Beruflich Dokumente
Kultur Dokumente
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TABLE OF CONTENTS
HARMONY HEALTH PLAN OF MISSOURI
JANUARY 2011
SPECIALTY PHYSICIANS
MISSOURI
CAPE GIRARDEAU COUNTY .........................................22
FRANKLIN COUNTY........................................................22
GASCONADE COUNTY ..................................................23
GREENE COUNTY ..........................................................23
IRON COUNTY ................................................................23
JEFFERSON COUNTY ....................................................23
LINCOLN COUNTY ..........................................................25
MADISON COUNTY.........................................................25
PERRY COUNTY .............................................................25
PIKE COUNTY .................................................................26
SAINT CHARLES COUNTY .............................................26
SAINT FRANCOIS COUNTY ...........................................37
SAINT LOUIS COUNTY ...................................................38
SAINT LOUIS CITY ..........................................................81
SAINTE GENEVIEVE COUNTY.....................................107
WARREN COUNTY .......................................................108
WASHINGTON COUNTY...............................................108
ILLINOIS
FRANKLIN COUNTY......................................................108
MADISON COUNTY.......................................................108
PERRY COUNTY ...........................................................110
RANDOLPH COUNTY ...................................................110
SAINT CLAIR COUNTY .................................................110
CLINICS
MISSOURI
TABLE OF CONTENTS
HARMONY HEALTH PLAN OF MISSOURI
JANUARY 2011
CLINICS (cont.)
LINCOLN COUNTY ........................................................112
PIKE COUNTY ...............................................................112
SAINT CHARLES COUNTY ...........................................112
SAINT FRANCOIS COUNTY .........................................112
SAINT LOUIS COUNTY .................................................112
SAINT LOUIS CITY ........................................................112
HOSPITALS
MISSOURI
FRANKLIN COUNTY......................................................113
GASCONADE COUNTY ................................................113
GREENE COUNTY ........................................................113
IRON COUNTY ..............................................................113
JEFFERSON COUNTY ..................................................113
LINCOLN COUNTY ........................................................113
MADISON COUNTY.......................................................113
PIKE COUNTY ...............................................................113
SAINT CHARLES COUNTY ...........................................113
SAINT FRANCOIS COUNTY .........................................113
SAINT LOUIS COUNTY .................................................113
SAINT LOUIS CITY ........................................................114
SAINTE GENEVIEVE COUNTY.....................................114
WARREN COUNTY .......................................................114
WASHINGTON COUNTY...............................................114
ANCILLARY PROVIDERS
ALL STATES
ALL COUNTY .................................................................115
MISSOURI
CAPE GIRARDEAU COUNTY .......................................115
FRANKLIN COUNTY......................................................115
GREENE COUNTY ........................................................115
IRON COUNTY ..............................................................115
JEFFERSON COUNTY ..................................................115
LINCOLN COUNTY ........................................................115
PERRY COUNTY ...........................................................115
PIKE COUNTY ...............................................................115
SAINT CHARLES COUNTY ...........................................115
SAINT FRANCOIS COUNTY .........................................116
SAINT LOUIS COUNTY .................................................116
SAINT LOUIS CITY ........................................................117
WARREN COUNTY .......................................................117
WASHINGTON COUNTY...............................................117
ILLINOIS
MADISON COUNTY.......................................................117
SAINT CLAIR COUNTY .................................................117
WILLIAMSON COUNTY .................................................117
ALLIED PROVIDERS
MISSOURI
CAPE GIRARDEAU COUNTY .......................................118
FRANKLIN COUNTY......................................................118
TABLE OF CONTENTS
HARMONY HEALTH PLAN OF MISSOURI
JANUARY 2011
CARTER COUNTY
JANUARY 2011
FAMILY PRACTICE
Zimmer, Kurt, DO
Provider ID: 413287
Big Springs Medical Associatio
402 Main St
Van Buren, MO 63965
(573) 323-4253
Ages Seen: 00 Yrs/99 Yrs
FRANKLIN COUNTY
FAMILY PRACTICE
Brunworth, David, MD !"
Provider ID: 247238
St Louis University
10 Franklin Ave
Washington, MO 63090
(636) 239-2741
Ages Seen: 00 Yrs/99 Yrs
FEDERALLY QUALIFIED
HEALTH CENTER
Crider Health Center Union
Provider ID: 557655
1780 Old Why 50 E Ste 102
Union, MO 63084
(636) 584-0859
Ages Seen: 00 Yrs/99 Yrs
INTERNAL MEDICINE
Baker, Tim, MD "#
Provider ID: 247228
St Louis University
10 Franklin Ave
Washington, MO 63090
(636) 239-2741
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
PEDIATRICS
Matt, Julianne, MD !
Provider ID: 557536
Crider Health Center
1780 Old Hwy 50 E Ste 102
Union, MO 63084
(636) 584-0859
Ages Seen: 00 Yrs/18 Yrs
Niemczyk, Michele, DO
Provider ID: 562311
Crider Health Center
1780 Old Hwy 50 E Ste 102
Union, MO 63084
(636) 584-0859
Ages Seen: 00 Yrs/18 Yrs
Vo, Thanh, MD "
Provider ID: 321780
Language: Vietnamese
Vo Pediatric Care
486 N Church
Sullivan, MO 63080
(573) 468-5858
Ages Seen: 00 Yrs/99 Yrs
GASCONADE COUNTY
FAMILY PRACTICE
Henson, Robert, MD !"
Provider ID: 372699
Hermann Area District Hospital
134 W Sixth St
Hermann, MO 65041
(573) 486-5711
Ages Seen: 00 Yrs/99 Yrs
Hermann Area District Hospital
INTERNAL MEDICINE
Uppal, Jaya, MD "
Provider ID: 366375
Language: Hindi, Punjabi
Hermann Area District Hospital
1714 Wein St
Hermann, MO 65041
(573) 486-2118
Ages Seen: 00 Yrs/99 Yrs
IRON COUNTY
FAMILY PRACTICE
Crawford, Steven, MD !"
Provider ID: 555054
Iron County Hospital Board
301 N Hwy 21
Pilot Knob, MO 63663
(573) 546-0184
Ages Seen: 00 Yrs/99 Yrs
Iron County Hospital
GENERAL PRACTICE
Boonyasai, Boonfu, MD "
Provider ID: 409677
Boonyasai & MD
200 St Marys
Pilot Knob, MO 63663
(573) 546-3929
Ages Seen: 00 Yrs/99 Yrs
Crawford, Steven, DO !
Provider ID: 556886
Desoto Family Practice
301 N Hwy 21
PO Box 329
Pilot Knob, MO 63663
(573) 546-0184
Ages Seen: 00 Yrs/99 Yrs
Iron County Hospital
Sanders, Jim, DO
Provider ID: 555566
Iron County Hospital Board
301 N Hwy 21
Pilot Knob, MO 63663
(573) 546-0184
Ages Seen: 00 Yrs/99 Yrs
Iron County Hospital
Sanders, Jim, DO
Provider ID: 555052
Desoto Family Practice
301 N Hwy 21
Pilot Knob, MO 63663
(573) 546-0184
Ages Seen: 02 Yrs/99 Yrs
Iron County Hospital
Trone, Aaron, DO "
Provider ID: 424333
Big Springs Medical Associatio
9 Viburnum Shopping Center
Viburnum, MO 65566
(573) 244-5406
Ages Seen: 00 Yrs/99 Yrs
INTERNAL MEDICINE
Rubi, Rodney, MD !"
Provider ID: 404920
Big Springs Medical Associatio
49 South
Annapolis, MO 63620
(573) 598-4213
Ages Seen: 12 Yrs/99 Yrs
JEFFERSON COUNTY
FAMILY PRACTICE
JANUARY 2011
Sanders, Jim, DO
Provider ID: 555063
Iron County Hospital Board
12 Jefferson Sq
De Soto, MO 63020
(636) 586-6685
Ages Seen: 02 Yrs/99 Yrs
Iron County Hospital
Smith, David, MD "
Provider ID: 321661
David A Smith MD
1688 Old Gravois Rd
High Ridge, MO 63049
(636) 677-5776
Ages Seen: 00 Yrs/99 Yrs
INTERNAL MEDICINE
Katyal, Tulika, MD !
Provider ID: 452127
SSM Managed Care Organization
4581 Gravois Rd
House Springs, MO 63051
(636) 671-3462
Ages Seen: 12 Yrs/99 Yrs
Pearson, John, DO !
Provider ID: 485537
Great Mines Health Center
123 W Pratt
De Soto, MO 63020
(573) 438-9355
Ages Seen: 00 Yrs/99 Yrs
GENERAL PRACTICE
Crawford, Steven, DO !
Provider ID: 556883
Desoto Family Practice
12 Jefferson Sq
De Soto, MO 63020
(636) 586-6685
Ages Seen: 00 Yrs/99 Yrs
Iron County Hospital
! BOARD CERTIFIED
PEDIATRICS
Krewet, Peter, MD !
Provider ID: 349543
Great Mines Health Center
123 W Pratt
De Soto, MO 63020
(636) 586-2522
Ages Seen: 00 Yrs/21 Yrs
LINCOLN COUNTY
FAMILY PRACTICE
Easterday, David, DO !
Provider ID: 321668
Lincoln County Memorial Hospit
1003 E Cherry St
Troy, MO 63379
(636) 528-6755
Ages Seen: 00 Yrs/99 Yrs
Lincoln County Mem Hospital
Foxen, John, MD !"
Provider ID: 371559
Lincoln County Memorial Hospit
900 E Cherry St
Troy, MO 63379
(636) 528-8585
Ages Seen: 00 Yrs/99 Yrs
Lincoln County Mem Hospital
Massey, Bradley, DO !"
Provider ID: 442325
Lincoln County Memorial Hospit
1003 E Cherry St
Troy, MO 63379
(636) 528-6755
Ages Seen: 00 Yrs/99 Yrs
Lincoln County Mem Hospital
Neblock, Michele, MD !
Provider ID: 565171
Language: Spanish
Lincoln County Memorial Hospit
1175 E Cherry St
Troy, MO 63379
(636) 528-8585
Ages Seen: 00 Yrs/99 Yrs
Lincoln County Mem Hospital
Reinker, Dale, DO !"
Provider ID: 321665
Lincoln County Memorial Hospit
1175 E Cherry
Troy, MO 63379
(636) 528-7722
Ages Seen: 00 Yrs/99 Yrs
Lincoln County Mem Hospital
PEDIATRICS
Ferguson, Julie, DO !
Provider ID: 562641
164 Professional Pkwy
Troy, MO 63379
(636) 462-5437
Ages Seen: 00 Yrs/21 Yrs
SSM Cardinal Glennon Child
MADISON COUNTY
FAMILY PRACTICE
Alt, Suzanne, DO !
Provider ID: 552462
Madison Medical Center
611 W Main St
Fredericktown, MO 63645
(573) 783-4111
Ages Seen: 00 Yrs/99 Yrs
Madison Medical Center
Beyer, Phillip, DO "
Provider ID: 456605
Beyer Medical Group
735 West Main
Fredericktown, MO 63645
(573) 783-8875
Ages Seen: 00 Yrs/99 Yrs
Mineral Area Regional Med
Center
Channaveeraiah,
Naganna, MD !"
Provider ID: 430568
Madison Medical Center
611 W Main St
P O Box 431
Fredericktown, MO 63645
(573) 783-1096
Ages Seen: 00 Yrs/99 Yrs
GENERAL PRACTICE
Kim, Young, MD "
Provider ID: 430424
Madison Medical Center
611 W Main St
Fredericktown, MO 63645
(573) 783-3341
Ages Seen: 00 Yrs/99 Yrs
McGraw, Martha, MD
Provider ID: 381685
Martha McGraw MD
605C W Main
Fredericktown, MO 63645
(573) 783-2552
Ages Seen: 00 Yrs/99 Yrs
INTERNAL MEDICINE
George, P, MD "
Provider ID: 430963
Madison Medical Center
611 A W Main St
Fredericktown, MO 63645
(573) 783-5548
Ages Seen: 12 Yrs/99 Yrs
Smith, Steven, DO
Provider ID: 391470
Language: Spanish
Madison Medical Center
611 W Main Ste C
Fredericktown, MO 63645
(573) 783-4111
Ages Seen: 12 Yrs/99 Yrs
Madison Medical Center
! BOARD CERTIFIED
JANUARY 2011
PERRY COUNTY
GENERAL PRACTICE
Eugenio, Romeo, MD
Provider ID: 486004
Romeo R Eugenio
210 Hospital Ln Ste 101
Perryville, MO 63775
(573) 547-7886
Ages Seen: 00 Yrs/99 Yrs
Eugenio, Romeo, MD
Provider ID: 402721
Convenient Health Care
624 Old St Marys Rd Ste A
Perryville, MO 63775
(573) 547-3232
Ages Seen: 00 Yrs/99 Yrs
Hicks IV, Robb, MD
Provider ID: 472382
Language: Spanish
Immediate Healthcare
1508 Edgemont Blvd
Perryville, MO 63775
(573) 517-7555
Ages Seen: 00 Yrs/99 Yrs
PEDIATRICS
Desai, Shilpa, MD !
Provider ID: 400956
Perry Kids Pediatrics
210 Hospital Ln
Perryville, MO 63775
(573) 517-0999
Ages Seen: 00 Yrs/18 Yrs
Kanani, Bhargav, MD !
Provider ID: 400773
Perry Kids Pediatrics
210 Hospital Lane Ste 202
Perryville, MO 63775
(573) 517-0999
Ages Seen: 00 Yrs/18 Yrs
PIKE COUNTY
FAMILY PRACTICE
Holcomb, Shawn, DO !
Provider ID: 534374
Pike County Memorial Hospital
1015 W Adams
Bowling Green, MO 63334
(573) 324-5300
Ages Seen: 00 Yrs/99 Yrs
Pike County Memorial Hospital
Holcomb, Shawn, DO !
Justice, Stephen, DO
Provider ID: 534375
Provider ID: 534954
Pike County Memorial Hospital
Pike County Memorial Hospital
2305 Georgia
2305 Georgia
Louisiana, MO 63353
Louisiana, MO 63353
(573) 754-4584
(573) 754-4584
Ages Seen: 00 Yrs/99 Yrs
Ages Seen: 00 Yrs/99 Yrs
Pike County Memorial Hospital
Pike County Memorial Hospital
Jennings, Casey, MD
Provider ID: 453189
Pike Medical Clinic
211 S Third St
Louisiana, MO 63353
(573) 754-5555
Ages Seen: 00 Yrs/99 Yrs
Onik, Jan, DO !
Provider ID: 404031
Pike Medical Clinic
211 S Third St
Louisiana, MO 63353
(573) 754-5555
Ages Seen: 00 Yrs/99 Yrs
Onik, Jan, DO !
Provider ID: 423048
Pike Medical Clinic
905 Business Hwy 161 S
Bowling Green, MO 63334
(573) 324-2241
Ages Seen: 00 Yrs/99 Yrs
Pitney, Phillip, MD "
Provider ID: 404932
Pike Medical Clinic
211 S Third St
Louisiana, MO 63353
(573) 754-5555
Ages Seen: 00 Yrs/99 Yrs
Pitney, Phillip, MD
Provider ID: 423043
Pike Medical Clinic
905 Business Hwy 161 S
Bowling Green, MO 63334
(573) 324-2241
Ages Seen: 00 Yrs/99 Yrs
GENERAL PRACTICE
Greene, Howard, MD "
Provider ID: 418283
Pike County Memorial Hospital
1015 W Adams St
Bowling Green, MO 63334
(573) 324-5300
Ages Seen: 00 Yrs/99 Yrs
PEDIATRICS
Burgdorf, Max, MD !
Provider ID: 418846
Pike County Memorial Hospital
2305 W Georgia
Louisiana, MO 63353
(573) 754-5384
Ages Seen: 00 Yrs/21 Yrs
Moolsintong, Gail, MD !
Provider ID: 420756
Pike County Memorial Hospital
2306 W Georgia
Louisiana, MO 63353
(573) 754-4584
Ages Seen: 00 Yrs/21 Yrs
FEDERALLY QUALIFIED
HEALTH CENTER
Justice, Stephen, DO
Crider Health Center
Provider ID: 536115
Provider ID: 545902
Pike County Memorial Hospital
Language: Spanish
1015 W Adams
1032 Crosswinds Ct
Bowling Green, MO 63334
Wentzville, MO 63385
(573) 324-5300
(636) 332-6000
Ages Seen: 00 Yrs/99 Yrs
Ages Seen: 00 Yrs/99 Yrs
Pike County Memorial Hospital
GENERAL PRACTICE
Oliver, Robert, DO
Provider ID: 423069
Practice Management Affiliates
103 Church St
O Fallon, MO 63366
(636) 240-1100
Ages Seen: 02 Yrs/99 Yrs
SSM
SSM St Joseph Hospital West
Rodriguez, Ubaldo, MD
Provider ID: 321769
Language: Spanish
Practice Management Affiliates
1600 Heritage Ste 215
Saint Charles, MO 63303
(636) 939-4200
Ages Seen: 15 Yrs/99 Yrs
St Alexius Hospital
INTERNAL MEDICINE
Choudhary, Bhavana, MD !
