 200, St Peters, MO 63376 |
| Mei Chris Huang | Gastroenterology | Physician Groups Lc | 201 Bjc St Peters Dr, Suite 200, St Peters, MO 63376 |
| Ranjani P Ramanathan | Endocrinology | Physician Groups Lc | 201 Bjc St Peters Dr, Suite 200, St Peters, MO 63376 |
| Brittany Nicole Lyons | Nurse Practitioner | Physician Groups Lc | 201 Bjc St Peters Dr, Suite 200, St Peters, MO 63376 |
| Prajakta Mungikar | Internal Medicine | Physician Groups Lc | 201 Bjc St Peters Dr, Suite 200, St Peters, MO 63376 |
| Dianna J Ohlman | Nurse Practitioner | Physician Groups Lc | 201 Bjc St Peters Dr, Suite 200, St Peters, MO 63376 |
| Gary J Meltz | Internal Medicine | Boonslick Medical Group Inc | 201 Bjc St Peters Dr, Suite 100, Saint Peters, MO 63376 |
| Robert B Cusworth | Gastroenterology | Boonslick Medical Group Inc | 201 Bjc St Peters Dr, Saint Peters, MO 63376 |
| Penny L Richardson | Chiropractic | 8471 Mexico Rd, Saint Peters, MO 63376-1103 | |
| Find all physicians in zip 63376 | |||
| City | SAINT PETERS |
| Zip Code | 63376 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SAINT PETERS + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Andrea M Holthaus.
| 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.