Daniel P Ethakoti (NPI# 1740662964, PAC ID# 9032422738) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1740662964 |
| PAC ID by PECOS | 9032422738 |
| Professional Enrollment ID | I20150724010090 |
| Full Name | Daniel P Ethakoti |
| Address |
100 S County Ctr Way South County Location Saint Louis MO 63129-1009 |
| Phone Number | 3148929630 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 90 W County Ctr, West County Location, Des Peres, MO 63131-3701 | 3149664322 | |
| 100 S County Ctr Way, South County Location, Saint Louis, MO 63129-1009 | 3148929630 | |
| 4 Mid Rivers Mall, Saint Peters, MO 63376-4301 | 6269703937 |
| Street Address |
100 S COUNTY CTR WAY SOUTH COUNTY LOCATION |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63129-1009 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura Jo Flanigan | Occupational Therapy | Prorehab PC | 5201 Mid America Plz, Suite 2600, Saint Louis, MO 63129-0002 |
| Taylor Barker | Occupational Therapy | Prorehab PC | 5201 Mid America Plz, Suite 2600, Saint Louis, MO 63129-0002 |
| Matthew Gregory Williams | Occupational Therapy | Prorehab PC | 5201 Mid America Plz, Suite 2600, Saint Louis, MO 63129-0002 |
| Elizabeth M Miotti | Physical Therapy | Prorehab PC | 5201 Mid America Plz, Suite 2600, Saint Louis, MO 63129-0002 |
| Jaime M Mathieu | Occupational Therapy | Prorehab PC | 5201 Mid America Plz, Suite 2600, Saint Louis, MO 63129-0002 |
| Kathleen M Dahm | Occupational Therapy | Prorehab PC | 5201 Mid America Plz, Suite 2600, Saint Louis, MO 63129-0002 |
| Christina M Lyerla | Certified Registered Nurse Anesthetist (crna) | Washington University | 5201 Mid America Plz, Suite 1300, Saint Louis, MO 63129-0002 |
| Augustine R Hong | Ophthalmology | Washington University | 5201 Mid America Plz, Suite 2500, Saint Louis, MO 63129-0002 |
| Anna M Guimbarda | Occupational Therapy | Prorehab PC | 5201 Mid America Plz, Suite 2600, Saint Louis, MO 63129-0002 |
| Cory M Heslin | Occupational Therapy | Prorehab PC | 5201 Mid America Plz, Suite 2600, Saint Louis, MO 63129-0002 |
| Find all physicians in zip 63129 | |||
| City | SAINT LOUIS |
| Zip Code | 63129 |
| Specialty | OPTOMETRY |
| City + Specialty | SAINT LOUIS + OPTOMETRY |
Please comment or provide details below to improve the information on Daniel P Ethakoti.
| 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.