Provider ID: 567549
SSM Managed Care Organization
600 Medical Dr Ste 106
Wentzville, MO 63385
(636) 639-6262
Ages Seen: 12 Yrs/99 Yrs
SSM
SSM
SSM St Joseph Hospital West
Choudhary, Navin, MD !
Provider ID: 516260
SSM Managed Care Organization
600 Medical Dr Ste 106
Wentzville, MO 63385
(636) 639-6262
Ages Seen: 12 Yrs/99 Yrs
SSM St Joseph Health Center
Donepudi, Ravi, MD
Provider ID: 522565
SSM Managed Care Organization
100 Medical Plaza Dr
Lake Saint Louis, MO 63367
(636) 625-5200
Ages Seen: 00 Yrs/99 Yrs
Donepudi, Ravi, MD
Provider ID: 536469
SSM Managed Care Organization
600 Medical Plaza Dr Ste 106
Wentzville, MO 63385
(636) 639-6262
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
JANUARY 2011
Hinton, Paul, MD !
Provider ID: 519614
SSM Managed Care Organization
300 Medical Plaza Ste 230
Lake Saint Louis, MO 63367
(636) 625-1111
Ages Seen: 00 Yrs/99 Yrs
SSM St Joseph Hospital West
Devitre, David, DO
Provider ID: 454845
SSM Managed Care Organization
200 Medical Plaza Dr
Lake Saint Louis, MO 63367
(636) 625-5200
Ages Seen: 00 Yrs/18 Yrs
Nile, David, MD !
Provider ID: 461975
SSM Managed Care Organization
300 First Capitol Dr
Saint Charles, MO 63301
(636) 947-5466
Ages Seen: 00 Yrs/21 Yrs
Devitre, David, DO
Provider ID: 454853
SSM Managed Care Organization
300 First Capitol Dr
Saint Charles, MO 63301
(314) 947-5000
Ages Seen: 00 Yrs/18 Yrs
Ryan, Lisa, MD
Provider ID: 473565
SSM Managed Care Organization
2630 Hwy K
O Fallon, MO 63368
(636) 474-0993
Ages Seen: 00 Yrs/21 Yrs
Hinton, Jennifer, MD !
Provider ID: 514990
SSM Managed Care Organization
300 Medical Plz Ste 230
Lake Saint Louis, MO 63367
(636) 625-1111
Ages Seen: 00 Yrs/21 Yrs
SSM
SSM
SSM Cardinal Glennon Child
Sayre, Blaine, MD !
Provider ID: 545984
Practice Management Affiliates
1600 Heritage Lndg Ste 215
Saint Charles, MO 63303
(636) 939-4200
Ages Seen: 00 Yrs/18 Yrs
SSM
SSM Cardinal Glennon Child
Hinton, Paul, MD !
Provider ID: 519614
SSM Managed Care Organization
300 Medical Plaza Ste 230
Lake Saint Louis, MO 63367
(636) 625-1111
Ages Seen: 00 Yrs/99 Yrs
SSM St Joseph Hospital West
Pineda, Hector, MD
Provider ID: 533604
Practice Management Affiliates
1600 Heritage Lndg Ste 215
Saint Charles, MO 63303
(636) 939-4200
Ages Seen: 12 Yrs/99 Yrs
St A
St Anthonys Medical Center
Johnson, Keri, MD !
Provider ID: 349220
SSM Managed Care Organization
330 First Capitol Dr Ste 340
Saint Charles, MO 63301
(636) 947-5677
Ages Seen: 00 Yrs/18 Yrs
PEDIATRICS
Burgdorf Jr, Max, MD "
Provider ID: 496311
SSM Managed Care Organization
200 Medical Plz
Lake Saint Louis, MO 63367
(636) 625-5200
Ages Seen: 00 Yrs/99 Yrs
Burgdorf Jr, Max, MD "
Provider ID: 496310
SSM Managed Care Organization
300 First Capitol Dr
Saint Charles, MO 63301
(636) 947-5000
Ages Seen: 00 Yrs/99 Yrs
Jones, Larry, MD
Provider ID: 514716
Practice Management Affiliates
1600 Heritage Lndg Ste 215
Saint Charles, MO 63303
(636) 939-4200
Ages Seen: 00 Yrs/18 Yrs
Krewet, Peter, MD !
Provider ID: 321718
Crider Health Center
1032 Crosswinds Ct
Wentzville, MO 63385
(315) 481-1615
Ages Seen: 00 Yrs/21 Yrs
Nile, David, MD !
Provider ID: 461978
SSM Managed Care Organization
100 Medical Plaza
Lake Saint Louis, MO 63367
(636) 625-5200
Ages Seen: 00 Yrs/21 Yrs
JANUARY 2011
Chand, Sunil, MD
Provider ID: 454141
Language: Hindi
Chands Medical Office
1035 E Karsch Blvd Ste B
Farmington, MO 63640
(573) 756-2482
Ages Seen: 12 Yrs/99 Yrs
Mineral Area Regional Med
Center
Lewis, Mechelle, MD #
Provider ID: 560382
1101 Weber Rd Ste 101
Farmington, MO 63640
(573) 756-4840
Ages Seen: 00 Yrs/99 Yrs
Mineral Area Regional Med
Center
OBSTETRICS/
GYNECOLOGY
Williams, Sonja, MD
Provider ID: 361902
Farmington Clinic Company
1103 Weber Rd Ste 102
Farmington, MO 63640
(573) 545-2401
Ages Seen: 00 Yrs/99 Yrs
Krewet, Peter, MD !
Provider ID: 485586
Great Mines Health Center
1101 Weber Rd Ste 202
Farmington, MO 63640
Ages Seen: 00 Yrs/21 Yrs
GENERAL PRACTICE
Ninichuck, Andrew, MD
Provider ID: 489734
Bonne Terre Medical Associates
30 N Allen St
Bonne Terre, MO 63628
(573) 358-3343
Ages Seen: 00 Yrs/99 Yrs
Washington County Memorial
Hospital
INTERNAL MEDICINE
Chand, Nilima, MD "
Provider ID: 443236
Language: Hindi, Russian,
Spanish
Chands Medical Office
1031 E Karsch Blvd
Farmington, MO 63640
(573) 756-7880
Ages Seen: 03 Yrs/99 Yrs
! BOARD CERTIFIED
PEDIATRICS
Lewis, Mechelle, MD #
Provider ID: 560382
1101 Weber Rd Ste 101
Farmington, MO 63640
(573) 756-4840
Ages Seen: 00 Yrs/99 Yrs
Mineral Area Regional Med
Center
Zereik, Jamal, MD !
Provider ID: 411052
Language: Arabic
Farmington Clinic Company
1103 W Liberty St Ste 202
Farmington, MO 63640
(573) 454-2410
Ages Seen: 00 Yrs/21 Yrs
Buckley, Brenda, MD !
Provider ID: 525463
Fenton Family Practice
2117 Bentley Plz
Fenton, MO 63026
(636) 529-7000
Ages Seen: 00 Yrs/99 Yrs
Campbell, David, MD !"
Provider ID: 321649
Institute For Family Medicine
4590 S Lindbergh Blvd
Saint Louis, MO 63127
(314) 849-7669
Ages Seen: 00 Yrs/99 Yrs
St Anthonys Medical Center
Cass, Kyra, MD !
Provider ID: 440664
Language: French
St Louis Cty Department of Health
4000 Jenning Station Rd
Saint Louis, MO 63121
(314) 679-7800
Ages Seen: 00 Yrs/99 Yrs
Hooks-Anderson,
Denise, MD !"
Provider ID: 356021
Language: Vietnamese
SSM Managed Care Organization
1031 Bellevue Ave Ste 201
Saint Louis, MO 63117
(314) 781-0361
Ages Seen: 18 Yrs/99 Yrs
SSM
SSM Cardinal Glennon Child
Coffman, Donna, MD !
Provider ID: 526476
St Louis Cty Department of Health
6065 Helen Ave
Saint Louis, MO 63134
(314) 522-6410
Ages Seen: 00 Yrs/99 Yrs
Espana, Christopher, MD
Provider ID: 357481
SSM Managed Care Organization
3440 Depaul Dr Ste 110
Bridgeton, MO 63044
(314) 739-1333
Ages Seen: 00 Yrs/99 Yrs
Fatoki, Akinrinola, MD !
Provider ID: 475458
Bahm Family Medicine
2880 Netherton Dr Ste 200
Saint Louis, MO 63136
(314) 355-5300
Ages Seen: 00 Yrs/99 Yrs
Hossfeld, Mollie, DO
Provider ID: 407780
Peoples Health Center
11642 W Floriassant Rd
Florissant, MO 63033
(314) 838-9220
Ages Seen: 00 Yrs/99 Yrs
Howell, David, MD !
Provider ID: 499457
SSM Managed Care Organization
5960 Howdershell Rd Ste 106
Hazelwood, MO 63042
(314) 731-3300
Ages Seen: 00 Yrs/99 Yrs
SSM St Joseph Health Center W
! BOARD CERTIFIED
JANUARY 2011
JANUARY 2011
GENERAL PRACTICE
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.) Caldwell, Reynal, DO
FAMILY PRACTICE (cont.)
Stevenson, Joule, MD !"
Provider ID: 321634
SSM Managed Care Organization
637 Dunn Rd Ste 160
Hazelwood, MO 63042
(314) 731-7844
Ages Seen: 00 Yrs/99 Yrs
Taylor, Peggy, DO !"
Provider ID: 441124
Med-Care-RX
9352 Olive Blvd
Saint Louis, MO 63132
(314) 993-5344
Ages Seen: 00 Yrs/99 Yrs
Walker, Valerie, MD
Provider ID: 489698
Valerie O Walker
11636 W Florissant Ave
Florissant, MO 63033
(314) 830-0990
Ages Seen: 00 Yrs/99 Yrs
Watkins-Brown, Felicia, MD !"
Provider ID: 321821
St Louis Cty Department of Health
4580 S Lindbergh Blvd
Saint Louis, MO 63127
(314) 842-1300
Ages Seen: 00 Yrs/99 Yrs
Zoberi, Kimberly, MD !"
Provider ID: 234118
St Louis University
2325 Dougherty Ferry Rd Ste 100
Kirkwood, MO 63122
(314) 977-9600
Ages Seen: 00 Yrs/99 Yrs
SSM
St Louis University Hospital
FEDERALLY QUALIFIED
HEALTH CENTER
Peoples Health Centers "
Provider ID: 373406
7200 Manchester Rd
Saint Louis, MO 63143
(314) 367-7848
Ages Seen: 00 Yrs/99 Yrs
Peoples Health Centers
Florissant
Provider ID: 321455
11642 W Florissant Rd
Saint Louis, MO 63033
(314) 367-7848
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
GERIATRIC MEDICINE
Cruz Oliver, Dulce, MD !
Provider ID: 549771
St Louis University
2365 Dougherty Ferry Rd Ste 420
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 65 Yrs/99 Yrs
St Louis University Hospital
Cummings-Vaughn,
Lenise, MD "
Provider ID: 569226
2345 Dougherty Ferry Rd Ste 420
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 00 Yrs/99 Yrs
Jacobs, Christine, MD !"
Provider ID: 463483
St Louis University
1034 S Brentwood
Saint Louis, MO 63117
(314) 977-4600
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Johnson, Thomas, MD !"
Provider ID: 497490
12277 Depaul Dr Ste 200
Bridgeton, MO 63044
(314) 344-6800
Ages Seen: 00 Yrs/99 Yrs
INTERNAL MEDICINE
Angelin, Peter, MD !
Provider ID: 452059
Peter I Angelin
10010 Kennerly
Saint Louis, MO 63128
(314) 525-1000
Ages Seen: 00 Yrs/99 Yrs
St Anthonys Medical Center
Angelin, Peter, MD !
Provider ID: 452093
Peter I Angelin
2345 Dougherty Ferry Rd
Saint Louis, MO 63122
(314) 966-9100
Ages Seen: 00 Yrs/99 Yrs
St Anthonys Medical Center
Buckhold, Fred, MD "
Provider ID: 549768
St Louis University
2325 Dougherty Ferry Rd Ste 100
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Chacko, Sonia, MD
Provider ID: 567834
St Louis University
2325 Dougherty Ferry Rd Ste 100
Saint Louis, MO 63122
(314) 979-6000
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Charles, Francois, MD
Provider ID: 337688
SSM Managed Care Organization
433 Lynn Haven Ln
Hazelwood, MO 63042
(314) 551-0338
Ages Seen: 12 Yrs/99 Yrs
! BOARD CERTIFIED
JANUARY 2011
Hajji, Randa, MD
Provider ID: 443907
Language: Hindi, Punjabi, Urdu
St Louis Cty Department of Health
4000 Jennings Station Rd
Saint Louis, MO 63121
(314) 679-7800
Ages Seen: 18 Yrs/99 Yrs
Hajji, Randa, MD "
Provider ID: 443927
Language: Hindi, Punjabi, Urdu
St Louis Cty Department of Health
6065 Helen Ave
Saint Louis, MO 63134
(314) 679-7800
Ages Seen: 18 Yrs/99 Yrs
Hassan, Khaled, MD !
Provider ID: 389631
SSM Managed Care Organization
433 Lynn Haven Ln
Hazelwood, MO 63042
(314) 551-0338
Ages Seen: 10 Yrs/99 Yrs
Ihnat, Richard, MD !
Provider ID: 465172
Language: Spanish
SSM Managed Care Organization
1035 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 644-0042
Ages Seen: 12 Yrs/99 Yrs
SSM
SSM St Marys Health Center
Kistler, W David, MD !"
Provider ID: 385582
SSM Managed Care Organization
950 Francis Pl Ste 113
Saint Louis, MO 63105
(314) 721-0411
Ages Seen: 18 Yrs/99 Yrs
Kodwani, Asha, MD !
Provider ID: 489305
St Louis County Depart of Health
4000 Jennings Station Rd
Saint Louis, MO 63121
(314) 679-7800
Ages Seen: 00 Yrs/99 Yrs
Kodwani, Asha, MD !
Provider ID: 489306
St Louis County Depart of Health
4580 S Linbergh
Saint Louis, MO 63127
(314) 842-1300
Ages Seen: 00 Yrs/99 Yrs
Kowani, Asha, MD !
Provider ID: 489292
St Louis County Depart of Health
6065 Helen Ave
Saint Louis, MO 63134
(314) 522-6410
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
JANUARY 2011
OBSTETRICS/
GYNECOLOGY
Johnson, Vernon, MD !
Provider ID: 379911
Vernon L Johnson MD
Village Square Ste 1B
Hazelwood, MO 63042
(314) 731-9600
Ages Seen: 00 Yrs/99 Yrs
PEDIATRICS
Bernhard, Kathleen, MD !
Provider ID: 321801
St Louis Cty Department of Health
4580 S Lindbergh Blvd
Saint Louis, MO 63127
(314) 615-0400
Ages Seen: 00 Yrs/18 Yrs
Bernhard, Kathleen, MD !"
Provider ID: 410094
Institute For Family Medicine
8240 St Charles Rock Rd
Saint Louis, MO 63114
(314) 427-3755
Ages Seen: 00 Yrs/18 Yrs
Devitre, David, DO
Provider ID: 454843
SSM Managed Care Organization
525 Couch Ave
Saint Louis, MO 63122
(314) 966-0000
Ages Seen: 00 Yrs/18 Yrs
Diwakaran, Anu, MD !
Provider ID: 337696
SSM Managed Care Organization
12255 Depaul Dr Ste 45
Bridgeton, MO 63044
(314) 344-6021
Ages Seen: 00 Yrs/21 Yrs
Ferguson, Julie, DO !
Provider ID: 356436
SSM Managed Care Organization
12255 De Paul Dr Ste 60
Bridgeton, MO 63044
(314) 344-6022
Ages Seen: 00 Yrs/21 Yrs
SSM Cardinal Glennon Child
! BOARD CERTIFIED
JANUARY 2011
Nile, David, MD !
Provider ID: 436992
SSM Managed Care Organization
12303 Depaul Dr
Bridgeton, MO 63044
(314) 344-6000
Ages Seen: 00 Yrs/21 Yrs
OConnor, Michael, MD "
Provider ID: 321741
Peoples Health Center
11642 W Florissant
Saint Louis, MO 63033
(314) 838-8220
Ages Seen: 00 Yrs/21 Yrs
OConnor, Michael, MD !"
Provider ID: 334233
Peoples Health Center
7200 Manchester Rd
Florissant, MO 63033
(314) 781-9162
Ages Seen: 00 Yrs/21 Yrs
Obrien, Elizabeth, MD !"
Provider ID: 499884
St Louis Cty Department of Health
4000 Jennings Station Rd
Saint Louis, MO 63121
(314) 679-7800
Ages Seen: 00 Yrs/21 Yrs
Phillips, Abraham, MD !"
Provider ID: 366948
Abraham M Phillips MD
777 S New Ballas Rd Ste 223W
Saint Louis, MO 63141
(314) 567-9190
Ages Seen: 00 Yrs/21 Yrs
Plurad Jr, Santiago, DO !"
Provider ID: 375079
SSM Managed Care Organization
3915 Watson Rd Ste 202
Saint Louis, MO 63141
(314) 781-4288
Ages Seen: 00 Yrs/21 Yrs
Puetz, John, MD !"
