Courtney Crider (NPI# 1598146557, PAC ID# 9234447988) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1598146557 |
| PAC ID by PECOS | 9234447988 |
| Professional Enrollment ID | I20190720000061 |
| Full Name | Courtney Crider |
| Organization Legal Name | BOONSLICK MEDICAL GROUP INC |
| Address |
201 Bjc Saint Peters Dr Suite 100 Saint Peters MO 63376-3386 |
| Phone Number | 6369168200 |
| Gender | F |
| Medical School | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 3779481510 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 201 Bjc Saint Peters Dr, Suite 100, Saint Peters, MO 63376-3386 | 6369168200 | BOONSLICK MEDICAL GROUP INC |
| Organization Legal Name | BOONSLICK MEDICAL GROUP INC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie L Puckett | Obstetrics/gynecology | Boonslick Medical Group Inc | 201 Bjc Saint Peters Dr, Suite 100, Saint Peters, MO 63376-3386 |
| Keith William Wickenhauser | Internal Medicine | Boonslick Medical Group Inc | 201 Bjc Saint Peters Dr, Suite 100, Saint Peters, MO 63376-3386 |
| Richard A Geisman | Gastroenterology | Boonslick Medical Group Inc | 201 Bjc Saint Peters Dr, Suite 100, Saint Peters, MO 63376-3386 |
| Kurt A Piening | Internal Medicine | Boonslick Medical Group Inc | 201 Bjc Saint Peters Dr, Suite 100, Saint Peters, MO 63376-3386 |
| Matthew Nissing | Gastroenterology | Boonslick Medical Group Inc | 201 Bjc Saint Peters Dr, Suite 100, Saint Peters, MO 63376-3386 |
| Evelyne G Schuetz | Obstetrics/gynecology | Boonslick Medical Group Inc | 201 Bjc Saint Peters Dr, Suite 100, Saint Peters, MO 63376-3386 |
| John H Uhlemann | Dermatology | Boonslick Medical Group Inc | 201 Bjc Saint Peters Dr, Suite 100, Saint Peters, MO 63376-3386 |
| Alexander E Schuetz | Family Medicine | Boonslick Medical Group Inc | 201 Bjc Saint Peters Dr, Suite 100, Saint Peters, MO 63376-3386 |
| Gary J Meltz | Internal Medicine | Boonslick Medical Group Inc | 201 Bjc St Peters Dr, Suite 100, Saint Peters, MO 63376 |
| Robert B Cusworth | Gastroenterology | Boonslick Medical Group Inc | 201 Bjc St Peters Dr, Saint Peters, MO 63376 |
| Street Address |
201 BJC SAINT PETERS DR SUITE 100 |
| City | SAINT PETERS |
| State | MO |
| Zip | 63376-3386 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie L Puckett | Obstetrics/gynecology | Boonslick Medical Group Inc | 201 Bjc Saint Peters Dr, Suite 100, Saint Peters, MO 63376-3386 |
| Keith William Wickenhauser | Internal Medicine | Boonslick Medical Group Inc | 201 Bjc Saint Peters Dr, Suite 100, Saint Peters, MO 63376-3386 |
| Ryan William Pappas | Neurology | Fairview Heights Medical Group Sc | 201 Bjc Saint Peters Dr, Suite 200, Saint Peters, MO 63376-3386 |
| Richard A Geisman | Gastroenterology | Boonslick Medical Group Inc | 201 Bjc Saint Peters Dr, Suite 100, Saint Peters, MO 63376-3386 |
| Kurt A Piening | Internal Medicine | Boonslick Medical Group Inc | 201 Bjc Saint Peters Dr, Suite 100, Saint Peters, MO 63376-3386 |
| Matthew Nissing | Gastroenterology | Boonslick Medical Group Inc | 201 Bjc Saint Peters Dr, Suite 100, Saint Peters, MO 63376-3386 |
| Evelyne G Schuetz | Obstetrics/gynecology | Boonslick Medical Group Inc | 201 Bjc Saint Peters Dr, Suite 100, Saint Peters, MO 63376-3386 |
| John H Uhlemann | Dermatology | Boonslick Medical Group Inc | 201 Bjc Saint Peters Dr, Suite 100, Saint Peters, MO 63376-3386 |
| Alexander E Schuetz | Family Medicine | Boonslick Medical Group Inc | 201 Bjc Saint Peters Dr, Suite 100, Saint Peters, MO 63376-3386 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary K Knight Macheca | Nurse Practitioner | Physician Groups Lc | 201 Bjc St Peters Dr, Suite 200, St Peters, MO 63376 |
| Stanley Mathew | Endocrinology | Physician Groups Lc | 201 Bjc St Peters Dr, Suite 200, St Peters, MO 63376 |
| Mei Chris Huang | Gastroenterology | Physician Groups Lc | 201 Bjc St Peters Dr, Suite 200, St Peters, MO 63376 |
| Ranjani P Ramanathan | Endocrinology | Physician Groups Lc | 201 Bjc St Peters Dr, Suite 200, St Peters, MO 63376 |
| Brittany Nicole Lyons | Nurse Practitioner | Physician Groups Lc | 201 Bjc St Peters Dr, Suite 200, St Peters, MO 63376 |
| Prajakta Mungikar | Internal Medicine | Physician Groups Lc | 201 Bjc St Peters Dr, Suite 200, St Peters, MO 63376 |
| Dianna J Ohlman | Nurse Practitioner | Physician Groups Lc | 201 Bjc St Peters Dr, Suite 200, St Peters, MO 63376 |
| Gary J Meltz | Internal Medicine | Boonslick Medical Group Inc | 201 Bjc St Peters Dr, Suite 100, Saint Peters, MO 63376 |
| Robert B Cusworth | Gastroenterology | Boonslick Medical Group Inc | 201 Bjc St Peters Dr, Saint Peters, MO 63376 |
| Penny L Richardson | Chiropractic | 8471 Mexico Rd, Saint Peters, MO 63376-1103 | |
| Find all physicians in zip 63376 | |||
| City | SAINT PETERS |
| Zip Code | 63376 |
| Specialty | DERMATOLOGY |
| City + Specialty | SAINT PETERS + DERMATOLOGY |
Please comment or provide details below to improve the information on Courtney Crider.
| 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.