Ryan Bradley Sondergard (NPI# 1003299413, PAC ID# 8527360908) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1003299413 |
| PAC ID by PECOS | 8527360908 |
| Professional Enrollment ID | I20190812002705 |
| Full Name | Ryan Bradley Sondergard |
| Organization Legal Name | MERCY EAST SUPPORT SERVICES LLC |
| Address |
10018 Kennerly Rd Saint Louis MO 63128-2106 |
| Phone Number | 3142516766 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 0446498729 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260077 | ST ANTHONY'S MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 10018 Kennerly Rd, Saint Louis, MO 63128-2106 | 3142516766 | MERCY EAST SUPPORT SERVICES LLC |
| 10020 Kennerly Rd, Saint Louis, MO 63128-2106 | 3142516766 | MERCY EAST SUPPORT SERVICES LLC |
| 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 3142516000 | MERCY EAST SUPPORT SERVICES LLC |
| Organization Legal Name | MERCY EAST SUPPORT SERVICES LLC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rohit R Pawar | Psychiatry | Mercy East Support Services LLC | 10018 Kennerly Rd, Saint Louis, MO 63128-2106 |
| Rushaniya A Khairova | Psychiatry | Mercy East Support Services LLC | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 |
| Laishang P Zhang | Psychiatry | Mercy East Support Services LLC | 1400 Us Hwy 61, Festus, MO 63028-4100 |
| Mohammad Asif Qaisrani | Psychiatry | Mercy East Support Services LLC | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 |
| Enquan Gao | Psychiatry | Mercy East Support Services LLC | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 |
| Melody Kay Willis | Nurse Practitioner | Mercy East Support Services LLC | 1400 Us Hwy 61, Festus, MO 63028-4100 |
| Jahanzeb Khurshid | Psychiatry | Mercy East Support Services LLC | 10018 Kennerly Rd, Saint Louis, MO 63128-2106 |
| Rada Helen Gibson | Nurse Practitioner | Mercy East Support Services LLC | 10018 Kennerly Rd, Saint Louis, MO 63128-2106 |
| Pooja Sharma | Psychiatry | Mercy East Support Services LLC | 10018 Kennerly Rd, Saint Louis, MO 63128-2106 |
| Kathryn Shemwell | Psychiatry | Mercy East Support Services LLC | 10018 Kennerly Rd, Saint Louis, MO 63128-2106 |
| Street Address |
10018 KENNERLY RD |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63128-2106 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rohit R Pawar | Psychiatry | Mercy East Support Services LLC | 10018 Kennerly Rd, Saint Louis, MO 63128-2106 |
| Jahanzeb Khurshid | Psychiatry | Mercy East Support Services LLC | 10018 Kennerly Rd, Saint Louis, MO 63128-2106 |
| Rada Helen Gibson | Nurse Practitioner | Mercy East Support Services LLC | 10018 Kennerly Rd, Saint Louis, MO 63128-2106 |
| Pooja Sharma | Psychiatry | Mercy East Support Services LLC | 10018 Kennerly Rd, Saint Louis, MO 63128-2106 |
| Kathryn Shemwell | Psychiatry | Mercy East Support Services LLC | 10018 Kennerly Rd, Saint Louis, MO 63128-2106 |
| Alicia A Barnes | Psychiatry | Mercy East Support Services LLC | 10018 Kennerly Rd, Saint Louis, MO 63128-2106 |
| Shawn Duane Chambers | Psychiatry | Mercy East Support Services LLC | 10018 Kennerly Rd, Saint Louis, MO 63128-2106 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel M Ott | Nurse Practitioner | St Anthony's Physician Organization | 12700 Kennerly Rd, Suite 220, Saint Louis, MO 63128 |
| Shephali H Wulff | Infectious Disease | Infectious Diseases PC | 330 1st Capitol Dr, Suite 260, St Charles, MO 63128 |
| Marie E Wehner | Optometry | Vision Care Consultants Inc | 12121 Tesson Ferry Professional Ctr, Saint Louis, MO 63128-1250 |
| David Brian Seibel | Optometry | Vision Care Consultants Inc | 12121 Tesson Ferry Professional Ctr, Saint Louis, MO 63128-1250 |
| Craig Mathew Brawley | Optometry | Vision Care Consultants Inc | 12121 Tesson Ferry Professional Ctr, Saint Louis, MO 63128-1250 |
| John D Friederich | Optometry | Vision Care Consultants Inc | 12121 Tesson Ferry Professional Ctr, Saint Louis, MO 63128-1250 |
| Michelle E Nogalski | Physical Therapy | Prorehab PC | 107 Concord Plaza Shopping Ctr, Saint Louis, MO 63128-1307 |
| Yvonne M Layugan | Family Medicine | 123 Concord Plaza Shopping Ctr, Saint Louis, MO 63128-1307 | |
| Megan R Anna | Physical Therapy | Prorehab PC | 107 Concord Plaza Shopping Ctr, Saint Louis, MO 63128-1307 |
| Christopher J Tabor | Physical Therapy | The Physical Therapy Center, Inc. | 12048 Tesson Ferry Rd, Saint Louis, MO 63128-1727 |
| Find all physicians in zip 63128 | |||
| City | SAINT LOUIS |
| Zip Code | 63128 |
| Specialty | PSYCHIATRY |
| City + Specialty | SAINT LOUIS + PSYCHIATRY |
Please comment or provide details below to improve the information on Ryan Bradley Sondergard.
| 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.