Provider ID: 371770
SSM Managed Care Organization
12255 Depaul Dr
Bridgeton, MO 63044
(314) 344-6000
Ages Seen: 00 Yrs/18 Yrs
Lincoln County Mem Hospital
Rudolph, Joseph, MD !
Provider ID: 518683
SSM Managed Care Organization
1011 Bowles Ave Ste 300
Fenton, MO 63026
(636) 496-5000
Ages Seen: 00 Yrs/21 Yrs
SSM
SSM
St Anthonys Medical Center
Ryan, Lisa, MD
Provider ID: 473575
SSM Managed Care Organization
1224 Graham Rd Ste 2005
Florissant, MO 63031
(314) 921-7509
Ages Seen: 00 Yrs/21 Yrs
Day, Caroline, MD
Provider ID: 429253
Language: Spanish, Vietnamese
Family Care Health Centers
4352 Manchester Pk
Saint Louis, MO 63110
(314) 531-5444
Ages Seen: 00 Yrs/99 Yrs
Gillian, Stephan, MD
Provider ID: 486315
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-4600
St Louis University Hospital
Glick, David, MD "
Provider ID: 321543
Family Care Health Center
401 Holly Hills
Saint Louis, MO 63111
(314) 353-5190
Ages Seen: 00 Yrs/99 Yrs
Golding, Devon, MD !"
Provider ID: 361039
SSM Managed Care Organization
2331 Hampton Ave
Saint Louis, MO 63139
(314) 772-1441
Ages Seen: 00 Yrs/99 Yrs
Hantush, Hudda, MD !"
Provider ID: 321565
Language: Arabic
St Louis Connectcare
5535 Delmar
Saint Louis, MO 63112
(314) 879-6363
Ages Seen: 00 Yrs/99 Yrs
St Anthonys Medical Center
Hastings, Mary, MD !
Provider ID: 463471
St Louis University
3518 Laclede Ave
Saint Louis, MO 63103
(314) 977-2802
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Hendricks, Laurain, MD !
Provider ID: 407209
Family Care Health Centers
4352 Manchester Ave
Saint Louis, MO 63110
(314) 531-5444
Ages Seen: 00 Yrs/99 Yrs
Hodge, Bryan, DO !
Provider ID: 422644
Grace Hill Neighborhood He
3400 S Jefferson
Saint Louis, MO 63118
(314) 898-1740
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
JANUARY 2011
FEDERALLY QUALIFIED
HEALTH CENTER
Family Care Health Centers
(Forest Park) "
Provider ID: 321439
4352 Manchester
Saint Louis, MO 63110
(314) 531-5444
Ages Seen: 00 Yrs/99 Yrs
Florence Hill Health Center "
Provider ID: 348899
5541 Riverview Blvd
Saint Louis, MO 63120
(314) 367-5820
Ages Seen: 00 Yrs/99 Yrs
Grace Hill NHC dba Hadley
Health Center
Provider ID: 551639
2524 Hadley St
Saint Louis, MO 63106
(314) 898-1717
Ages Seen: 00 Yrs/99 Yrs
Grace Hill NHC dba Murphy
Ofallon Health "
Provider ID: 355776
1717 Biddle
Saint Louis, MO 63106
(314) 814-8556
Ages Seen: 00 Yrs/99 Yrs
Grace Hill Neighborhood Health
Centers "
Provider ID: 355766
800 N Tucker
Saint Louis, MO 63101
(314) 241-2200
Ages Seen: 00 Yrs/99 Yrs
Grace Hill South Neighborhood
Health Cen "
Provider ID: 321446
Language: Spanish
Grace Hill South Neighborhood
Health Center
3400 S Jefferson
Saint Louis, MO 63118
(314) 241-2200
Ages Seen: 00 Yrs/99 Yrs
Homer G Phillips Health
Center "
Provider ID: 358019
2425 Wittier St
Saint Louis, MO 63113
(314) 371-3100
Ages Seen: 00 Yrs/99 Yrs
GENERAL PRACTICE
Rodriguez, Ubaldo, MD "
Provider ID: 321768
Language: Spanish
Practice Management Affiliates
3535 S Jefferson Ste 54
Saint Louis, MO 63118
(314) 772-8348
Ages Seen: 15 Yrs/99 Yrs
St Alexius Hospital
GERIATRIC MEDICINE
Cruz Oliver, Dulce, MD !"
Provider ID: 549770
St Louis University
3660 Vista Ave Ste 204
Saint Louis, MO 63110
(314) 977-8462
Ages Seen: 65 Yrs/99 Yrs
St Louis University Hospital
Cummings-Vaughn,
Lenise, MD "
Provider ID: 569225
3660 Vista Ave Ste 204
Saint Louis, MO 63110
(314) 977-8462
Ages Seen: 00 Yrs/99 Yrs
Gammack, Julie, MD "
Provider ID: 238624
St Louis University
3660 Vista Ave Ste 204
Saint Louis, MO 63110
(314) 977-6055
Ages Seen: 65 Yrs/99 Yrs
St Louis University Hospital
Little, Milta, DO !"
Provider ID: 550091
St Louis University
3660 Vista Ave Ste 204
Saint Louis, MO 63110
(314) 977-8462
Ages Seen: 65 Yrs/99 Yrs
St Louis University Hospital
JANUARY 2011
Bhattacharyya, Anjan, MD !
Provider ID: 461062
St Louis University
3660 Vista Ave Ste 207
GERIATRIC MEDICINE (cont.)
Saint Louis, MO 63110
(314) 977-6100
Mahon, Gerald, MD !
Ages Seen: 18 Yrs/99 Yrs
Provider ID: 530186
St Louis University
Bhutto, Asif, MD !
3660 Vista Ave Ste 204
Provider ID: 453467
Saint Louis, MO 63110
St Louis University
(314) 977-6055
3660 Vista Ave Ste 204
Ages Seen: 18 Yrs/99 Yrs
Saint Louis, MO 63110
St Louis University Hospital
(314) 977-6150
Ages Seen: 18 Yrs/99 Yrs
Omran, Mohhamed, MD "
St Louis University Hospital
Provider ID: 250586
3660 Vista Ave
Boykin Wright, Carmel, MD
Saint Louis, MO 63110
Provider ID: 518509
(314) 977-6055
SSM Managed Care Organization
Ages Seen: 65 Yrs/99 Yrs
3737 N Kingshighway Ste 107
Saint Louis, MO 63115
INTERNAL MEDICINE
(314) 361-6644
Ages Seen: 00 Yrs/99 Yrs
Bahar, Bastani, MD !"
SSM St Marys Health Center
Provider ID: 321489
St Louis Connectcare
Buckhold, Fred, MD
5535 Delmar
Provider ID: 549764
Saint Louis, MO 63112
St Louis University
(314) 879-6363
3518 Laclede Ave
Ages Seen: 00 Yrs/99 Yrs
Saint Louis, MO 63103
(314) 977-2323
Bakanas, Erin, MD "
Ages Seen: 18 Yrs/99 Yrs
Provider ID: 234205
St Louis University Hospital
St Louis University
3518 Laclede Ave
Buckhold, Fred, MD "
Saint Louis, MO 63103
Provider ID: 549760
(314) 977-2323
St Louis University
Ages Seen: 18 Yrs/99 Yrs
3660 Vista Ave Ste 207
St Louis University Hospital
Saint Louis, MO 63110
(314) 977-6100
Bakanas, Erin, MD "
Ages Seen: 18 Yrs/99 Yrs
Provider ID: 242432
St Louis University Hospital
St Louis University
3660 Vista Ave
Castillo, Roque, MD !"
Saint Louis, MO 63110
Provider ID: 235423
(314) 977-6100
St Louis University
Ages Seen: 18 Yrs/99 Yrs
3660 Vista Ave Ste 207
St Louis University Hospital
Saint Louis, MO 63110
(314) 977-6100
Beauboeuf, Alphonse, MD "
Ages Seen: 16 Yrs/99 Yrs
Provider ID: 248840
St Louis University Hospital
Alta Premier Health Services
2415 N Kingshighway
Chacko, Sonia, MD
Saint Louis, MO 63113
Provider ID: 567837
(314) 367-1083
St Louis University
Ages Seen: 18 Yrs/99 Yrs
3518 Laclede Ave
Saint Louis, MO 63103
Berg, Daniel, MD !
(314) 977-2323
Provider ID: 540861
Ages Seen: 18 Yrs/99 Yrs
Family Care Health Centers
St Louis University Hospital
401 Holly Hills Ave
Saint Louis, MO 63111
(314) 353-5190
Ages Seen: 18 Yrs/99 Yrs
SSM St Marys Health Center
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
! BOARD CERTIFIED
Delaney, Nancy, MD
Provider ID: 234166
St Louis University
3518 Laclede Ave
Saint Louis, MO 63103
(314) 977-2323
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Colbert, Dennis, MD
Provider ID: 476102
Dennis G Colbert MD
3535 S Jefferson Ste 201
Saint Louis, MO 63118
(314) 577-5778
Ages Seen: 12 Yrs/99 Yrs
Cornelius, Victoria, MD "
Provider ID: 233384
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 977-6100
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Cornelius, Victoria, MD "
Provider ID: 242429
St Louis University
3518 Laclede Ave
Saint Louis, MO 63103
(314) 977-6100
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Cornelius, Victoria, MD
Provider ID: 250395
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 577-6100
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Cruz Oliver, Dulce, MD !"
Provider ID: 549770
St Louis University
3660 Vista Ave Ste 204
Saint Louis, MO 63110
(314) 977-8462
Ages Seen: 65 Yrs/99 Yrs
St Louis University Hospital
Devkota, Bishnu, MD !
Provider ID: 412712
St Louis University
3660 Vista Ave Ste 207
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Favors Jr, Adolphus, MD !"
Provider ID: 321732
Peoples Health Center
5701 Delmar Blvd
Saint Louis, MO 63113
(314) 367-7848
Ages Seen: 17 Yrs/99 Yrs
Finch, Ladonna, MD !"
Provider ID: 325130
Ladonna Finch MD Family Medici
625 N Euclid Ste 602A
Saint Louis, MO 63108
(314) 367-4499
Ages Seen: 00 Yrs/99 Yrs
Flaherty, Joseph, MD "
Provider ID: 234126
SLU-Dept of Internal Medicine
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-8462
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
! BOARD CERTIFIED
JANUARY 2011
Kevorkian, Rafl, MD !
Provider ID: 304401
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6055
Ages Seen: 12 Yrs/99 Yrs
St Louis University Hospital
Khoukaz, Ghassan, MD !
Provider ID: 551631
Language: Arabic
SSM Managed Care Organization
5213 Hampton Ave
Saint Louis, MO 63109
(314) 646-0478
Ages Seen: 12 Yrs/99 Yrs
SSM
St Alexius Hospital
Kolli, Swathy, MD "
Provider ID: 368049
St Louis University
3660 Vista
Saint Louis, MO 63110
(314) 577-6143
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Labonte, Christopher, MD
Provider ID: 360089
SSM Managed Care Organization
3535 Jefferson St Ste 201
Saint Louis, MO 63118
(314) 577-5778
Ages Seen: 12 Yrs/99 Yrs
Lash, Ray, MD !#
Provider ID: 468819
Chips
2431 N Grand Blvd
Saint Louis, MO 63106
(314) 652-9231
Ages Seen: 00 Yrs/99 Yrs
Little, Milta, DO !"
Provider ID: 550091
St Louis University
3660 Vista Ave Ste 204
Saint Louis, MO 63110
(314) 977-8462
Ages Seen: 65 Yrs/99 Yrs
St Louis University Hospital
Mahon, Gerald, MD !
Provider ID: 530186
St Louis University
3660 Vista Ave Ste 204
Saint Louis, MO 63110
(314) 977-6055
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
! BOARD CERTIFIED
JANUARY 2011
OBSTETRICS/
GYNECOLOGY
Rutledge, Bridget, MD
Provider ID: 425556
Grace Hill Neighborhood He
1717 Biddle
Saint Louis, MO 63106
(314) 814-8635
Ages Seen: 12 Yrs/99 Yrs
Rutledge, Bridget, MD
Provider ID: 425557
Grace Hill Neighborhood He
4308 Grand
Saint Louis, MO 63106
(314) 898-1717
Ages Seen: 12 Yrs/99 Yrs
PEDIATRICS
Ahmad, Shahnaz, MD !"
Provider ID: 244415
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5643
Ages Seen: 00 Yrs/01 Yrs
SSM Cardinal Glennon Child
Antoun, Amal, MD !"
Provider ID: 321609
Language: Arabic
Grace Hill Neighborhood He
1717 Biddle St
Saint Louis, MO 63106
(314) 241-2200
Ages Seen: 00 Yrs/17 Yrs
SSM Cardinal Glennon Child
! BOARD CERTIFIED
JANUARY 2011
Budetti, Tara, MD !
Provider ID: 501892
Health Care For Kids
4055 Lindell Blvd
Saint Louis, MO 63108
(314) 535-7701
Ages Seen: 00 Yrs/18 Yrs
SSM St Marys Health Center
! BOARD CERTIFIED
JANUARY 2011
Warren, Timothy, MD
Provider ID: 530079
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5648
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
St L
Swidler, Petra, MD
Provider ID: 320407
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5639
Ages Seen: 00 Yrs/21 Yrs
SSM
SSM Cardinal Glennon Child
St L
Wathen, David, DO
Provider ID: 514546
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 268-4035
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
St L
Thackrey, Donna, MD !#
Provider ID: 327629
Chips
2431 N Grand Blvd
Saint Louis, MO 63106
(314) 652-9231
Ages Seen: 00 Yrs/18 Yrs
Whitson, Melissa, DO !
Provider ID: 469614
SSM Managed Care Organization
16 Hampton Village Plaza Ste 220
Saint Louis, MO 63109
(314) 351-2004
Ages Seen: 00 Yrs/99 Yrs
SAINTE GENEVIEVE
COUNTY
FAMILY PRACTICE
Tillman, Mary, MD !
Provider ID: 327627
Mary A Tillman MD
3737 N Kingshighway Blvd Ste 206
Saint Louis, MO 63115
(314) 385-5522
Ages Seen: 00 Yrs/21 Yrs
Tredway, Trevor, MD !"
Provider ID: 245819
SLU-Dept of Pediatrics
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5360
Ages Seen: 00 Yrs/18 Yrs
St Louis University Hospital
GENERAL PRACTICE
Frissell, Daniel, MD "
Provider ID: 321787
Family Care Health Centers
753 Pointe Basse Dr
Sainte Genevieve, MO 63670
(573) 883-4455
Ages Seen: 00 Yrs/99 Yrs
Ste Genevieve County Mem
Hospit
PEDIATRICS
Desai, Shilipa, MD !"
Provider ID: 321786
Apple Kids Pediatrics
590 Pine St
Sainte Genevieve, MO 63670
(573) 883-4455
Ages Seen: 00 Yrs/18 Yrs
Ste Genevieve County Mem
Hospit
Kanani, Bhargav, MD !"
Provider ID: 321789
Ste Genevieve County Memorial
590 Pine
Sainte Genevieve, MO 63670
(573) 883-4455
Ages Seen: 00 Yrs/18 Yrs
Ste Genevieve County Mem
Hospit
! BOARD CERTIFIED
JANUARY 2011
WARREN COUNTY
FEDERALLY QUALIFIED
HEALTH CENTER
Crider Health Center
Provider ID: 555287
1428 N Hwy 47 Ste B
Warrenton, MO 63383
(636) 456-1500
Ages Seen: 00 Yrs/99 Yrs
INTERNAL MEDICINE
Buckles, Richard, DO !"
Provider ID: 426278
Crider Health Center
1428 N State Hwy 47 Ste B
Warrenton, MO 63383
(636) 456-1500
Ages Seen: 05 Yrs/99 Yrs
Choudhary, Bhavana, MD !
Provider ID: 567550
SSM Managed Care Organization
118 S East St
Warrenton, MO 63383
(636) 456-3340
Ages Seen: 12 Yrs/99 Yrs
SSM
SSM
SSM St Joseph Hospital West
Donepudi, Ravi, MD
Provider ID: 535567
SSM Managed Care Organization
118 S East St
Warrenton, MO 63383
(636) 456-3340
Ages Seen: 12 Yrs/99 Yrs
Patil, Shiv, MD "
Provider ID: 503744
SSM Managed Care Organization
118 S E St
Warrenton, MO 63383
(636) 456-3340
Ages Seen: 18 Yrs/99 Yrs
SSM St Joseph Health Center
PEDIATRICS
Burgdorf Jr, Max, MD "
Provider ID: 496316
SSM Managed Care Organization
511 Ashland Ave
Warrenton, MO 63383
(636) 456-0543
Ages Seen: 00 Yrs/99 Yrs
Ferguson, Julie, DO !
Provider ID: 562642
SSM Managed Care Organization
511 Ashland Ave
Warrenton, MO 63383
(636) 456-0543
Ages Seen: 00 Yrs/21 Yrs
SSM Cardinal Glennon Child
Niemczyk, Michele, DO
Provider ID: 349633
Crider Health Center
1428 N Hwy 47 Ste B
Warrenton, MO 63383
(636) 456-1500
Ages Seen: 00 Yrs/18 Yrs
WASHINGTON COUNTY
FAMILY PRACTICE
Forsythe, Stephen, DO !"
