Evgeniy D Kulik (NPI# 1336503598, PAC ID# 8426344250) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1336503598 |
| PAC ID by PECOS | 8426344250 |
| Professional Enrollment ID | I20160906000123 |
| Full Name | Evgeniy D Kulik |
| Organization Legal Name | SOUTHEASTERN PHYSICIAN SERVICES PC |
| Address |
12303 De Paul Dr Bridgeton MO 63044-2512 |
| Phone Number | 8779893100 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0042307852 |
| Number of Group Practice Members | 242 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260104 | SSM DEPAUL HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 8779893100 | SOUTHEASTERN PHYSICIAN SERVICES PC |
| 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 3143446000 | HOSPITALIST MEDICINE PHYSICIANS OF MISSOURI - BRIDGETON, INC. |
| 12303 De Paul Dr, Bridgeton, MO 63044-2588 | 3143446360 | BRIDGETON EMERGENCY GROUP LLC |
| 3550 Mckelvey Rd, Bridgeton, MO 63044-2535 | 3147410911 | ST LOUIS HEART AND VASCULAR PC |
| Organization Legal Name | SOUTHEASTERN PHYSICIAN SERVICES PC |
| Physicians | 263 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Faisal A Soliman | Internal Medicine | Southeastern Physician Services PC | 1995 Hwy 51 S, Covington, TN 38019-3635 |
| Tia Camille Joyce | Nurse Practitioner | Southeastern Physician Services PC | 157 Ross Carter Blvd, Duffield, VA 24244-5116 |
| Patrick C Finney | Internal Medicine | Southeastern Physician Services PC | 2501 Kentucky Ave, Paducah, KY 42003-3813 |
| Carol Ann Berger | Nurse Practitioner | Southeastern Physician Services PC | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 |
| William T Rawlinson | Internal Medicine | Southeastern Physician Services PC | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 |
| Mark D Nowell | Emergency Medicine | Southeastern Physician Services PC | 723 Burkesville Rd, Albany, KY 42602-1654 |
| Lavada Smith | Nurse Practitioner | Southeastern Physician Services PC | 894 Leland Ave, Saint Louis, MO 63130-3239 |
| Kevin L Flowers | Family Medicine | Southeastern Physician Services PC | 1100 Brookhaven Rd, Franklin, KY 42134-2746 |
| Peter J Anderson | Internal Medicine | Southeastern Physician Services PC | 989 Medical Park Dr, Maysville, KY 41056-8750 |
| Hunter Stidham | Physician Assistant | Southeastern Physician Services PC | 310 S Limestone, Lexington, KY 40508-3008 |
| Street Address |
12303 DE PAUL DR |
| City | BRIDGETON |
| State | MO |
| Zip | 63044-2512 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Burt Humburg | Internal Medicine | Hospitalist Medicine Physicians of Missouri - Bridgeton, Inc. | 12303 De Paul Dr, Bridgeton, MO 63044-2512 |
| Alicia M Ferguson | Certified Registered Nurse Anesthetist (crna) | Metro-west Anesthesia Group Inc | 12303 De Paul Dr, Bridgeton, MO 63044-2512 |
| Megan C Mccarthy | Certified Registered Nurse Anesthetist (crna) | Metro-west Anesthesia Group Inc | 12303 De Paul Dr, Bridgeton, MO 63044-2512 |
| Gary D Clark | Certified Registered Nurse Anesthetist (crna) | Metro-west Anesthesia Group Inc | 12303 De Paul Dr, Bridgeton, MO 63044-2512 |
| Harlan D Hodges | Emergency Medicine | Bridgeton Emergency Group LLC | 12303 De Paul Dr, Bridgeton, MO 63044-2588 |
| Cinnamon D Michalik | Nurse Practitioner | Bridgeton Emergency Group LLC | 12303 De Paul Dr, Bridgeton, MO 63044-2588 |
| Lisa C Boyce | Certified Registered Nurse Anesthetist (crna) | Metro-west Anesthesia Group Inc | 12303 De Paul Dr, Bridgeton, MO 63044-2512 |
| Fatima A Khan | Internal Medicine | Hospitalist Medicine Physicians of Missouri - Bridgeton, Inc. | 12303 De Paul Dr, Bridgeton, MO 63044-2512 |
| Jessica E Lewis | Certified Registered Nurse Anesthetist (crna) | Metro-west Anesthesia Group Inc | 12303 De Paul Dr, Bridgeton, MO 63044-2512 |
| Neal S Patel | Emergency Medicine | Bridgeton Emergency Group LLC | 12303 De Paul Dr, Bridgeton, MO 63044-2588 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adnan Y Siddiqui | Infectious Disease | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
| Duong T Ho | Nurse Practitioner | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
| Molly F Caldwell Mcmillan | Infectious Disease | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
| Shahzad Hasan | Internal Medicine | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
| Phillip G Zinser | Infectious Disease | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
| Jeanalyn S Guthrie | Nurse Practitioner | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
| Julie A Shapiro | Infectious Disease | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
| Manpreet Kaur Budhan | Nurse Practitioner | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
| Hassan R Jafri | Physical Therapy | 12800 Boenker Ln, Bridgeton, MO 63044-2438 | |
| Timothy R Knuuttila | Chiropractic | 12258 St Charles Rock Rd, Bridgeton, MO 63044-2501 | |
| Find all physicians in zip 63044 | |||
| City | BRIDGETON |
| Zip Code | 63044 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BRIDGETON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Evgeniy D Kulik.
| 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.