Etai Goldenberg
UROLOGY OF ST. LOUIS, INC


Address: 12855 N 40 Dr, Suite 375, Saint Louis, MO 63141-8657
Phone: 3145676071

Etai Goldenberg (NPI# 1669663605, PAC ID# 6901055854) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.

Physician Overview

Nation Provider ID (NPI) 1669663605
PAC ID by PECOS 6901055854
Professional Enrollment ID I20130826000292
Full Name Etai Goldenberg
Organization Legal Name UROLOGY OF ST. LOUIS, INC
Address 12855 N 40 Dr
Suite 375
Saint Louis
MO 63141-8657
Phone Number 3145676071
Gender M
Medical School WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2007
Primary Specialty UROLOGY
Group Practice PAC ID 6204723786
Number of Group Practice Members 39
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
140289 ANDERSON HOSPITAL
260108 MISSOURI BAPTIST MEDICAL CENTER
140185 MEMORIAL HOSPITAL
140002 ALTON MEMORIAL HOSPITAL

Other Locations

Address Phone Organization
6812 State Route 162 200, Maryville, IL 62062-8562 6182880900 UROLOGY OF ST. LOUIS, INC
12855 N 40 Dr, Suite 375, Saint Louis, MO 63141-8657 3145676071 UROLOGY OF ST. LOUIS, INC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_EP_1 e-Prescribing 61%
ACI_EC_TRANS_HIE_1 Health Information Exchange 29%
ACI_EC_TRANS_MR_1 Medication Reconciliation 93%
ACI_EC_TRANS_PEA_1 Provide Patient Access 63%
ACI_EC_TRANS_PEA_2 View, Download, or Transmit (VDT) 23%
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PSE_1 Patient-Specific Education 72%
ACI_EC_TRANS_SM_1 Secure Messaging 12%

Organization Information

Organization Legal Name UROLOGY OF ST. LOUIS, INC
Physicians 35

Physicians with the same organization

Name Specialty Organization Address
Rachel Porter Nurse Practitioner Urology of St. Louis, Inc 12855 N 40 Dr, Suite 375, Saint Louis, MO 63141-8657
Matthew T. Johnson Urology Urology of St. Louis, Inc 6812 State Route 162 200, Maryville, IL 62062-8562
James Rybak Urology Urology of St. Louis, Inc 4550 Memorial Dr, Suite 280, Belleville, IL 62226-5372
Joseph Levy Urology Urology of St. Louis, Inc 112 Piper Hill Dr, Suite 12, Saint Peters, MO 63376-1690
Danielle N Fries Nurse Practitioner Urology of St. Louis, Inc 12855 N 40 Dr, Suite 375, Saint Louis, MO 63141-8657
Asim Razzaq Urology Urology of St. Louis, Inc 11155 Dunn Rd, Suite 309e, Saint Louis, MO 63136-6111
David W Keetch Urology Urology of St. Louis, Inc 450 N New Ballas Rd, Suite 70, St Louis, MO 63141-6883
Brad C White Urology Urology of St. Louis, Inc 450 N New Ballas Rd, Suite 70, St Louis, MO 63141-6883
Matthew Spellman Urology Urology of St. Louis, Inc 450 N New Ballas Rd, Suite 70, St Louis, MO 63141-6883
Seth Strope Urology Urology of St. Louis, Inc 12855 N 40 Dr, Suite 375, Saint Louis, MO 63141-8657

Office Location

Street Address 12855 N 40 DR
SUITE 375
City SAINT LOUIS
State MO
Zip 63141-8657

Physicians in the same location

Name Specialty Organization Address
Rachel Porter Nurse Practitioner Urology of St. Louis, Inc 12855 N 40 Dr, Suite 375, Saint Louis, MO 63141-8657
Danielle N Fries Nurse Practitioner Urology of St. Louis, Inc 12855 N 40 Dr, Suite 375, Saint Louis, MO 63141-8657
Jaeyoung Yoon Dermatology Forefront Dermatology Sc 12855 N 40 Dr, Suite 180, Saint Louis, MO 63141-8657
Sarah Alison Finger Basak Dermatology Forefront Dermatology Sc 12855 N 40 Dr, Suite 180, Saint Louis, MO 63141-8657
Karuna P Murray Gynecological Oncology 12855 N 40 Dr, Suite 325, Saint Louis, MO 63141-8668
Seth Strope Urology Urology of St. Louis, Inc 12855 N 40 Dr, Suite 375, Saint Louis, MO 63141-8657
Steven R Frank Podiatry Steven Frank, Dpm, LLC 12855 N 40 Dr, Suite 175, Saint Louis, MO 63141-8664
Demetrios A Katsikas Urology Urology of St. Louis, Inc 12855 N 40 Dr, Suite 375, Saint Louis, MO 63141-8657
Ryan W Couchman Orthopedic Surgery Mercy Clinic Surgical Specialists LLC 12855 N 40 Dr, Suite 125, Saint Louis, MO 63141-8663
Byron D Baptist Internal Medicine Mercy Clinic East Communities 12855 N 40 Dr, 280 Mercy Clinic Diabetes and Nutrition Center, Saint Louis, MO 63141-8657
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Physicians in the same zip code

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

Competitor

Search similar physicians

City SAINT LOUIS
Zip Code 63141
Specialty UROLOGY
City + Specialty SAINT LOUIS + UROLOGY

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Dataset Information

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.

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