Provider ID: 394816
Quality Health Care
600 Purcell Dr Ste A
Potosi, MO 63664
(573) 438-9200
Ages Seen: 00 Yrs/99 Yrs
Hanna, Nadia, MD "
Provider ID: 327636
Washington Cnty Mem Hospital
Phys
108 Frizzel Ste 5
Potosi, MO 63664
(573) 438-8500
Ages Seen: 00 Yrs/99 Yrs
Washington County Memorial
Hospital
Hawk, James, MD "
Provider ID: 461594
Washington County Memorial Hos
200 Healthway
Potosi, MO 63664
(573) 438-2977
Ages Seen: 00 Yrs/99 Yrs
INTERNAL MEDICINE
Ahmad, Musaddeque, MD !"
Provider ID: 321707
Language: Bengali, Farsi, Urdu
Musaddeque Ahmad MD
10048 Settle Mill Rd
Cadet, MO 63630
(573) 438-9264
Ages Seen: 18 Yrs/99 Yrs
Helton, Jesse, DO !"
Provider ID: 321480
Language: Italian
Brynes Mills Medical Center
10649 State Hwy A
PO 280
Richwoods, MO 63071
(636) 677-9977
Ages Seen: 00 Yrs/99 Yrs
PEDIATRICS
Krewet, Peter, MD !"
Provider ID: 425491
Great Mines Health Center
600 Purcell Dr Ste B
Potosi, MO 63664
(573) 438-9355
Ages Seen: 00 Yrs/21 Yrs
JANUARY 2011
ILLINOIS
FRANKLIN COUNTY
INTERNAL MEDICINE
Hooks-Anderson, Denise, MD !
Provider ID: 468134
SSM Managed Care Organization
100 North Eighth St
East Saint Louis, IL 62201
(618) 874-3120
Ages Seen: 18 Yrs/99 Yrs
SSM
SSM Cardinal Glennon Child
JACKSON COUNTY
PEDIATRICS
Swidler, Petra, MD
Provider ID: 540145
St Louis University
415 Health Dept Rd
Murphysboro, IL 62966
(618) 384-3143
Ages Seen: 00 Yrs/21 Yrs
SSM
SSM Cardinal Glennon Child
St L
MADISON COUNTY
PEDIATRICS
Devitre, David, DO
Provider ID: 474712
SSM Managed Care Organization
6800 State Rte 162
Maryville, IL 62062
(618) 288-5711
Ages Seen: 00 Yrs/18 Yrs
Nile, David, MD !
Provider ID: 473123
SSM Managed Care Organization
6800 State Rte 162
Maryville, IL 62062
(618) 288-5711
Ages Seen: 00 Yrs/21 Yrs
Swidler, Petra, MD
Provider ID: 540151
St Louis University
101 E Edwardsville Rd
Wood River, IL 62095
(618) 296-6062
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM Cardinal Glennon Child
St L
FAMILY PRACTICE
Khan, Mahrakh, MD !#
Provider ID: 488736
Language: Urdu
Gateway Healthcare
8601 W Main St Ste 101
Belleville, IL 62223
(618) 398-6266
Ages Seen: 12 Yrs/99 Yrs
SSM St Marys Health Center
PEDIATRICS
Eberhart, Lori, MD !"
Provider ID: 441059
SSM Managed Care Organization
1230 George E Chance Pkwy
Caseyville, IL 62232
(618) 345-5437
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
McGranahan, Mark, MD !"
Provider ID: 473041
SSM Managed Care Organization
1230 George E Chance Pkwy
Caseyville, IL 62232
(618) 345-5437
Ages Seen: 00 Yrs/21 Yrs
SSM Cardinal Glennon Child
Wagner, Jean, MD !
Provider ID: 472971
SSM Managed Care Organization
1230 George E Chance Pkwy
Caseyville, IL 62232
(618) 345-5437
Ages Seen: 00 Yrs/21 Yrs
SSM Cardinal Glennon Child
! BOARD CERTIFIED
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI
CAPE GIRARDEAU COUNTY
OPTOMETRY
Brost, Kyle, OD
Provider ID: 533914
Brost & Strohmeyer Family Eye
352 S Broadview St
Cape Girardeau, MO 63703
(573) 334-8595
Ages Seen: 00 Yrs/99 Yrs
Strohmeyer, Kayce, OD
Provider ID: 533954
Brost & Strohmeyer Family Eye
352 S Broadview St
Cape Girardeau, MO 63703
(573) 334-8595
Ages Seen: 00 Yrs/99 Yrs
PEDIATRIC CARDIOLOGY
Al Jureidini, Saadeh, MD
Provider ID: 237455
St Louis University
211 Saint Francis Dr
Cape Girardeau, MO 63703
(573) 331-3000
Ages Seen: 00 Yrs/21 Yrs
Chen, Su-Chiung, MD !
Provider ID: 529660
St Louis University
211 Saint Francis Dr
Cape Girardeau, MO 63703
Ages Seen: 00 Yrs/18 Yrs
PSYCHIATRY
Khot, Kishore, MD !"
Provider ID: T2836470000-01
Cmnty Cnslng Center
402 S Silver Springs Rd
Cape Girardeau, MO 63703
(573) 334-1100
Ages Seen: 06 Yrs/64 Yrs
SE Missouri Hospital
McCool, Robert, MD !"
Provider ID: T0574790000-04
Cmnty Cnslng Center
402 S Silver Springs Rd
Cape Girardeau, MO 63703
(573) 334-1100
Ages Seen: 18 Yrs/99 Yrs
SE Missouri Hospital
Rohatgi, Reeta, MD "
Provider ID: T4633250000-07
Cmnty Cnslng Center
402 S Silver Springs Rd
Cape Girardeau, MO 63703
(573) 334-1100
Ages Seen: 06 Yrs/99 Yrs
! BOARD CERTIFIED
JANUARY 2011
PSYCHOLOGY
Driver, Jerrell, PhD "
Provider ID: T7946460000-01
Jerrell L Driver
2387 W Jackson Blvd
Jackson, MO 63755
(573) 204-7771
Ages Seen: 06 Yrs/99 Yrs
FRANKLIN COUNTY
CARDIOLOGY
Valencia, Dana, MD !
Provider ID: 546243
SSM Managed Care Organization
1780 Old Hwy 50 E Ste 101
Union, MO 63084
(314) 995-6839
Ages Seen: 00 Yrs/99 Yrs
SSM St Clare Health Center
Valencia, Dana, MD !
Provider ID: 546243
SSM Managed Care Organization
965 Mattox Dr Ste 1
Sullivan, MO 63080
(314) 995-6839
Ages Seen: 00 Yrs/99 Yrs
SSM St Clare Health Center
CARDIOVASCULAR
SURGERY
Dwyer, Jerome, MD "
Provider ID: 554956
SSM Managed Care Organization
1780 Old Hwy 50 E Ste 101
Union, MO 63084
(314) 995-6839
Ages Seen: 00 Yrs/99 Yrs
SSM St Clare Health Center
Dwyer, Jerome, MD
Provider ID: 554956
SSM Managed Care Organization
965 Mattox Dr
Sullivan, MO 63080
(314) 995-6839
Ages Seen: 00 Yrs/99 Yrs
SSM St Clare Health Center
GASTROENTEROLOGY
Quader, Zafar, MD
Provider ID: 349462
Language: Urdu
Zafar Quader MD
965 Mattox Dr
Sullivan, MO 63080
(573) 468-7054
Ages Seen: 18 Yrs/99 Yrs
St Anthonys Medical Center
GENERAL DENTISTRY
Mace, Dustin, DDS
Provider ID: T113261-08
Crider Health Center
1780 Old US Hwy 50 E
Union, MO 63084
(636) 583-2251
Ages Seen: 00 Yrs/99 Yrs
Maloney, Stephanie, DDS
Provider ID: T113460-08
Crider Health Center
1780 Old US Hwy 50 E
Union, MO 63084
(636) 583-2251
Ages Seen: 00 Yrs/99 Yrs
INTERNAL MEDICINE
Krikorian, Raffi, MD !
Provider ID: 409407
Language: Armenian, German,
Russian
Comprehensive Cardiovascular C
486N N Church St
Sullivan, MO 63080
(314) 849-0923
Ages Seen: 16 Yrs/99 Yrs
Krikorian, Raffi, MD !
Provider ID: 409407
Language: Armenian, German,
Russian
Comprehensive Cardiovascular C
965 Mattox Dr
Sullivan, MO 63080
(314) 849-0923
Ages Seen: 16 Yrs/99 Yrs
Quader, Zafar, MD !
Provider ID: 349462
Language: Urdu
Zafar Quader MD
965 Mattox Dr
Sullivan, MO 63080
(573) 468-7054
Ages Seen: 18 Yrs/99 Yrs
St Anthonys Medical Center
OPHTHALMOLOGY
Olk, Robert, MD !"
Provider ID: 337475
SSM Managed Care Organization
1351 Jefferson Ste 110
Washington, MO 63090
(636) 239-1850
Ages Seen: 00 Yrs/99 Yrs
Peralta, Enrique, MD
Provider ID: 337507
Language: French
SSM Managed Care Organization
1351 Jefferson St Ste 110
Washington, MO 63090
(636) 239-1650
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Sayegh, Samir, MD !"
Provider ID: 485795
Language: Arabic, French,
Spanish
SSM Managed Care Organization
17249 Chesterfield Airport Rd
Labadie, MO 63055
(314) 569-2020
Ages Seen: 00 Yrs/99 Yrs
Short, Howard, MD !
Provider ID: 555025
SSM Managed Care Organization
1351 Jefferson St Ste 110
Washington, MO 63090
(636) 239-1650
Ages Seen: 00 Yrs/99 Yrs
SSM St Clare Health Center
Ullrich, Chris, OD !
Provider ID: 440377
Nu-Crown dba Crown Optica
1351 Jefferson St Ste 110
Washington, MO 63090
(636) 239-1650
Ages Seen: 00 Yrs/99 Yrs
OPTOMETRY
Buydos, Timothy, MD
Provider ID: 321506
Clarkson Eyecare
330 W Osage
Pacific, MO 63069
(636) 271-4500
Ages Seen: 00 Yrs/99 Yrs
Durham, Lisa, OD "
Provider ID: 321527
Clarkson Eyecare
1595 Denmark Rd
Union, MO 63084
(636) 584-8989
Ages Seen: 00 Yrs/99 Yrs
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
FRANKLIN COUNTY (cont.)
OPTOMETRY (cont.)
Klinger, Jennifer, OD
Provider ID: 321517
Clarkson Eyecare
1595 Denmark Rd
Union, MO 63084
(636) 584-8989
Ages Seen: 00 Yrs/99 Yrs
Lojka, Brian, OD "
Provider ID: 321519
Clarkson Eyecare
17249 Chesterfield Airport Rd
Chesterfield, MO 63055
(636) 787-7000
Ages Seen: 00 Yrs/99 Yrs
PODIATRY
Brooks, Jeffrey, DPM !
Provider ID: 463384
SSM Managed Care Organization
205 Elm St Ste 205
Washington, MO 63090
(636) 239-1633
Ages Seen: 00 Yrs/99 Yrs
Mine
SSM
SSM Depaul Health Center
Timko, Dennis, DPM "
Provider ID: 337458
SSM Managed Care Organization
920 G Plaza Dr
Saint Clair, MO 63077
(636) 922-3535
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
JANUARY 2011
PSYCHIATRY
Arain, Roomana, MD "
Provider ID: T6002489750-01
Psych Care Conslnt
205 Elm St Ste 202
Washington, MO 63090
(636) 390-4071
Ages Seen: 18 Yrs/64 Yrs
Centerpointe Hospital
Crane, John, MD !"
Provider ID: T0032870000-03
John B Crane
1113 E Fifth St
Washington, MO 63090
(636) 239-7705
Ages Seen: 13 Yrs/99 Yrs
Jones, Georgia, MD !"
Provider ID: T0593120000-05
Psych Care Conslnt
205 Elm St Ste 202
Washington, MO 63090
(636) 390-4071
Ages Seen: 06 Yrs/99 Yrs
St Johns Mercy Medcl Center
PSYCHOLOGY
Long, Joseph, PhD
Provider ID: T0000550000-02
Joseph Michael Long
1113 E Fifth St
Washington, MO 63090
(636) 239-7705
Ages Seen: 06 Yrs/99 Yrs
Meisburger, Daryl, PhD "
Provider ID: T0970980000-02
Daryl Meisburger
1113 E Fifth St
Washington, MO 63090
(636) 239-7705
Ages Seen: 00 Yrs/64 Yrs
Robb, Paul, PsyD "
Provider ID: T1805940000-05
Psych Care Conslnt
205 Elm St Ste 202
Washington, MO 63090
(636) 390-4071
Ages Seen: 18 Yrs/99 Yrs
GASCONADE COUNTY
GREENE COUNTY
GENERAL SURGERY
PSYCHOLOGY
OPTOMETRY
Ernst, Lawrence, OD
Provider ID: 357294
Lawrence W Ernst dba Ernst Eye
217 E First St
Hermann, MO 65041
(573) 486-3770
Ages Seen: 00 Yrs/99 Yrs
PSYCHIATRY
Frick, Robert, MD "
Provider ID: T0577260000-18
Pathways Cmnty Bhvrl Hlthcr
705 E Hwy 28
Owensville, MO 65066
(573) 437-2959
Ages Seen: 06 Yrs/99 Yrs
IRON COUNTY
FAMILY PRACTICE
Duberstein, Karen, DO !
Provider ID: 529921
Big Springs Medical Associatio
Hwy 49 South
Annapolis, MO 63620
(573) 598-4213
Ages Seen: 02 Yrs/99 Yrs
JEFFERSON COUNTY
CARDIOLOGY
Chin, Mark, MD "
Provider ID: 336677
SSM Managed Care Organization
1390 Hwy 61 South Ste 2300
Crystal City, MO 63019
(314) 447-1301
Ages Seen: 00 Yrs/99 Yrs
Fleissner, Michael, MD !"
Provider ID: 290338
SSM Managed Care Organization
1390 Hwy 61 North Ste 2300
Crystal City, MO 63019
(800) 303-3250
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
JANUARY 2011
GENERAL DENTISTRY
MISSOURI (cont.)
JEFFERSON COUNTY (cont.) O Brien, Daniel, DDS "
CARDIOLOGY (cont.)
Speidel, Christopher, MD !"
Provider ID: 337522
SSM Managed Care Organization
1390 Hwy 61 N Ste 2300
Crystal City, MO 63019
(800) 303-3250
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Stronach, Linda, MD !"
Provider ID: 337549
SSM Managed Care Organization
1390 Hwy 61 N Ste 2300
Crystal City, MO 63019
(800) 303-3250
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Valencia, Dana, MD !
Provider ID: 546243
SSM Managed Care Organization
6420 The Cedars Ct
Cedar Hill, MO 63016
(314) 995-6839
Ages Seen: 00 Yrs/99 Yrs
SSM St Clare Health Center
CARDIOVASCULAR
SURGERY
Dwyer, Jerome, MD
Provider ID: 554956
SSM Managed Care Organization
6420 The Cedars Ct
Cedar Hill, MO 63016
(314) 995-6839
Ages Seen: 00 Yrs/99 Yrs
SSM St Clare Health Center
! BOARD CERTIFIED
GENERAL SURGERY
Kurzweil, Steven, MD !
Provider ID: 400353
Steven L Kurzeil MD
1400 Hwy 61 Ste 230
Festus, MO 63028
(636) 937-6601
Ages Seen: 02 Yrs/99 Yrs
St Anthonys Medical Center
Kurzweil, Steven, MD !
Provider ID: 400353
Steven L Kurzeil MD
Hwy 61 South
PO Box 350
Crystal City, MO 63019
(636) 937-6601
Ages Seen: 02 Yrs/99 Yrs
St Anthonys Medical Center
INFECTIOUS DISEASE
Dommaraju, Chandra, MD !"
Provider ID: 359378
1390 Hwy 61
G1500
Festus, MO 63028
(636) 933-2344
Ages Seen: 00 Yrs/99 Yrs
Dommaraju, Chandra, MD !"
Provider ID: 359378
1400 Hwy 61 Ste 260
Festus, MO 63028
(636) 933-2344
Ages Seen: 00 Yrs/99 Yrs
NEPHROLOGY
Singh, Inderjit, MD !"
