Kevin David Weikart (NPI# 1902864986, PAC ID# 7719981968) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1902864986 |
| PAC ID by PECOS | 7719981968 |
| Professional Enrollment ID | I20060831000294 |
| Full Name | Kevin David Weikart |
| Address |
1002 Peruque Crossing Court Suite 101 Ofallon MO 63366-2362 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1984 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260200 | SSM ST JOSEPH HOSPITAL WEST |
| 260005 | SSM ST JOSEPH HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 100 Medical Plz, Lake Saint Louis, MO 63367-1366 | 6366255200 | SSM HEALTH CARE ST LOUIS |
| 1002 Peruque Crossing Court, Suite 101, Ofallon, MO 63366-2362 |
| Street Address |
1002 PERUQUE CROSSING COURT SUITE 101 |
| City | OFALLON |
| State | MO |
| Zip | 63366-2362 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara A Carter | Clinical Social Worker | 103 Lincoln St, O Fallon, MO 63366-1603 | |
| Mackenzie L Lester | Clinical Social Worker | 103 Lincoln St, O Fallon, MO 63366-1603 | |
| Lara Burnett | Nurse Practitioner | Ssm Medical Group Inc | 920 N Main St, O Fallon, MO 63366-1746 |
| Philip G Holtgrave | Nurse Practitioner | Ssm Medical Group Inc | 920 N Main St, O Fallon, MO 63366-1746 |
| Karen R Schroeder | Nurse Practitioner | Ssm Medical Group Inc | 920 N Main St, O Fallon, MO 63366-1746 |
| Kevin L Threlkeld | Internal Medicine | 204 N Main St, O Fallon, MO 63366-2203 | |
| Matthew W Meier | Internal Medicine | 1002 Peruque Crossing Ct, Suite 102, O Fallon, MO 63366-2362 | |
| Ananda Desilva | Internal Medicine | Hinton Healthcare Group | 1002 Peruque Crossing Ct, Suite 101, O Fallon, MO 63366-2362 |
| Jessica May Henman | Certified Nurse Midwife | Birth and Wellness Center LLC | 769 W Terra Lane, Ofallon, MO 63366-2432 |
| Martin M Shulman | Optometry | 409 S Main St, O Fallon, MO 63366-2532 | |
| Find all physicians in zip 63366 | |||
| City | OFALLON |
| Zip Code | 63366 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | OFALLON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Kevin David Weikart.
| 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.