Nelson Usry (NPI# 1689796294, PAC ID# 7012008733) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1689796294 |
| PAC ID by PECOS | 7012008733 |
| Professional Enrollment ID | I20070810000052 |
| Full Name | Nelson Usry |
| Organization Legal Name | AGING WELL HEALTH CARE, LLC |
| Address |
7212 Balson Ave Saint Louis MO 63130-3001 |
| Phone Number | 3147265600 |
| Gender | M |
| Graduation Year | 2004 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1153232038 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260179 | ST LUKES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1 Meramec Bluffs Dr, Ballwin, MO 63021-3309 | 6369232334 | TRI-COUNTY FAMILY PRACTICE, LLC |
| 5551 Winghaven Blvd, Suite 142, O Fallon, MO 63368-3618 | 6366952510 | TRI-COUNTY FAMILY PRACTICE, LLC |
| 7212 Balson Ave, Saint Louis, MO 63130-3001 | 3147265600 | AGING WELL HEALTH CARE, LLC |
| Organization Legal Name | AGING WELL HEALTH CARE, LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Gibfried | Internal Medicine | Aging Well Health Care, LLC | 7212 Balson Ave, Saint Louis, MO 63130-3001 |
| Juan C Escandon | Neurology | Aging Well Health Care, LLC | 7212 Balson Ave, Saint Louis, MO 63130-3001 |
| Vladimir L Gelfand | Internal Medicine | Aging Well Health Care, LLC | 7212 Balson Ave, Saint Louis, MO 63130-3001 |
| Street Address |
7212 BALSON AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63130-3001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Gibfried | Internal Medicine | Aging Well Health Care, LLC | 7212 Balson Ave, Saint Louis, MO 63130-3001 |
| Juan C Escandon | Neurology | Aging Well Health Care, LLC | 7212 Balson Ave, Saint Louis, MO 63130-3001 |
| Vladimir L Gelfand | Internal Medicine | Aging Well Health Care, LLC | 7212 Balson Ave, Saint Louis, MO 63130-3001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Huey Hawkins Jr. | Clinical Social Worker | 8434 Page Ave, Saint Louis, MO 63130-1046 | |
| Secil A Schodroski | Nurse Practitioner | 7584 Olive Blvd, Suite 204, University City, MO 63130-1600 | |
| Meghan R Taff | Physical Therapy | Physican's Choice Wellness Physical Therapy, LLC | 7700 Olive Blvd, University City, MO 63130-2030 |
| Stephen J Costantino | Chiropractic | 909 Purdue Ave, University City, MO 63130-3012 | |
| Lavada Smith | Nurse Practitioner | Southeastern Physician Services PC | 894 Leland Ave, Saint Louis, MO 63130-3239 |
| Farrukh M Koraishy | Nephrology | Southeastern Physician Services PC | 894 Leland Ave, Saint Louis, MO 63130-3239 |
| Kimberly H Harsy | Nurse Practitioner | Southeastern Physician Services PC | 894 Leland Ave, Saint Louis, MO 63130-3239 |
| Michelle L Deguire | Nurse Practitioner | Southeastern Physician Services PC | 894 Leland Ave, Saint Louis, MO 63130-3239 |
| Scott M Dembiec | Internal Medicine | Southeastern Physician Services PC | 894 Leland Ave, Saint Louis, MO 63130-3239 |
| Jennifer R Herndon | Physician Assistant | Southeastern Physician Services PC | 894 Leland Ave, Saint Louis, MO 63130-3239 |
| Find all physicians in zip 63130 | |||
| City | SAINT LOUIS |
| Zip Code | 63130 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SAINT LOUIS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Nelson Usry.
| 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.