Provider ID: 435350
Language: Hindi, Punjabi, Urdu
Inderjit Singh MD
1400 Hwy 61 Ste G30
Festus, MO 63028
(636) 937-3337
Ages Seen: 00 Yrs/99 Yrs
OPTOMETRY
Beckham, Marsha, OD
Provider ID: 541986
Fredericktown Vision Center
11339 Hwy 21
PO Box 736
Hillsboro, MO 63050
(636) 586-7770
Ages Seen: 00 Yrs/99 Yrs
Beckham, Marsha, OD
Provider ID: 371557
Leonard Hughes Co dba Webs
11339 Hwy 21
PO Box 736
Hillsboro, MO 63050
(636) 586-7770
Ages Seen: 00 Yrs/99 Yrs
Bissell, Amanda, OD "
Provider ID: 321503
Clarkson Eyecare
5311 Carolyn Dr
High Ridge, MO 63049
(636) 677-1166
Ages Seen: 00 Yrs/99 Yrs
Buydos, Timothy, MD "
Provider ID: 321506
Clarkson Eyecare
4575 Gravois
House Springs, MO 63051
(636) 677-2020
Ages Seen: 00 Yrs/99 Yrs
Kassel, Jerry, OD
Provider ID: 321516
Clarkson Eyecare
3936 Vogel Rd
Arnold, MO 63010
(636) 282-4982
Ages Seen: 00 Yrs/99 Yrs
Klinger, Jennifer, OD
Provider ID: 321517
Clarkson Eyecare
5311 Carolyn Dr
High Ridge, MO 63049
(636) 677-1166
Ages Seen: 00 Yrs/99 Yrs
Leipholtz, Jeffrey, OD
Provider ID: 540316
Leonard Hughes Co dba Webs
11339 Hwy 21
Hillsboro, MO 63050
(636) 586-7770
Ages Seen: 00 Yrs/99 Yrs
Romaine, Leon, OD
Provider ID: 321525
Clarkson Eyecare
4575 Gravois
House Springs, MO 63051
(636) 671-7272
Ages Seen: 00 Yrs/99 Yrs
PODIATRY
Yankowitz, Michael, DPM !"
Provider ID: 508206
SSM Managed Care Organization
1216 W Main St
Festus, MO 63028
(636) 933-4100
Ages Seen: 00 Yrs/99 Yrs
Yankowitz, Michael, DPM !"
Provider ID: 508206
SSM Managed Care Organization
6420 The Cedars Court
Cedar Hill, MO 63016
(636) 274-2700
Ages Seen: 00 Yrs/99 Yrs
PSYCHIATRY
Balter, Jordan, DO !"
Provider ID: T5574050000-03
Advncd Psychc Svcs
807 Collins Dr
Festus, MO 63028
(636) 931-4206
Ages Seen: 00 Yrs/99 Yrs
Alexian Brothers Hospital
Jefferson Regl Medcl Center
No Entity Named
Laks, Natarajan, MD !"
Provider ID: T0263890000-09
Language: Tamil
Advncd Psychc Svcs
807 Collins Dr
Festus, MO 63028
(636) 931-4206
Ages Seen: 18 Yrs/99 Yrs
South Pointe Hospital
St Anthonys Medcl Center
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
JANUARY 2011
OPTOMETRY
MISSOURI (cont.)
JEFFERSON COUNTY (cont.) Harvey, Denise, OD
PSYCHOLOGY
Wang, Paul, PhD "
Provider ID: T0300900000-19
Paul H Wang
1400 US Hwy 61
Festus, MO 63028
(314) 721-7777
Ages Seen: 00 Yrs/99 Yrs
Westmoreland, Carol, PsyD !
Provider ID: T1224800000-03
Carol A Westmoreland
24 Kroeck Dr
Arnold, MO 63010
(636) 282-9977
Ages Seen: 18 Yrs/99 Yrs
PULMONARY DISEASE
Avellone, Amanda, MD !"
Provider ID: 359321
Crystal City Pulm Citrical Ca
1390 Hwy 61 Ste 2300
Festus, MO 63028
(636) 937-3121
Ages Seen: 00 Yrs/99 Yrs
Breite, Warren, MD !"
Provider ID: 346336
Pulmonary and CC Assoc
1390 Hwy 61 Ste 2300
Festus, MO 63028
(636) 937-3121
Ages Seen: 00 Yrs/99 Yrs
LINCOLN COUNTY
CARDIOLOGY
Gabliani, Gregory, MD
Provider ID: 464167
SSM Managed Care Organization
172 Professional Pkwy
Troy, MO 63379
(636) 462-6106
Ages Seen: 00 Yrs/99 Yrs
Kayembe, Tshiswaka, MD !"
Provider ID: 321699
Language: French, Spanish
Midwest Health Professionals
1169 E Cherry St
Troy, MO 63379
(636) 462-5183
Ages Seen: 00 Yrs/99 Yrs
OBSTETRICS/
GYNECOLOGY
Foster, Kevin, DO !
Provider ID: 337418
SSM Managed Care Organization
1165 E Cherry St
Troy, MO 63379
(636) 327-3100
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
Merriman, Rachel, OD
Provider ID: 439148
Finklang Eye Health Associates
84 Professional Pkwy
Troy, MO 63379
(636) 528-6104
Ages Seen: 00 Yrs/99 Yrs
Niehoff, Erin, OD
Provider ID: 544928
Finklang Eye Health Associates
84 Professional Pkwy
Troy, MO 63379
(636) 528-2020
Ages Seen: 00 Yrs/99 Yrs
Shulman, Martin, OD
Provider ID: 465218
Language: Hebrew
Ofallon Optometric Clinic
103 B Community Bank Plz
Troy, MO 63379
(636) 528-4400
Ages Seen: 00 Yrs/99 Yrs
PEDIATRIC HEMATOLOGY/
ONCOLOGY
Puetz, John, MD "
Provider ID: 236794
St Louis University
1165 A East Cherry
Troy, MO 63379
(636) 528-5350
Ages Seen: 00 Yrs/21 Yrs
Puetz, John, MD !
Provider ID: 551551
SSM Managed Care Organization
164 Professional Pkwy
Troy, MO 63379
(636) 462-5437
Ages Seen: 00 Yrs/21 Yrs
Linc
SSM
SSM Cardinal Glennon Child
RHEUMATOLOGY
Smith, Kinim, MD
Provider ID: 514742
Language: Japanese, Korean,
Mandarin
Bowling Green Arthritis and Rh
1000 E Cherry St Ste 321
Troy, MO 63379
(888) 422-0304
Ages Seen: 00 Yrs/99 Yrs
Lincoln County Mem Hospital
MADISON COUNTY
EAR NOSE & THROAT
Bailey, Sean, MD !
Provider ID: 455907
Madison Medical Center
611 W Main St
Fredericktown, MO 63645
(573) 783-3341
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM Cardinal Glennon Child
GENERAL SURGERY
Vasko, Truman, MD !"
Provider ID: 430983
Madison Medical Center
611 W Main
P O Box 431
Fredericktown, MO 63645
(573) 783-3341
Ages Seen: 00 Yrs/99 Yrs
OPTOMETRY
Beckham, Marsha, OD
Provider ID: 541986
Fredericktown Vision Center
152 S Main St
Fredericktown, MO 63645
(573) 783-3573
Ages Seen: 00 Yrs/99 Yrs
Beckham, Marsha, OD
Provider ID: 371557
Leonard Hughes Co dba Webs
152 S Main St
Fredericktown, MO 63645
(573) 783-3573
Ages Seen: 00 Yrs/99 Yrs
Brost, Kyle, OD
Provider ID: 533914
Brost & Strohmeyer Family Eye
6 Court Sq
Fredericktown, MO 63645
(573) 783-2251
Ages Seen: 00 Yrs/99 Yrs
Leipholtz, Jeffrey, OD
Provider ID: 540316
Leonard Hughes Co dba Webs
152 S Main
Fredericktown, MO 63645
(573) 783-3573
Ages Seen: 00 Yrs/99 Yrs
Strohmeyer, Kayce, OD
Provider ID: 533954
Brost & Strohmeyer Family Eye
6 Court Sq
Fredericktown, MO 63645
Ages Seen: 00 Yrs/99 Yrs
PODIATRY
Partin, Julia, DPM !"
Provider ID: 385776
SSM Managed Care Organization
611 W Main St
Fredericktown, MO 63645
(573) 783-7061
Ages Seen: 00 Yrs/99 Yrs
PSYCHIATRY
Kerr, James, DO !"
Provider ID: T7990060000-03
Cmnty Cnslng Center
311 Garrett St
Fredericktown, MO 63645
(573) 783-4104
Ages Seen: 13 Yrs/64 Yrs
Lele, Manisha, MD !"
Provider ID: T2204040000-03
Cmnty Cnslng Center
311 Garrett St
Fredericktown, MO 63645
(573) 783-4104
Ages Seen: 13 Yrs/99 Yrs
SE Mo Mntl Health Center
PERRY COUNTY
EAR NOSE & THROAT
Sanford, Thomas, MD !
Provider ID: 291586
424 N W St
Perryville, MO 63775
(573) 547-2360
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
GENERAL DENTISTRY
Esswein, John, DDS "
Provider ID: T113306-63
John G Esswein DDS
20 S West St
Perryville, MO 63775
(573) 547-4553
Ages Seen: 00 Yrs/99 Yrs
Hutchison, Joseph, DDS "
Provider ID: T112713-62
Joe D Hutchison DDS
22 S West St
Perryville, MO 63775
(573) 547-6691
Ages Seen: 00 Yrs/99 Yrs
INTERNAL MEDICINE
Krikorian, Raffi, MD !
Provider ID: 409407
Language: Armenian, German,
Russian
Comprehensive Cardiovascular C
434 N West St
Perryville, MO 63775
(573) 768-3239
Ages Seen: 16 Yrs/99 Yrs
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
PERRY COUNTY (cont.)
NEPHROLOGY
Singh, Inderjit, MD !
Provider ID: 435350
Language: Hindi, Punjabi, Urdu
Inderjit Singh MD
434 Northwest St
Perryville, MO 63775
(573) 547-2536
Ages Seen: 00 Yrs/99 Yrs
OPTOMETRY
Brost, Kyle, OD
Provider ID: 533914
Brost & Strohmeyer Family Eye
519 N Main St Ste 2
Perryville, MO 63775
(573) 547-1898
Ages Seen: 00 Yrs/99 Yrs
McCormick-Gossage, Amber, OD
Provider ID: 480029
Nu-Crown dba Crown Optica
100 S Jackson St
Perryville, MO 63775
(573) 547-6233
Ages Seen: 03 Yrs/99 Yrs
Strohmeyer, Kayce, OD
Provider ID: 533954
Brost & Strohmeyer Family Eye
519 N Main Ste 2
Perryville, MO 63775
Ages Seen: 00 Yrs/99 Yrs
Strohmeyer, Kayce, OD
Provider ID: 533954
Brost & Strohmeyer Family Eye
519 N Main St Ste 2
Perryville, MO 63775
(573) 547-1898
Ages Seen: 00 Yrs/99 Yrs
Tilley, Everett, OD "
Provider ID: 504934
Tilley & Optometrist
100 S Jackson St
Perryville, MO 63775
(573) 547-6233
Ages Seen: 00 Yrs/99 Yrs
PSYCHIATRY
Nawaz, Shajitha, MD !"
Provider ID: T7990080000-01
Cmnty Cnslng Center
406 N Spring St Ste 2
Perryville, MO 63775
(573) 547-8305
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
JANUARY 2011
PIKE COUNTY
GENERAL SURGERY
Glass, Robert, MD !
Provider ID: 424561
Language: Italian
Pike County Memorial Hospital
2305 W Georgia
Louisiana, MO 63353
(573) 754-5531
Ages Seen: 00 Yrs/99 Yrs
ORTHOPAEDIC SURGERY
Albus, Thomas, MD !
Provider ID: 566368
SSM Managed Care Organization
2305 Georgia St
Louisiana, MO 63353
(573) 754-5531
Ages Seen: 00 Yrs/99 Yrs
Bishara, Osama, MD
Provider ID: 558371
SSM Managed Care Organization
1475 Kisker Rd Ste 200
Saint Charles, MO 63304
(636) 498-5890
Ages Seen: 00 Yrs/99 Yrs
Bishara, Osama, MD
Provider ID: 558371
SSM Managed Care Organization
1551 Wall St Ste 400
Saint Charles, MO 63303
(636) 498-5890
Ages Seen: 00 Yrs/99 Yrs
Bishara, Osama, MD
Provider ID: 558371
SSM Managed Care Organization
300 Medical Plz Ste 150
Lake Saint Louis, MO 63367
(636) 625-2662
Ages Seen: 00 Yrs/99 Yrs
Gabliani, Gregory, MD
Provider ID: 464167
SSM Managed Care Organization
200 Medical Plaza Dr
Lake Saint Louis, MO 63367
(636) 625-5200
Ages Seen: 00 Yrs/99 Yrs
CARDIOLOGY
Azrak, Elie, MD !
Provider ID: 337538
Language: Arabic, French
SSM Managed Care Organization
1475 Kisker Rd Ste 201
Saint Charles, MO 63304
(636) 498-5890
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
Biel, Stanley, MD !
Provider ID: 337202
SSM Managed Care Organization
1475 Kisker Rd Ste 201
Saint Charles, MO 63304
(314) 653-4321
Ages Seen: 18 Yrs/99 Yrs
Chahoud, Georges, MD !
Provider ID: 463307
Language: Arabic, French
SSM Managed Care Organization
1475 Kisker Rd Ste 200
Saint Charles, MO 63304
(314) 653-5125
Ages Seen: 00 Yrs/99 Yrs
Chahoud, Georges, MD !
Provider ID: 463307
Language: Arabic, French
SSM Managed Care Organization
200 Medical Plaza Dr
Saint Charles, MO 63301
(636) 625-5200
Ages Seen: 00 Yrs/99 Yrs
Chahoud, Georges, MD !
Provider ID: 463307
Language: Arabic, French
SSM Managed Care Organization
300 First Capitol Dr
Saint Charles, MO 63301
(314) 947-5000
Ages Seen: 00 Yrs/99 Yrs
Chahoud, Georges, MD !
Provider ID: 463307
Language: Arabic, French
SSM Managed Care Organization
300 Medical Plz Ste 150
Lake Saint Louis, MO 63367
(636) 625-2662
Ages Seen: 00 Yrs/99 Yrs
Gabliani, Gregory, MD
Provider ID: 464167
SSM Managed Care Organization
300 First Capitol Dr
Saint Charles, MO 63301
(636) 947-5000
Ages Seen: 00 Yrs/99 Yrs
Gabliani, Gregory, MD
Provider ID: 464167
SSM Managed Care Organization
300 Medical Plaza Ste 150
Lake Saint Louis, MO 63367
(636) 625-2662
Ages Seen: 00 Yrs/99 Yrs
Katyal, Alok, MD
Provider ID: 276276
SSM Managed Care Organization
100 Medical Plz Dr
Lake Saint Louis, MO 63367
(636) 625-5200
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM St Joseph Hospital West
Katyal, Alok, MD
Provider ID: 276276
SSM Managed Care Organization
300 First Capitol Dr
Saint Charles, MO 63301
(636) 947-5000
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM St Joseph Hospital West
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT CHARLES COUNTY
(cont.)
CARDIOLOGY (cont.)
Katyal, Alok, MD
Provider ID: 276276
SSM Managed Care Organization
70 Jungermann Cir Ste 201
Saint Peters, MO 63376
(314) 344-7636
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM St Joseph Hospital West
Lutan, Robert, MD !
Provider ID: 242841
SSM Managed Care Organization
1475 Kisker Rd Ste 201
Saint Charles, MO 63304
(636) 498-5890
Ages Seen: 00 Yrs/99 Yrs
Narayanan, Suresh, MD !"
Provider ID: 337804
SSM Managed Care Organization
1475 Kisker Rd Ste 201
Saint Charles, MO 63304
(636) 498-5980
Ages Seen: 00 Yrs/99 Yrs
Narayanan, Suresh, MD !
Provider ID: 337808
SSM Managed Care Organization
1551 Wall St Ste 430
Saint Charles, MO 63303
(636) 669-2220
Ages Seen: 00 Yrs/99 Yrs
Noda, Sellchi, MD !
Provider ID: 337644
SSM Managed Care Organization
400 First Capitol Dr Ste 301
Saint Charles, MO 63301
(314) 647-8269
Ages Seen: 19 Yrs/99 Yrs
Shah, Bharat, MD !"
Provider ID: 337838
SSM Managed Care Organization
1475 Kisker Rd Ste 201
Saint Charles, MO 63304
(636) 498-5890
Ages Seen: 00 Yrs/99 Yrs
Shah, Bharat, MD !"
Provider ID: 337836
SSM Managed Care Organization
1551 Wall St Ste 430
Saint Charles, MO 63301
(636) 669-2220
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
JANUARY 2011
Thanavaro, Samer, MD !
Provider ID: 242836
SSM Managed Care Organization
1551 Wall St Ste 430
Saint Charles, MO 63301
(636) 669-2220
Ages Seen: 00 Yrs/99 Yrs
Weiss, Edward, MD
Provider ID: 236362
SSM Managed Care Organization
1475 Kisker Rd Ste 201
Saint Charles, MO 63304
(636) 498-5890
Ages Seen: 00 Yrs/99 Yrs
Weiss, Edward, MD
Provider ID: 236362
SSM Managed Care Organization
300 First Capitol Dr
Saint Charles, MO 63301
(636) 947-5000
Ages Seen: 00 Yrs/99 Yrs
CARDIOVASCULAR
SURGERY
Theodoro, David, MD !
