Shirley Mae Visser (NPI# 1366697906, PAC ID# 8921278672) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1366697906 |
| PAC ID by PECOS | 8921278672 |
| Professional Enrollment ID | I20120807000276 |
| Full Name | Shirley Mae Visser |
| Organization Legal Name | AFFINIA HEALTHCARE |
| Address |
2220 Lemp Ave Saint Louis MO 63104-2700 |
| Phone Number | 3148981700 |
| Gender | F |
| Medical School | OHIO COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 1052386919 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260081 | SSM ST CLARE HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 11709 Old Ballas Rd, Suite 201, Creve Coeur, MO 63141-7029 | 3144321903 | MID-WEST PODIATRY AND ASSOCIATES, LLC |
| 500 W Pine St, Farmington, MO 63640-1426 | 5737568986 | MID-WEST PODIATRY AND ASSOCIATES, LLC |
| 1015 Bowles Ave, Fenton, MO 63026-2394 | 6364962502 | MID-WEST PODIATRY AND ASSOCIATES, LLC |
| 2220 Lemp Ave, Saint Louis, MO 63104-2700 | 3148981700 | AFFINIA HEALTHCARE |
| 3930 S Broadway, Saint Louis, MO 63118-4626 | 3148981700 | AFFINIA HEALTHCARE |
| 2800 Rabbit Trail Dr, Washington, MO 63090-6737 | 6363909500 | MID-WEST PODIATRY AND ASSOCIATES, LLC |
| 851 E 5th St, Suite 320, Washington, MO 63090-3130 | 6362391633 | MID-WEST PODIATRY AND ASSOCIATES, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 100% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 32% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 2% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 42% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 88% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 93% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 73% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | AFFINIA HEALTHCARE |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica A Norton | Obstetrics/gynecology | Affinia Healthcare | 4414 N Florissant Ave, Saint Louis, MO 63107-1812 |
| Jaime E Flores Ruiz | Internal Medicine | Affinia Healthcare | 1717 Biddle St, Saint Louis, MO 63106-3454 |
| Juee S Phalak | Psychiatry | Affinia Healthcare | 2220 Lemp Ave, Saint Louis, MO 63104-2700 |
| Paulina Cruz Bravo | Endocrinology | Affinia Healthcare | 3930 S Broadway, Saint Louis, MO 63118-4626 |
| Vani Pachalla | Family Medicine | Affinia Healthcare | 1430 Olive St, Suite 400, Saint Louis, MO 63103-2303 |
| Mary B Keegan | Obstetrics/gynecology | Affinia Healthcare | 1717 Biddle St, Saint Louis, MO 63106-3454 |
| Jared John Visser | Podiatry | Affinia Healthcare | 1717 Biddle St, Saint Louis, MO 63106-3454 |
| Barbara A Lutey | Internal Medicine | Affinia Healthcare | 1717 Biddle St, Saint Louis, MO 63106-3454 |
| Melissa D Tepe | Obstetrics/gynecology | Affinia Healthcare | 2220 Lemp Ave, Saint Louis, MO 63104-2700 |
| Jessica M Despotovic | Obstetrics/gynecology | Affinia Healthcare | 4414 N Florissant Ave, Saint Louis, MO 63107-1812 |
| Street Address |
2220 LEMP AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63104-2700 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Juee S Phalak | Psychiatry | Affinia Healthcare | 2220 Lemp Ave, Saint Louis, MO 63104-2700 |
| Melissa D Tepe | Obstetrics/gynecology | Affinia Healthcare | 2220 Lemp Ave, Saint Louis, MO 63104-2700 |
| David A Miller | Family Medicine | Affinia Healthcare | 2220 Lemp Ave, Saint Louis, MO 63104-2700 |
| Hari K Nallapaneni | Internal Medicine | Affinia Healthcare | 2220 Lemp Ave, Saint Louis, MO 63104-2700 |
| Thomas Kuciejczyk-kernan | Family Medicine | Affinia Healthcare | 2220 Lemp Ave, Saint Louis, MO 63104-2700 |
| Margaret E Baum | Obstetrics/gynecology | Affinia Healthcare | 2220 Lemp Ave, Saint Louis, MO 63104-2700 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy J Kutz | Pediatric Medicine | St Louis University | 1465 S Grand, Saint Louis, MO 63104-1003 |
| Aki S Puryear | Orthopedic Surgery | St Louis University | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 |
| Margaret K Siska | Endocrinology | St Louis University | 1465 S Grand, Saint Louis, MO 63104-1003 |
| Rocio D Zeballos-chavez | Sleep Medicine | St Louis University | 1465 S Grand Blvd, St Louis, MO 63104-1003 |
| Philippe Ja Mercier | Neurosurgery | St Louis University | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 |
| David P Dempsher | Endocrinology | St Louis University | 1465 S Grand, Saint Louis, MO 63104-1003 |
| Caroline T Meyer | Gastroenterology | St Louis University | 1465 S Grand, Saint Louis, MO 63104-1003 |
| Connie D Anderson | Pediatric Medicine | St Louis University | 1465 S Grand, Saint Louis, MO 63104-1003 |
| Pin Yue | Anesthesiology Assistant | St Louis University | 1465 S Grand Blvd, St Louis, MO 63104-1003 |
| Elizabeth Engel | Orthopedic Surgery | St Louis University | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 |
| Find all physicians in zip 63104 | |||
| City | SAINT LOUIS |
| Zip Code | 63104 |
| Specialty | PODIATRY |
| City + Specialty | SAINT LOUIS + PODIATRY |
Please comment or provide details below to improve the information on Shirley Mae Visser.
| 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.