Selwyn Picker (NPI# 1952363152, PAC ID# 6608963715) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROSURGERY.
| Nation Provider ID (NPI) | 1952363152 |
| PAC ID by PECOS | 6608963715 |
| Professional Enrollment ID | I20071106000168 |
| Full Name | Selwyn Picker |
| Organization Legal Name | SIGNATURE MEDICAL GROUP, INC. |
| Address |
621 S Ballas Rd 310a Saint Lous MO 63141-5314 |
| Phone Number | 3142516267 |
| Gender | M |
| Graduation Year | 1972 |
| Primary Specialty | NEUROSURGERY |
| Group Practice PAC ID | 4880598291 |
| Number of Group Practice Members | 71 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260020 | MERCY HOSPITAL ST LOUIS |
| Address | Phone | Organization |
|---|---|---|
| 621 S Ballas Rd, 310a, Saint Lous, MO 63141-5314 | 3142516267 | SIGNATURE MEDICAL GROUP, INC. |
| Organization Legal Name | SIGNATURE MEDICAL GROUP, INC. |
| Physicians | 62 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian A Fissel | Orthopedic Surgery | Signature Medical Group, Inc. | 12639 Old Tesson Rd, Suite 115, Saint Louis, MO 63128-2786 |
| Misty D Wheelock | Nurse Practitioner | Signature Medical Group, Inc. | 845 N New Ballas Ct, Suite 200, Saint Louis, MO 63141-7169 |
| Matthew Melander | Orthopedic Surgery | Signature Medical Group, Inc. | 9323 Phoenix Village Pkwy, O Fallon, MO 63368-4281 |
| Kenneth G Smith | General Surgery | Signature Medical Group, Inc. | 12122 Tesson Ferry Rd, Suite 101, Saint Louis, MO 63128-1772 |
| Ann Marie S Rockamann | Obstetrics/gynecology | Signature Medical Group, Inc. | 3023 N Ballas Rd, Suite 600d, Saint Louis, MO 63131-2332 |
| Craig R Ruble | Orthopedic Surgery | Signature Medical Group, Inc. | 1390 Us Hwy 61 G1000, Festus, MO 63028-4136 |
| John E Delrosario | Physical Medicine and Rehabilitation | Signature Medical Group, Inc. | 10010 Kennerly Rd, Suite 4, Saint Louis, MO 63128-2106 |
| Theresa A Boxdorfer | Nurse Practitioner | Signature Medical Group, Inc. | 12639 Old Tesson Rd, Suite 115, Saint Louis, MO 63128-2786 |
| Dennis A Dusek | Orthopedic Surgery | Signature Medical Group, Inc. | 12639 Old Tesson Rd, Suite 115, Saint Louis, MO 63128-2786 |
| Alexandria N Ruzicka | Physician Assistant | Signature Medical Group, Inc. | 12639 Old Tesson Rd, Suite 115, Saint Louis, MO 63128-2786 |
| Street Address |
621 S BALLAS RD 310A |
| City | SAINT LOUS |
| State | MO |
| Zip | 63141-5314 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wegdan Andrews | Neurology | Mercy Clinic Neurology, LLC | 621 S Ballas Rd, 6005b, Saint Louis, MO 63122-5314 |
| Jo H Bonner | Neurology | Mercy Clinic Neurology, LLC | 621 S Ballas Rd, 6005b, Saint Louis, MO 63122-5314 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren M Finnerty | Nurse Practitioner | Associated Physicians Group Ltd | 845 N New Ballas Court, Suite 120, Creve Couer, MO 63141 |
| Enos Moss | Nurse Practitioner | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Matthew Stewart Wilson | Psychiatry | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Erica Chick | Clinical Social Worker | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Thomas Horn | Psychiatry | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Tianyuan Yin Cornell | Psychiatry | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Patricia L Tracy | Physical Therapy | Associated Physicians Group, Ltd | 845 N New Ballas Court, Creve Couer, MO 63141 |
| Kevin O Easley | Gynecological Oncology | Mercy Clinic Gyn Oncology LLC | 607 S New Ballas Rd, Suite 2350, Saint Louis, MO 63141-0001 |
| Kelly L Ball | Nurse Practitioner | Mercy Clinic Gyn Oncology LLC | 607 S New Ballas Rd, Suite 2350, Saint Louis, MO 63141-0001 |
| Amy Kelly Neu | Clinical Social Worker | Fitzgibbons Psychological West County Psychological Associates | 12125 Woodcrest Exec Dr, Suite 110, St Louis, MO 63141-5009 |
| Find all physicians in zip 63141 | |||
| City | SAINT LOUS |
| Zip Code | 63141 |
| Specialty | NEUROSURGERY |
| City + Specialty | SAINT LOUS + NEUROSURGERY |
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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.