Provider ID: 235662
SSM Managed Care Organization
400 First Capitol Dr Ste 301
Saint Charles, MO 63301
(314) 647-8269
Ages Seen: 00 Yrs/99 Yrs
CHIROPRACTIC
McCaine, Fatiha, DC
Provider ID: 494601
Eden Chiropractic & Wellness C
71 Centre Pointe Dr
Saint Charles, MO 63304
(636) 928-0311
Ages Seen: 00 Yrs/99 Yrs
ENDOCRINOLOGY
DIABETES METABOLISM
Thurman, Jerome, MD "
Provider ID: 337442
SSM Managed Care Organization
1551 Wall St Ste 400
Saint Charles, MO 63303
(636) 916-4842
Ages Seen: 00 Yrs/99 Yrs
GASTROENTEROLOGY
Jawaid, Qaiser, MD !
Provider ID: 465986
SSM Managed Care Organization
300 Medical Plaza Dr Ste 100
Lake Saint Louis, MO 63367
(636) 625-8300
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM St Joseph Health Center
GENERAL DENTISTRY
Oliver, Robert, DO !
Provider ID: 458942
Practice Management Affiliates
103 Church St
O Fallon, MO 63366
(636) 240-1100
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM St Joseph Hospital West
Oliver, Robert, DO !
Provider ID: 458942
Practice Management Affiliates
1600 Heritage Lndg Ste 215
Saint Charles, MO 63303
(636) 240-1100
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM St Joseph Hospital West
HAND SURGERY
Bodavula, Venkata, MD "
Provider ID: 558694
Language: Hindi, Telugu
SSM Managed Care Organization
6 Jungermann Cir Ste 107
Saint Peters, MO 63376
(636) 928-1696
Ages Seen: 00 Yrs/99 Yrs
Dysarz, Francis, MD !
Provider ID: 392491
SSM Managed Care Organization
830 Waterbury Fls Dr
O Fallon, MO 63368
(314) 644-5150
Ages Seen: 00 Yrs/99 Yrs
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT CHARLES COUNTY
(cont.)
INTERNAL MEDICINE
Watson, Yasmira, MD !"
Provider ID: 357252
Midwest Acute Care Consultants
10 Hospital Dr
Saint Peters, MO 63376
(636) 928-0215
Ages Seen: 12 Yrs/99 Yrs
MATERNAL FETAL
MEDICINE
Amon, Erol, MD !
Provider ID: 557543
SSM Managed Care Organization
100 Medical Plz
Lake Saint Louis, MO 63367
(636) 625-5200
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
St Louis University Hospital
Amon, Erol, MD !
Provider ID: 557543
SSM Managed Care Organization
300 First Capitol Dr
Saint Charles, MO 63301
(636) 947-5000
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
St Louis University Hospital
Artal, Raul, MD !
Provider ID: 567383
SSM Managed Care Organization
300 First Capitol Dr
Saint Charles, MO 63301
(636) 947-5000
Ages Seen: 00 Yrs/999 Yrs
SSM
St Louis University Hospital
Greenspoon, Jeffrey, MD !"
Provider ID: 555001
SSM Managed Care Organization
300 First Capitol Dr
Saint Charles, MO 63301
(636) 947-5000
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM St Joseph Hospital West
! BOARD CERTIFIED
JANUARY 2011
Havranek, Thomas, MD !
Provider ID: 546336
SSM Managed Care Organization
100 Medical Plz
Lake Saint Louis, MO 63367
(636) 625-5200
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM Cardinal Glennon Child
Mostello, Dorothea, MD !
Provider ID: 555243
SSM Managed Care Organization
300 First Capitol Dr
Saint Charles, MO 63301
(636) 947-5000
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM St Joseph Hospital West
Havranek, Thomas, MD !
Provider ID: 546336
SSM Managed Care Organization
300 First Capitol Dr
Saint Charles, MO 63301
(636) 947-5000
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM Cardinal Glennon Child
NEONATAL PERINATAL
MEDICINE
French, Michael, MD !
Provider ID: 569557
SSM Managed Care Organization
100 Medical Plz
Lake Saint Louis, MO 63367
(636) 625-5200
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
St Anthonys Medical Center
French, Michael, MD !
Provider ID: 569557
SSM Managed Care Organization
300 First Capitol Dr
Saint Charles, MO 63301
(636) 947-5662
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
St Anthonys Medical Center
NEPHROLOGY
Balasubramanian,
Greetha, MD !"
Provider ID: 527471
SSM Managed Care Organization
70 Jungermann Cir Ste 405
Saint Peters, MO 63376
(636) 720-0310
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM St Joseph Hospital West
Dyk, Piotr, MD !"
Provider ID: 336802
SSM Managed Care Organization
200 Medical Plaza Ste 201
Lake Saint Louis, MO 63367
(636) 625-5309
Ages Seen: 18 Yrs/99 Yrs
Dyk, Piotr, MD !
Provider ID: 336802
SSM Managed Care Organization
300 Medical Plz Ste 140A
Lake Saint Louis, MO 63367
(636) 625-5309
Ages Seen: 18 Yrs/99 Yrs
Dyk, Piotr, MD !"
Provider ID: 336802
SSM Managed Care Organization
330 First Capitol Dr Ste 240
Saint Charles, MO 63301
(636) 946-4006
Ages Seen: 18 Yrs/99 Yrs
NEUROLOGY
Cruz- Flores, Salvador, MD !
Provider ID: 513100
Language: Spanish
SSM Managed Care Organization
100 Medical Plz
Lake Saint Louis, MO 63367
(636) 625-5200
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM Cardinal Glennon Child
St L
Cruz- Flores, Salvador, MD !
Provider ID: 513100
Language: Spanish
SSM Managed Care Organization
300 First Capitol Dr
Saint Charles, MO 63301
(636) 947-5000
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM Cardinal Glennon Child
St L
OBSTETRICS/
GYNECOLOGY
Brondz, Igor, MD !
Provider ID: 362500
Language: Russian, Ukrainian,
Yiddish
SSM Managed Care Organization
400 First Capitol Dr Ste 201
Saint Charles, MO 63301
(636) 940-5731
Ages Seen: 00 Yrs/99 Yrs
Foster, Kevin, DO !
Provider ID: 337418
SSM Managed Care Organization
801 Medical Dr Ste 400
Wentzville, MO 63385
(636) 327-3100
Ages Seen: 00 Yrs/99 Yrs
Hahn, Eran, MD !
Provider ID: 291708
Language: Hebrew
SSM Managed Care Organization
100 Medical Plaza Dr
Lake Saint Louis, MO 63367
(636) 625-5200
Ages Seen: 18 Yrs/99 Yrs
SSM Depaul Health Center
Hahn, Eran, MD !
Provider ID: 291708
Language: Hebrew
SSM Managed Care Organization
300 First Capitol Dr
Saint Charles, MO 63301
(636) 947-5000
Ages Seen: 18 Yrs/99 Yrs
SSM Depaul Health Center
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT CHARLES COUNTY
(cont.)
OBSTETRICS/
GYNECOLOGY (cont.)
Handler, Michael, MD !
Provider ID: 337597
100 Medical Plaza
Lake Saint Louis, MO 63367
(636) 625-5440
Ages Seen: 00 Yrs/99 Yrs
Handler, Michael, MD !"
Provider ID: 337597
300 First Capitol Dr
Saint Charles, MO 63301
(636) 947-5000
Ages Seen: 00 Yrs/99 Yrs
Handler, Michael, MD !"
Provider ID: 337597
5551 Winghaven Blvd Ste 270
O Fallon, MO 63366
(636) 458-8881
Ages Seen: 00 Yrs/99 Yrs
Keisler, Lydia, MD
Provider ID: 413409
SSM Managed Care Organization
100 Medical Plz
Lake Saint Louis, MO 63367
(636) 625-5200
Ages Seen: 00 Yrs/99 Yrs
Keisler, Lydia, MD
Provider ID: 413409
SSM Managed Care Organization
300 First Capitol Dr
Saint Charles, MO 63301
(636) 947-5000
Ages Seen: 00 Yrs/99 Yrs
Lam, Tony, MD !
Provider ID: 336592
Language: Chinese
Family Care Health Centers
500 Medical Dr
Wentzville, MO 63385
(636) 327-1370
Ages Seen: 00 Yrs/99 Yrs
Mimlitz, Michael, MD !"
Provider ID: 565870
SSM Managed Care Organization
9979 Winghaven Blvd Ste 206
O Fallon, MO 63368
(314) 432-8505
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM St Joseph Hospital West
! BOARD CERTIFIED
JANUARY 2011
Podorozhansky, Yelena, MD
Provider ID: 506498
SSM Managed Care Organization
300 First Capitol Dr
Saint Charles, MO 63301
(636) 947-5000
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM St Joseph Hospital West
Podorozhansky, Yelena, MD "
Provider ID: 506498
SSM Managed Care Organization
3785 New Town Blvd
Saint Charles, MO 63301
(636) 669-2332
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM St Joseph Hospital West
Shyken, Jaye, MD
Provider ID: 554755
SSM Managed Care Organization
100 Medical Plz
Lake Saint Louis, MO 63367
(636) 632-5610
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM Depaul Health Center
Shyken, Jaye, MD "
Provider ID: 554755
SSM Managed Care Organization
300 First Capitol Dr
Saint Charles, MO 63301
(636) 947-5000
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM Depaul Health Center
Smith, Jodi, DO "
Provider ID: 567039
100 Medical Plz
Lake Saint Louis, MO 63367
(636) 625-5200
Ages Seen: 00 Yrs/99 Yrs
Smith, Jodi, DO "
Provider ID: 567039
300 First Capitol Dr
Saint Charles, MO 63301
(636) 947-5000
Ages Seen: 00 Yrs/99 Yrs
St Peters Health Center "
Provider ID: 321469
208 Mid Rivers Center
Saint Peters, MO 63376
(636) 279-3339
Ages Seen: 00 Yrs/99 Yrs
Ward, Donald, MD !
Provider ID: 238618
St Louis University
2 Progress Point Pkwy Ste 101D
O Fallon, MO 63368
Ages Seen: 18 Yrs/99 Yrs
SSM
St Louis University Hospital
Olk, Robert, MD !
Provider ID: 470051
Nu-Crown dba Crown Optica
569 Mid Rivers Mall Dr
Saint Peters, MO 63376
(636) 970-2020
Ages Seen: 00 Yrs/99 Yrs
OCCUPATIONAL MEDICINE
Robinson, David, MD "
Provider ID: 375363
SSM Managed Care Organization
300 St Peters Centre Blvd Ste 150
Saint Peters, MO 63376
(636) 928-9675
Ages Seen: 00 Yrs/99 Yrs
OPHTHALMOLOGY
Brothers, Whitney, MD !
Provider ID: 531659
SSM Managed Care Organization
5551 Winghaven Blvd Ste 190
O Fallon, MO 63368
(636) 695-2550
Ages Seen: 00 Yrs/99 Yrs
SSM St Joseph Health Center
Clever, Joseph, MD !
Provider ID: 521581
SSM Managed Care Organization
1005 Fairgrounds Rd
Saint Charles, MO 63301
(636) 946-6986
Ages Seen: 00 Yrs/99 Yrs
SSM St Joseph Health Center W
Olk, Robert, MD !
Provider ID: 470051
Nu-Crown dba Crown Optica
1940 Zumbehl
Saint Charles, MO 63301
(636) 916-5367
Ages Seen: 00 Yrs/99 Yrs
Olk, Robert, MD !
Provider ID: 470051
Nu-Crown dba Crown Optica
1950 Wentzville Pkwy
Wentzville, MO 63385
(636) 639-5009
Ages Seen: 00 Yrs/99 Yrs
Olk, Robert, MD !
Provider ID: 470051
Nu-Crown dba Crown Optica
2965 Hwy K
O Fallon, MO 63366
(636) 281-5367
Ages Seen: 00 Yrs/99 Yrs
Peralta, Enrique, MD
Provider ID: 337507
Language: French
SSM Managed Care Organization
2965 Hwy K
O Fallon, MO 63366
(314) 878-2222
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Peralta, Enrique, MD "
Provider ID: 417573
Language: French
Nu-Crown dba Crown Optica
2965 Hwy K
O Fallon, MO 63366
(636) 281-5367
Ages Seen: 03 Yrs/99 Yrs
SSM St Marys Health Center
Peralta, Enrique, MD "
Provider ID: 337507
Language: French
SSM Managed Care Organization
390 Mid Rivers Mall Dr
Saint Peters, MO 63376
(314) 569-2020
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Peralta, Enrique, MD "
Provider ID: 417573
Language: French
Nu-Crown dba Crown Optica
569 Mid Rivers Mall Dr
Saint Peters, MO 63376
(636) 970-2020
Ages Seen: 03 Yrs/99 Yrs
SSM St Marys Health Center
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT CHARLES COUNTY
(cont.)
OPHTHALMOLOGY (cont.)
Ullrich, Chris, OD !
Provider ID: 440377
Nu-Crown dba Crown Optica
1940 Zumbehl
Saint Charles, MO 63303
(636) 916-5367
Ages Seen: 00 Yrs/99 Yrs
Ullrich, Chris, OD !
Provider ID: 440377
Nu-Crown dba Crown Optica
1950 Wentzville
Wentzville, MO 63385
(636) 639-5004
Ages Seen: 00 Yrs/99 Yrs
Ullrich, Chris, OD !
Provider ID: 440377
Nu-Crown dba Crown Optica
2965 Hwy K
O Fallon, MO 63366
(636) 281-5367
Ages Seen: 00 Yrs/99 Yrs
Ullrich, Chris, OD !
Provider ID: 440377
Nu-Crown dba Crown Optica
569 Mid Rivers Mall Dr
Saint Peters, MO 63376
(636) 970-2020
Ages Seen: 00 Yrs/99 Yrs
OPTOMETRY
Andrud, Andrea, OD
Provider ID: 468860
Nu-Crown dba Crown Optica
1940 Zumbehl
Saint Charles, MO 63303
(636) 916-5367
Ages Seen: 00 Yrs/99 Yrs
Andrud, Andrea, OD
Provider ID: 468860
Nu-Crown dba Crown Optica
1950 Wentzville Pkwy
Wentzville, MO 63385
(636) 639-5004
Ages Seen: 00 Yrs/99 Yrs
Andrud, Andrea, OD
Provider ID: 468860
Nu-Crown dba Crown Optica
2965 Hwy K
O Fallon, MO 63366
(636) 281-5367
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
JANUARY 2011
Andrud, Andrea, OD
Provider ID: 468860
Nu-Crown dba Crown Optica
569 Mid-Rivers Mall Dr
Saint Peters, MO 63376
(636) 970-2020
Ages Seen: 00 Yrs/99 Yrs
Bartosik, Wendy, OD
Provider ID: 473947
1940 Zumbehl
Saint Charles, MO 63303
(636) 916-5367
Ages Seen: 05 Yrs/99 Yrs
Coslick, Pamela, OD
Provider ID: 321508
Clarkson Eyecare
65 Centre Pointe
Saint Charles, MO 63304
(636) 928-6929
Ages Seen: 00 Yrs/99 Yrs
Hafezi, Eneida, OD
Provider ID: 469842
Nu-Crown dba Crown Optica
1940 Zumbehl
Saint Charles, MO 63303
(636) 916-5367
Ages Seen: 03 Yrs/99 Yrs
Curry, Diane, OD
Provider ID: 439024
Clarkson Eyecare
933 Hwy K
O Fallon, MO 63366
(636) 379-4288
Ages Seen: 00 Yrs/99 Yrs
Hafezi, Eneida, OD
Provider ID: 469842
Nu-Crown dba Crown Optica
1950 Wentzville Pkwy
Wentzville, MO 63385
(636) 639-5004
Ages Seen: 03 Yrs/99 Yrs
Hafezi, Eneida, OD
Provider ID: 469842
Nu-Crown dba Crown Optica
2965 Hwy K
O Fallon, MO 63366
(636) 281-5367
Ages Seen: 03 Yrs/99 Yrs
Doan, T Kathleen, OD
Provider ID: 321512
Clarkson Eyecare
2946 Hwy K
OFallon, MO 63366
(636) 240-1516
Ages Seen: 00 Yrs/99 Yrs
Hafezi, Eneida, OD
Provider ID: 469842
Nu-Crown dba Crown Optica
569 Mid Rivers Mall Dr
Saint Peters, MO 63376
(636) 970-2020
Ages Seen: 03 Yrs/99 Yrs
Durham, Lisa, OD
Provider ID: 321527
Clarkson Eyecare
390 Mid Rivers Mall Dr
Saint Peters, MO 63376
(636) 279-2020
Ages Seen: 00 Yrs/99 Yrs
Bartosik, Wendy, OD
Provider ID: 473947
1950 Wentzille Pkwy
Wentzville, MO 63385
(636) 639-5004
Ages Seen: 05 Yrs/99 Yrs
Bartosik, Wendy, OD
Provider ID: 473947
2965 Hwy K
O Fallon, MO 63366
(636) 281-5367
Ages Seen: 05 Yrs/99 Yrs
Bartosik, Wendy, OD
Provider ID: 473947
569 Mid Rivers Mall Dr
Saint Peters, MO 63376
(636) 970-2020
Ages Seen: 05 Yrs/99 Yrs
Brave, Jennifer, OD
Provider ID: 471228
Nu-Crown dba Crown Optica
1940 Zumbehl
Saint Charles, MO 63303
(636) 916-5367
Ages Seen: 03 Yrs/99 Yrs
Brave, Jennifer, OD
Provider ID: 471228
Nu-Crown dba Crown Optica
1950 Wentzille Pkwy
Wentzville, MO 63385
(636) 639-5004
Ages Seen: 03 Yrs/99 Yrs
Brave, Jennifer, OD
Provider ID: 471228
Nu-Crown dba Crown Optica
2965 Hwy K
O Fallon, MO 63366
(636) 281-5367
Ages Seen: 03 Yrs/99 Yrs
Brave, Jennifer, OD
Provider ID: 471228
Nu-Crown dba Crown Optica
569 Mid Rivers Mall Dr
Saint Peters, MO 63376
(636) 970-2020
Ages Seen: 03 Yrs/99 Yrs
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT CHARLES COUNTY
(cont.)
