Melissa P Pennington (NPI# 1225149685, PAC ID# 7517973126) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1225149685 |
| PAC ID by PECOS | 7517973126 |
| Professional Enrollment ID | I20131025000155 |
| Full Name | Melissa P Pennington |
| Organization Legal Name | PHYSICIANS OF ST ANTHONYS MEDICAL CENTER LC |
| Address |
3619 Richardson Square Dr Arnold MO 63010-6022 |
| Phone Number | 6367176700 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2005 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| 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 |
| Address | Phone | Organization |
|---|---|---|
| 3619 Richardson Square Dr, Arnold, MO 63010-6022 | 6367176700 | PHYSICIANS OF ST ANTHONYS MEDICAL CENTER LC |
| 714 Gravois Rd, Suite 100, Fenton, MO 63026-7723 | 6363266100 | PHYSICIANS OF ST ANTHONYS MEDICAL CENTER LC |
| 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 3145251000 | PHYSICIANS OF ST ANTHONYS MEDICAL CENTER LC |
| 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 |
| 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 |
| Paul D Hansen | Emergency Medicine | Physicians of St Anthonys Medical Center Lc | 3619 Richardson Square Dr, Arnold, MO 63010-6022 |
| Street Address |
3619 RICHARDSON SQUARE DR |
| City | ARNOLD |
| State | MO |
| Zip | 63010-6022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen A Lickenbrock | Family Medicine | Physicians of St Anthonys Medical Center Lc | 3619 Richardson Square Dr, Arnold, MO 63010-6022 |
| Mirha Avdagic | Family Medicine | St Anthony's Physician Organization | 3619 Richardson Square Dr, Suite 170, Arnold, MO 63010-6014 |
| Jeanine Michelle Weinkauf | Nurse Practitioner | Medwin Primary Care LLC | 3619 Richardson Square Dr, Suite 150, Arnold, MO 63010-6021 |
| 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 |
| Kara J Stackley | Nurse Practitioner | St Anthony's Physician Organization | 3619 Richardson Square Dr, Suite 170, Arnold, MO 63010-6014 |
| Patricia A Weilert | Family Medicine | Physicians of St Anthonys Medical Center Lc | 3619 Richardson Square Dr, Arnold, MO 63010-6022 |
| Paul D Hansen | Emergency Medicine | Physicians of St Anthonys Medical Center Lc | 3619 Richardson Square Dr, Arnold, MO 63010-6022 |
| Sharon M Sweet | Nurse Practitioner | Physicians of St Anthonys Medical Center Lc | 3619 Richardson Square Dr, Arnold, MO 63010-6022 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy J Oldani | Podiatry | Center for Advanced Foot and Ankle Surgery Inc | 1515 Astra Way, Arnold, MO 63010-1146 |
| Seth M Anderson | Podiatry | Center for Advanced Foot and Ankle Surgery Inc | 1515 Astra Way, Arnold, MO 63010-1146 |
| Holly Rae Ackermann | Nurse Practitioner | Midwest Medical Practitioners LLC | 525 Jeffco Blvd, Arnold, MO 63010-1407 |
| Cynthia Snider | Nurse Practitioner | Midwest Medical Practitioners LLC | 525 Jeffco Blvd, Arnold, MO 63010-1407 |
| Danish A Jabbar | Internal Medicine | Midwest Medical Practitioners LLC | 525 Jeffco Blvd, Arnold, MO 63010-1407 |
| Lacy L Hosay | Nurse Practitioner | Midwest Medical Practitioners LLC | 525 Jeffco Blvd, Arnold, MO 63010-1407 |
| Diana Elizabeth Toler | Chiropractic | 2190 Tenbrook Rd, Arnold, MO 63010-1515 | |
| Nancy M Birtley | Nurse Practitioner | 100 Woodland Mnr, Woodland Manor, Arnold, MO 63010-2030 | |
| Gayle M Ostermiller | Nurse Practitioner | Ssm Health Care St Louis | 1296 Jeffco Blvd, Suite B, Arnold, MO 63010-2138 |
| Cynthia Visintine | Nurse Practitioner | Ssm Health Care St Louis | 1296 Jeffco Blvd, Suite B, Arnold, MO 63010-2138 |
| Find all physicians in zip 63010 | |||
| City | ARNOLD |
| Zip Code | 63010 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ARNOLD + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Melissa P Pennington.
| 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.