Unknown Individual – Diagnostic Radiology Physician, NPI 1407879562
Diagnostic Radiology Physician
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Provider Addresses for Unknown Individual
Westport Plaza, Maryland Heights, Saint Louis County, Missouri, United States
SUITE 300
SAINT LOUIS, MO 631463109
Phone: (314) 548-4772
Fax: (314) 548-4748
Type: Mailing
North New Ballas Road, Creve Coeur, Saint Louis County, Missouri, 63141, United States
ST LOUIS, MO 63131
Phone: (314) 996-5180
Fax: (314) 821-2180
Type: Location
NPPES updates history
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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Insurance plans in this area (ZIP 63146)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | MO | 71250 | CT scan chest | 67 | 67 |
| DIAGNOSTIC RADIOLOGY | MO | 73562 | X-ray of knee, 3 views | 20 | 19 |
| DIAGNOSTIC RADIOLOGY | MO | 73630 | X-ray of foot, minimum of 3 views | 43 | 41 |
| DIAGNOSTIC RADIOLOGY | MO | 77012 | Radiological supervision and interpretation of CT guidance for needle insertion | 16 | 16 |
| DIAGNOSTIC RADIOLOGY | MO | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 32 | 32 |
| DIAGNOSTIC RADIOLOGY | MO | 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 33 | 32 |
| DIAGNOSTIC RADIOLOGY | MO | 93922 | Ultrasound study of arteries of both arms and legs | 84 | 84 |
| DIAGNOSTIC RADIOLOGY | MO | 93926 | Ultrasound study of arteries and arterial grafts of one leg or limited | 12 | 12 |
| DIAGNOSTIC RADIOLOGY | MO | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 219 | 215 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| - | MO | |
| - | WI | |
| Diagnostic Radiology | MO | |
| - | MO | |
| - | MO | |
| - | MO | |
| - | MO |
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