OPTOMETRY (cont.)
Hedgpath, Elizabeth, OD "
Provider ID: 321592
Crown Optical
569 Mid-Rivers Mall Dr
Saint Peters, MO 63376
(636) 970-2020
Ages Seen: 00 Yrs/99 Yrs
Hegyi, Joseph, OD "
Provider ID: 321514
Clarkson Eyecare
933 Hwy K
O Fallon, MO 63366
(636) 379-4288
Ages Seen: 00 Yrs/99 Yrs
Hegyi, Laura, OD
Provider ID: 321598
Crown Optical
1894 Wentzville Pkwy
Wentzville, MO 63385
(636) 639-5004
Ages Seen: 00 Yrs/99 Yrs
Hegyi, Laura, OD "
Provider ID: 321598
Crown Optical
1940 Zumbehl
Saint Charles, MO 63303
(636) 916-5367
Ages Seen: 00 Yrs/99 Yrs
Hegyi, Laura, OD "
Provider ID: 321598
Crown Optical
1950 Wentzville Pkwy
Wentzville, MO 63385
(636) 639-5004
Ages Seen: 00 Yrs/99 Yrs
Hegyi, Laura, OD "
Provider ID: 321598
Crown Optical
2965 Hwy K
OFallon, MO 63366
(636) 281-5367
Ages Seen: 00 Yrs/99 Yrs
Hegyi, Laura, OD "
Provider ID: 321598
Crown Optical
509 W Pearce Blvd
Wentzville, MO 63385
(636) 639-5009
Ages Seen: 00 Yrs/99 Yrs
Hegyi, Laura, OD "
Provider ID: 321598
Crown Optical
569 Mid-Rivers Mall Dr
Saint Peters, MO 63376
(636) 970-2020
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
JANUARY 2011
Jacques, Chantal, OD
Provider ID: 555309
Nu-Crown dba Crown Optica
569 Mid Rivers Mall Dr
Saint Peters, MO 63376
(636) 970-2020
Ages Seen: 02 Yrs/99 Yrs
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
JANUARY 2011
McMurry, Kristin, OD
Provider ID: 554329
Nu-Crown dba Crown Optica
1940 Zumbehi
Saint Charles, MO 63301
(636) 916-5367
Ages Seen: 04 Yrs/99 Yrs
McMurry, Kristin, OD
Provider ID: 554329
Nu-Crown dba Crown Optica
2965 Hwy K
O Fallon, MO 63368
(636) 281-5367
Ages Seen: 04 Yrs/99 Yrs
McMurry, Kristin, OD
Provider ID: 554329
Nu-Crown dba Crown Optica
506 W Pearce Blvd
Wentzville, MO 63385
(636) 639-5009
Ages Seen: 04 Yrs/99 Yrs
McMurry, Kristin, OD
Provider ID: 554329
Nu-Crown dba Crown Optica
569 Mid Rivers Mall Dr
Saint Peters, MO 63376
(639) 970-2020
Ages Seen: 04 Yrs/99 Yrs
MISSOURI (cont.)
SAINT CHARLES COUNTY
(cont.)
OPTOMETRY (cont.)
Lopatin, Brian, OD "
Provider ID: 321604
Nu-Crown dba Crown Optica
569 Mid-Rivers Mall Dr
Saint Peters, MO 63376
(636) 970-2020
Ages Seen: 00 Yrs/99 Yrs
Lutz, Charles, OD "
Provider ID: 321605
Nu-Crown dba Crown Optica
1940 Zumbehl
Saint Charles, MO 63303
(636) 916-5367
Ages Seen: 00 Yrs/99 Yrs
Lutz, Charles, OD "
Provider ID: 321605
Nu-Crown dba Crown Optica
1950 Wentzville Pkwy
Wentzville, MO 63385
(636) 639-5004
Ages Seen: 00 Yrs/99 Yrs
Lutz, Charles, OD "
Provider ID: 321605
Nu-Crown dba Crown Optica
2965 Hwy K
OFallon, MO 63366
(636) 281-5367
Ages Seen: 00 Yrs/99 Yrs
Lutz, Charles, OD "
Provider ID: 321605
Nu-Crown dba Crown Optica
569 Mid-Rivers Mall Dr
Saint Peters, MO 63376
(636) 970-2020
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT CHARLES COUNTY
(cont.)
OPTOMETRY (cont.)
Short, Howard, OD "
Provider ID: 321597
Nu-Crown dba Crown Optica
1950 Wentzville Pkwy
Wentzville, MO 63385
(636) 639-5004
Ages Seen: 00 Yrs/99 Yrs
Short, Howard, OD "
Provider ID: 321597
Nu-Crown dba Crown Optica
2965 Hwy K
OFallon, MO 63366
(636) 281-5367
Ages Seen: 00 Yrs/99 Yrs
Short, Howard, OD "
Provider ID: 321597
Nu-Crown dba Crown Optica
569 Mid-Rivers Mall Dr
Saint Peters, MO 63376
(636) 970-2020
Ages Seen: 00 Yrs/99 Yrs
Shulman, Martin, OD
Provider ID: 465218
Language: Hebrew
Ofallon Optometric Clinic
100 W Pitman St
O Fallon, MO 63366
(636) 272-3383
Ages Seen: 00 Yrs/99 Yrs
Smith, Janet, OD "
Provider ID: 321529
Clarkson Eyecare
390 Mid Rivers Mall Dr
Saint Peters, MO 63376
(636) 279-2020
Ages Seen: 00 Yrs/99 Yrs
Wade, Mark, OD "
Provider ID: 321591
Nu-Crown dba Crown Optica
1940 Zumbehl
Saint Charles, MO 63303
(636) 916-5367
Ages Seen: 00 Yrs/99 Yrs
Wade, Mark, OD "
Provider ID: 321591
Nu-Crown dba Crown Optica
1950 Wentzville Pkwy
Wentzville, MO 63385
(636) 639-5004
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
JANUARY 2011
Wang, Chih-Jen, OD
Provider ID: 366321
Nu-Crown dba Crown Optica
1940 Zumbehl
Saint Charles, MO 63303
(636) 916-5367
Ages Seen: 00 Yrs/99 Yrs
Wang, Chih-Jen, OD
Provider ID: 366321
Nu-Crown dba Crown Optica
2965 Hwy K
O Fallon, MO 63366
(636) 281-5367
Ages Seen: 00 Yrs/99 Yrs
Wang, Chih-Jen, OD
Provider ID: 366321
Nu-Crown dba Crown Optica
506 W Pearce Blvd
Wentzville, MO 63385
(636) 639-5009
Ages Seen: 00 Yrs/99 Yrs
Wang, Chih-Jen, OD
Provider ID: 366321
Nu-Crown dba Crown Optica
569 Mid Rivers Mall Dr
Saint Peters, MO 63376
(636) 970-2020
Ages Seen: 00 Yrs/99 Yrs
Woodyard, Matthew, OD "
Provider ID: 321594
Nu-Crown dba Crown Optica
1940 Zumbehl
Saint Charles, MO 63303
(636) 916-5367
Ages Seen: 00 Yrs/99 Yrs
Woodyard, Matthew, OD "
Provider ID: 321594
Nu-Crown dba Crown Optica
1950 Wentzville Pkwy
Wentzville, MO 63385
(636) 639-5004
Ages Seen: 00 Yrs/99 Yrs
ORTHOPAEDIC SURGERY
Albus, Thomas, MD !
Provider ID: 566368
SSM Managed Care Organization
1601 Wentzville Pkwy Ste 117
Wentzville, MO 63385
(636) 332-6102
Ages Seen: 00 Yrs/99 Yrs
Belew, Mark, MD !
Provider ID: 385911
SSM Managed Care Organization
1475 Kisker Rd Ste 200
Saint Charles, MO 63304
(636) 496-5810
Ages Seen: 00 Yrs/99 Yrs
SSM St Joseph Health Center
Burns, Katherine, MD !
Provider ID: 404467
SSM Managed Care Organization
1475 Kisker Rd Ste 200
Saint Charles, MO 63304
(636) 498-5810
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM Depaul Health Center
St A
Calvert, George, MD !
Provider ID: 439141
SSM Managed Care Organization
1475 Kisker Rd Ste 100
Saint Charles, MO 63304
(636) 498-5810
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM St Joseph Hospital West
Helfrey, Richard, DO !
Provider ID: 476266
SSM Managed Care Organization
1601 Wentzville Pkwy Ste 117
Wentzville, MO 63385
(636) 498-5808
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM St Joseph Health Center
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT CHARLES COUNTY
(cont.)
ORTHOPAEDIC SURGERY
(cont.)
Roush, Randall, MD !
Provider ID: 385945
SSM Managed Care Organization
1475 Kisker Rd Ste 100
Saint Charles, MO 63304
(636) 498-5810
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM St Joseph Hospital West
JANUARY 2011
Boedefeld, Michael, MD !
Provider ID: 404971
SSM Managed Care Organization
114 Piper Hill Dr Ste 103
Saint Peters, MO 63376
Ages Seen: 00 Yrs/99 Yrs
SSM
St Anthonys Medical Center
Gheith, Ramis, MD !"
Provider ID: 548596
SSM Managed Care Organization
100 Medical Plz Dr Ste 1201
Lake Saint Louis, MO 63367
(636) 625-5342
Ages Seen: 00 Yrs/99 Yrs
SSM St Clare Health Center
Schrorer, William, MD !
Provider ID: 566313
SSM Managed Care Organization
1465 Kisker Rd Ste 100
Saint Charles, MO 63304
(636) 498-5808
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
PEDIATRIC CARDIOLOGY
PAIN MANAGEMENT
Boedefeld, Michael, MD !
Provider ID: 404971
SSM Managed Care Organization
114 Piper Hill Dr Ste 102
Saint Peters, MO 63376
(636) 442-5035
Ages Seen: 00 Yrs/99 Yrs
SSM
St Anthonys Medical Center
! BOARD CERTIFIED
Chen, Su-Chiung, MD !
Provider ID: 529660
St Louis University
300 First Capitol Dr
Saint Charles, MO 63301
(636) 947-5053
Ages Seen: 00 Yrs/18 Yrs
PEDIATRIC
GASTROENTEROLOGY
Rosenblum, Jerry, MD !
Provider ID: 550138
St Louis University
1475 Kisker Rd
Saint Charles, MO 63304
(636) 349-8797
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
PEDIATRIC NEUROLOGY
Bicknese, Alma, MD !"
Provider ID: 235858
St Louis University
330 First Capitol Dr Ste 240
Saint Charles, MO 63301
(636) 946-4006
Ages Seen: 00 Yrs/18 Yrs
Goretzke, Sean, MD !
Provider ID: 556392
St Louis University
1475 Kisker Rd
Saint Charles, MO 63304
(636) 498-7979
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
St L
PEDIATRICS
Bauer, Nancy, MD
Provider ID: 523664
SSM Managed Care Organization
100 Medical Plaza Dr
Lake Saint Louis, MO 63367
(636) 625-5200
Ages Seen: 00 Yrs/99 Yrs
Bauer, Nancy, MD
Provider ID: 523664
SSM Managed Care Organization
300 1 St Capitol Dr
Saint Charles, MO 63301
(636) 947-5000
Ages Seen: 00 Yrs/99 Yrs
Washko, Todd, MD !
Provider ID: 397536
SSM Managed Care Organization
200 Medical Plaza Dr
Lake Saint Louis, MO 63367
(636) 625-5200
Ages Seen: 00 Yrs/21 Yrs
Washko, Todd, MD !
Provider ID: 397536
SSM Managed Care Organization
300 First Capitol Dr
Saint Charles, MO 63301
(636) 947-5000
Ages Seen: 00 Yrs/21 Yrs
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT CHARLES COUNTY
(cont.)
PODIATRY
Brooks, Jeffrey, DPM !"
Provider ID: 463384
SSM Managed Care Organization
6 Jungermann Cir Ste 301
Saint Peters, MO 63376
(636) 926-7933
Ages Seen: 00 Yrs/99 Yrs
Mine
SSM
SSM Depaul Health Center
Hays, Damon, DPM
Provider ID: 507339
SSM Managed Care Organization
8067 Mexico Rd
Saint Peters, MO 63376
(636) 397-2229
Ages Seen: 00 Yrs/99 Yrs
McFarland, Maria, DPM !
Provider ID: 337840
SSM Managed Care Organization
1551 Wall St
Saint Charles, MO 63303
(314) 423-9000
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
JANUARY 2011
PSYCHIATRY
Anderson, Richard, MD !"
Provider ID: T4636030000-02
Language: Japanese
St Charles Psychc Assocs
330 First Capitol Dr Ste 390
Saint Charles, MO 63301
(636) 949-5760
Ages Seen: 18 Yrs/64 Yrs
Barnes Jewish St Peters
Hospital
Arain, Roomana, MD
Provider ID: T6002489750-03
Psych Care Conslnt
4905 Mexico Rd Ste 300
Saint Peters, MO 63376
(636) 928-5109
Ages Seen: 18 Yrs/64 Yrs
Centerpointe Hospital
Battula, Srinivas, MD !
Provider ID: T8380930000-02
Language: Telugu
Srinivas Battula
255 Spencer Rd Ste 201
Saint Peters, MO 63376
(636) 939-2550
Ages Seen: 13 Yrs/99 Yrs
St Joseph Health Center St
Charles
Canale, John, MD !"
Provider ID: T0101050000-03
St Charles Psychc Assocs
330 First Capitol Dr Ste 390
Saint Charles, MO 63301
(636) 949-5760
Ages Seen: 13 Yrs/99 Yrs
St Joseph Health Center St
Charles
Chilakamarri, Srinivas, MD !"
Provider ID: T0343910000-04
Language: Telugu
Srinivas Chilakamarri
2081 Collier Corporate Pk
Saint Charles, MO 63303
(636) 940-7600
Ages Seen: 13 Yrs/99 Yrs
St Anthonys Medcl Center
PSYCHOLOGY
Caraffa, Ralph, PhD "
Provider ID: T0399630000-04
Psych Ntwrk
58 Portwest Ct
Saint Charles, MO 63303
(636) 916-5800
Ages Seen: 06 Yrs/99 Yrs
Lipsitz, David, PhD !
Provider ID: T0478660000-07
David A Lipsitz PhD
514 Jungermann Rd
Saint Peters, MO 63376
(636) 441-3322
Ages Seen: 06 Yrs/99 Yrs
Marsh, Ursula, PhD "
Provider ID: T6005567740-03
Wentzville Psychl Svcs
219 Creekside Office Dr
Wentzville, MO 63385
(636) 357-0136
Ages Seen: 13 Yrs/64 Yrs
Robb, Paul, PsyD
Provider ID: T1805940000-07
Psych Care Conslnt
4905 Mexico Rd Ste 300
Saint Peters, MO 63376
(636) 928-5109
Ages Seen: 18 Yrs/99 Yrs
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT CHARLES COUNTY
(cont.)
PSYCHOLOGY (cont.)
Ruffy, Michele, PhD
Provider ID: T0404190000-08
Language: French
Psych Care Conslnt
4905 Mexico Rd Ste 300
Saint Peters, MO 63376
(636) 928-5109
Ages Seen: 00 Yrs/99 Yrs
Sanderson, Susan, PhD "
Provider ID: T8329720000-01
Fmly Life Cnslng and Psychl Svcs
7400 Hwy N
O Fallon, MO 63368
(636) 561-7080
Ages Seen: 00 Yrs/99 Yrs
Tindall, Judith, PhD "
Provider ID: T0057800000-02
Psych Ntwrk
58 Portwest Ct
Saint Charles, MO 63303
(636) 916-5800
Ages Seen: 06 Yrs/99 Yrs
Wang, Paul, PhD "
Provider ID: T0300900000-13
Paul H Wang
300 Medical Plz Ste 201
St Joseph W Hospital
Lake Saint Louis, MO 63367
(314) 721-7777
Ages Seen: 00 Yrs/99 Yrs
PULMONARY DISEASE
Brook, Alan, MD !
Provider ID: 336675
SSM Managed Care Organization
4800 Mexico Rd Ste 102
Saint Peters, MO 63376
(636) 441-0620
Ages Seen: 18 Yrs/99 Yrs
SSM
SSM
SSM St Joseph Hospital West
Brook, Alan, MD !
Provider ID: 336675
SSM Managed Care Organization
6 Jungermann Cir Ste 210
Saint Peters, MO 63376
(636) 441-6056
Ages Seen: 18 Yrs/99 Yrs
SSM
SSM
SSM St Joseph Hospital West
! BOARD CERTIFIED
JANUARY 2011
Eaton, Royal, MD !
