Unknown Individual – Emergency Medicine Physician, NPI 1720032170
Emergency Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1836, Lackland Hill Parkway, Ascalon, Maryland Heights, Saint Louis County, Missouri, 63146, United States
ATTENTION: CREDENTIALING DEPARTMENT
SAINT LOUIS, MO 631463572
Phone: (314) 989-0300
Type: Mailing
525, Couch Avenue, Woodbine Height, Kirkwood, Saint Louis County, Missouri, 63122, United States
KIRKWOOD, MO 631225536
Phone: (314) 966-1500
Fax: (314) 966-1681
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63146)
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