Provider ID: 336666
SSM Managed Care Organization
450 N New Ballas Rd Ste 102
Saint Peters, MO 63376
(314) 993-2884
Ages Seen: 00 Yrs/99 Yrs
Uppal, Praveena, MD !
Provider ID: 380791
Language: Hindi, Punjabi
SSM Managed Care Organization
330 First Capitol Dr Ste 470
Saint Charles, MO 63301
(636) 946-1650
Ages Seen: 12 Yrs/99 Yrs
Eaton, Royal, MD !
Provider ID: 336666
SSM Managed Care Organization
4800 Mexico Rd Ste 102
Saint Peters, MO 63376
(636) 441-6056
Ages Seen: 00 Yrs/99 Yrs
Foner, Barbara, MD !"
Provider ID: 563049
6698 Keaton Corporate Pkwy
Ste 101
Ofallon, MO 63368
(636) 928-0215
Ages Seen: 00 Yrs/99 Yrs
SSM St Clare Health Center
Garcia, Sergio, MD !"
Provider ID: 336748
Language: Spanish
SSM Managed Care Organization
330 First Capitol Dr Ste 470
Saint Charles, MO 63301
(636) 946-1650
Ages Seen: 00 Yrs/99 Yrs
Goldberg, Howard, MD !
Provider ID: 336781
SSM Managed Care Organization
600 Medical Dr Ste 209
Wentzville, MO 63385
(636) 332-8482
Ages Seen: 00 Yrs/99 Yrs
SSM St Joseph Hospital West
Sandiford, Patrick, MD !
Provider ID: 335841
SSM Managed Care Organization
201 First Executive Ave
Saint Peters, MO 63376
(636) 441-2600
Ages Seen: 00 Yrs/99 Yrs
Lincoln County Mem Hospital
Sandiford, Patrick, MD !
Provider ID: 335841
SSM Managed Care Organization
300 First Capitol Dr
Saint Charles, MO 63301
(636) 947-5000
Ages Seen: 00 Yrs/99 Yrs
Lincoln County Mem Hospital
RHEUMATOLOGY
Shereen, Farhat, MD !
Provider ID: 571300
SSM Managed Care Organization
20 Progress Point Pkwy Ste 206
O Fallon, MO 63368
(636) 344-1500
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM St Joseph Hospital West
Shereen, Farhat, MD !
Provider ID: 571300
SSM Managed Care Organization
300 Medical Plz Ste 100
Lake Saint Louis, MO 63367
(636) 625-8300
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM St Joseph Hospital West
Shereen, Farhat, MD !
Provider ID: 571300
SSM Managed Care Organization
70 Jungermann Cir Ste 201
Saint Peters, MO 63376
(636) 916-9525
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM St Joseph Hospital West
SLEEP MEDICINE
Goldberg, Howard, MD !
Provider ID: 336781
SSM Managed Care Organization
600 Medical Dr Ste 209
Wentzville, MO 63385
(636) 332-8482
Ages Seen: 00 Yrs/99 Yrs
SSM St Joseph Hospital West
SPORTS MEDICINE
Jachna, Jody, MD "
Provider ID: 385923
SSM Managed Care Organization
113 Church St
O Fallon, MO 63366
(636) 379-4535
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM St Joseph Hospital West
Jachna, Jody, MD !
Provider ID: 385923
SSM Managed Care Organization
1475 Kisker Rd Ste 100
Saint Charles, MO 63304
(636) 498-5810
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM St Joseph Hospital West
THORACIC &
CARDIOVASCULAR
SURGERY
Axford, Trevor, MD !"
Provider ID: 385868
SSM Managed Care Organization
400 First Capitol Dr Ste 307
Saint Charles, MO 63301
(636) 946-5559
Ages Seen: 00 Yrs/99 Yrs
Dorazio, Stephen, MD !"
Provider ID: 458663
SSM Managed Care Organization
400 First Capitol Dr Ste 301
Saint Charles, MO 63301
(314) 647-8269
Ages Seen: 00 Yrs/99 Yrs
SSM St Joseph Health Center
Suen, Hon Chi, MD !"
Provider ID: 361379
SSM Managed Care Organization
70 Jungermann Circle Ste 201
Saint Peters, MO 63376
(636) 916-9525
Ages Seen: 18 Yrs/99 Yrs
St Anthonys Medical Center
UROLOGY
Berni, Kimberly, MD
Provider ID: 242627
St Louis University
100 Medical Plaza
Lake Saint Louis, MO 63367
(636) 561-6710
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT FRANCOIS COUNTY
COLON & RECTAL
SURGERY
Figueroa Dugarte, Rafael, MD "
Provider ID: 563470
Farmington Clinic Company
1101 Weber Rd Ste 202
Farmington, MO 63640
(573) 701-0102
Ages Seen: 18 Yrs/99 Yrs
Mineral Area Regional Med
Center
GENERAL DENTISTRY
JANUARY 2011
GENERAL SURGERY
Kurzweil, Steven, MD !
Provider ID: 400353
Steven L Kurzeil MD
508 W Pine
Farmington, MO 63640
(636) 937-6601
Ages Seen: 02 Yrs/99 Yrs
St Anthonys Medical Center
Sippo, William, MD !
Provider ID: 493000
Farmington Clinic Company
1101 Weber Rd Ste 205
Farmington, MO 63640
(573) 756-8400
Ages Seen: 00 Yrs/99 Yrs
Hartman, John, DO !
Provider ID: 440668
Medicine Specialists
1103 Weber Rd Ste 101
Farmington, MO 63640
(573) 756-6438
Ages Seen: 20 Yrs/99 Yrs
Krikorian, Raffi, MD !
Provider ID: 409407
Language: Armenian, German,
Russian
Comprehensive Cardiovascular C
715 Maple Valley Dr
Farmington, MO 63640
(573) 756-5298
Ages Seen: 16 Yrs/99 Yrs
Weber, James, DO !
Provider ID: 410688
Medicine Specialists
1103 Weber Rd Ste 101
Farmington, MO 63640
(573) 756-6438
Ages Seen: 21 Yrs/99 Yrs
! BOARD CERTIFIED
Beckham, Marsha, OD
Provider ID: 371557
Leonard Hughes Co dba Webs
1136 N Desloge Dr
Park Hills, MO 63601
(573) 518-0001
Ages Seen: 00 Yrs/99 Yrs
Haferkamp, Shawn, OD
Provider ID: 539676
Fredericktown Vision Center
1136 N Desloge Dr Ste C
Park Hills, MO 63601
(573) 518-0001
Ages Seen: 00 Yrs/99 Yrs
ORTHOPAEDIC SURGERY
OPTOMETRY
INTERNAL MEDICINE
Weber, James, DO !
Provider ID: 410688
Medicine Specialists
1212 Weber Rd
Farmington, MO 63640
(573) 756-4581
Ages Seen: 21 Yrs/99 Yrs
Brown, Victor, DO
Provider ID: 544009
Farmington Clinic Company
1101 Weber Rd Ste 203
Farmington, MO 63640
(573) 756-2600
Ages Seen: 00 Yrs/99 Yrs
Mineral Area Regional Med
Center
Knierim, Crystel, MD !
Provider ID: 385914
SSM Managed Care Organization
113 Church St
French Village, MO 63036
(636) 379-4535
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM Depaul Health Center
PODIATRY
Duddy, Robert, MD !
Provider ID: 561272
SSM Managed Care Organization
1101 Weber Rd Ste 301
Farmington, MO 63640
(573) 756-8936
Ages Seen: 00 Yrs/99 Yrs
Mine
SSM
St Anthonys Medical Center
Quiroga, Carmina, DPM !
Provider ID: 401941
SSM Managed Care Organization
1101 Weber Rd Ste 301
Farmington, MO 63640
(573) 756-8936
Ages Seen: 00 Yrs/99 Yrs
Mine
SSM
SSM Depaul Health Center
PSYCHIATRY
Balter, Jordan, DO !"
Provider ID: T5574050000-04
Advncd Psychc Svcs
400 N Washington St Ste 130E
Farmington, MO 63640
(636) 931-4206
Ages Seen: 00 Yrs/99 Yrs
Alexian Brothers Hospital
Jefferson Regl Medcl Center
No Entity Named
PULMONARY DISEASE
Avellone, Amanda, MD !
Provider ID: 359321
Crystal City Pulm Citrical Ca
1105 W Liberty St
Farmington, MO 63640
(636) 937-3121
Ages Seen: 00 Yrs/99 Yrs
Breite, Warren, MD !"
Provider ID: 346336
Pulmonary and CC Assoc
1105 W Liberty
Farmington, MO 63640
(888) 238-5235
Ages Seen: 00 Yrs/99 Yrs
RHEUMATOLOGY
Vintimilla, Maria, MD !
Provider ID: 427427
Language: Spanish
Chands Medical Office
1035 E Karsch Blvd Ste B
Farmington, MO 63640
(572) 756-2482
Ages Seen: 05 Yrs/99 Yrs
Mineral Area Regional Med
Center
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT FRANCOIS COUNTY
(cont.)
UROLOGY
Niles, Brian, MD
Provider ID: 557873
1101 Weber Rd Ste 303
Farmington, MO 63640
(573) 756-8880
Ages Seen: 18 Yrs/99 Yrs
Mineral Area Regional Med
Center
! BOARD CERTIFIED
JANUARY 2011
Apprill, Phillip, MD !
Provider ID: 427381
SSM Managed Care Organization
1423 S Big Bend Blvd
Saint Louis, MO 63117
(314) 880-6400
Ages Seen: 00 Yrs/99 Yrs
Apprill, Phillip, MD !
Provider ID: 427381
SSM Managed Care Organization
6400 Clayton Rd Ste 212
Saint Louis, MO 63117
Ages Seen: 00 Yrs/99 Yrs
Apprill, Phillip, MD !
Provider ID: 427381
SSM Managed Care Organization
6420 Clayton Rd
Saint Louis, MO 63117
(314) 645-6450
Ages Seen: 00 Yrs/99 Yrs
Azrak, Elie, MD !
Provider ID: 337533
Language: Arabic, French
SSM Managed Care Organization
11133 Dunn Rd Ste 2346
Saint Louis, MO 63136
(314) 653-5125
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
Azrak, Elie, MD !
Provider ID: 337538
Language: Arabic, French
SSM Managed Care Organization
12303 Depaul Dr
Bridgeton, MO 63044
(314) 653-5125
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
Azrak, Elie, MD !
Provider ID: 337533
Language: Arabic, French
SSM Managed Care Organization
261 Dunn Rd
Florissant, MO 63031
(314) 839-5522
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
Berg, Ryan, MD
Provider ID: 460761
St Louis University
1034 S Brentwood Blvd Ste 1120
Saint Louis, MO 63117
(314) 726-1612
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Biel, Stanley, MD !"
Provider ID: 337202
SSM Managed Care Organization
11133 Dunn Rd Ste 2346
Saint Louis, MO 63136
(314) 653-5125
Ages Seen: 18 Yrs/99 Yrs
Bishara, Osama, MD
Provider ID: 558371
SSM Managed Care Organization
11133 Dunn Rd Ste 2346
Saint Louis, MO 63136
(314) 653-5125
Ages Seen: 00 Yrs/99 Yrs
Bishara, Osama, MD
Provider ID: 558371
SSM Managed Care Organization
12255 De Paul Dr Ste 460
Bridgeton, MO 63044
(314) 770-9888
Ages Seen: 00 Yrs/99 Yrs
Bishara, Osama, MD
Provider ID: 558371
SSM Managed Care Organization
12303 Depaul Dr
Bridgeton, MO 63044
(314) 344-6000
Ages Seen: 00 Yrs/99 Yrs
Bitar, Saad, MD
Provider ID: 242782
SSM Managed Care Organization
11133 Dunn Rd Ste 2346
Saint Louis, MO 63136
(314) 653-5125
Ages Seen: 16 Yrs/99 Yrs
Bitar, Saad, MD !
Provider ID: 338630
SSM Managed Care Organization
261 Dunn Rd
Florissant, MO 63031
(314) 839-5522
Ages Seen: 16 Yrs/99 Yrs
Chahoud, Georges, MD !
Provider ID: 463307
Language: Arabic, French
SSM Managed Care Organization
11133 Dunn Rd
Saint Louis, MO 63136
(314) 653-5125
Ages Seen: 00 Yrs/99 Yrs
Chahoud, Georges, MD !
Provider ID: 463307
Language: Arabic, French
SSM Managed Care Organization
12255 Depaul Dr Ste 460
Bridgeton, MO 63044
(314) 770-9888
Ages Seen: 00 Yrs/99 Yrs
Chahoud, Georges, MD !
Provider ID: 463307
Language: Arabic, French
SSM Managed Care Organization
12303 Depaul Dr
Bridgeton, MO 63044
(314) 344-6000
Ages Seen: 00 Yrs/99 Yrs
Chahoud, Georges, MD !
Provider ID: 463307
Language: Arabic, French
SSM Managed Care Organization
261 Dunn Rd
Bridgeton, MO 63044
(314) 839-5522
Ages Seen: 00 Yrs/99 Yrs
Chin, Mark, MD
Provider ID: 336677
SSM Managed Care Organization
3023 N Ballas Rd Ste 400D
Saint Louis, MO 63131
(314) 447-1301
Ages Seen: 00 Yrs/99 Yrs
Chouhan, Lalithkumar, MD !"
Provider ID: 242900
SSM Managed Care Organization
11133 Dunn Rd Ste 2346
Saint Louis, MO 63136
(314) 653-5125
Ages Seen: 00 Yrs/99 Yrs
Chouhan, Lalithkumar, MD !"
Provider ID: 242900
SSM Managed Care Organization
261 Dunn Rd
Florissant, MO 63031
(314) 839-5522
Ages Seen: 00 Yrs/99 Yrs
Das, Sundeep, MD !
Provider ID: 247441
1015 Bowles Ave Ste G10
Fenton, MO 63026
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
Das, Sundeep, MD !"
Provider ID: 247441
11155 Dunn Rd Ste 304E
Saint Louis, MO 63136
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
CARDIOLOGY (cont.)
Das, Sundeep, MD !
Provider ID: 247441
12277 Depaul Dr Ste 503
Bridgeton, MO 63044
(314) 739-9618
Ages Seen: 00 Yrs/99 Yrs
Das, Sundeep, MD !"
Provider ID: 247441
12303 Depaul Dr Ste A
Bridgeton, MO 63044
(314) 966-5151
Ages Seen: 00 Yrs/99 Yrs
Das, Sundeep, MD !
Provider ID: 247441
2355 Dougherty Ferry Rd Ste 320
Saint Louis, MO 63122
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
Fleissner, Michael, MD !
Provider ID: 290338
SSM Managed Care Organization
3023 N Ballas Rd Ste 400D
Saint Louis, MO 63131
(314) 447-1301
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Forsberg, Michael, MD !
Provider ID: 385068
St Louis University
1034 S Brentwood Blvd Ste 1120
Saint Louis, MO 63117
(314) 726-1612
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Friedman, Daniel, MD !
Provider ID: 463090
St Louis University
1034 S Brentwood Blvd Ste 1120
Saint Louis, MO 63117
(314) 726-1612
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Gabliani, Gregory, MD
Provider ID: 464167
SSM Managed Care Organization
11133 Dunn Rd Ste 2346
Saint Louis, MO 63136
(314) 653-5125
Ages Seen: 00 Yrs/99 Yrs
Gabliani, Gregory, MD
Provider ID: 464167
SSM Managed Care Organization
12303 Depaul Dr
Bridgeton, MO 63044
(314) 344-6000
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
JANUARY 2011
Gabliani, Gregory, MD
Provider ID: 464167
SSM Managed Care Organization
261 Dunn Rd
Florissant, MO 63031
(314) 839-5522
Ages Seen: 00 Yrs/99 Yrs
Gafford, Frank, MD "
Provider ID: 544784
SSM Managed Care Organization
13303 Tesson Ferry Rd Ste 55
Saint Louis, MO 63128
(314) 270-3260
Ages Seen: 00 Yrs/99 Yrs
Gondi, Rama, MD !
Provider ID: 337783
Language: Telugu
SSM Managed Care Organization
11133 Dunn Rd Ste 2346
Saint Louis, MO 63136
(314) 653-5125
Ages Seen: 00 Yrs/99 Yrs
Gondi, Rama, MD !
Provider ID: 337775
SSM Managed Care Organization
261 Dunn Rd
Saint Louis, MO 63136
(314) 839-5522
Ages Seen: 00 Yrs/99 Yrs
Hauptman, Paul, MD "
Provider ID: 236310
SLU-Dept of Internal Medicine
1034 S Brentwood Blvd Ste 1120
Saint Louis, MO 63117
(314) 726-1612
Ages Seen: 00 Yrs/99 Yrs
Katyal, Alok, MD
Provider ID: 276276
SSM Managed Care Organization
1015 Bowles Ave
Fenton, MO 63026
(636) 496-2000
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM St Joseph Hospital West
Katyal, Alok, MD
Provider ID: 276276
SSM Managed Care Organization
12266 De Paul Dr Ste 205
Bridgeton, MO 63044
(314) 218-2300
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM St Joseph Hospital West
Katyal, Alok, MD
Provider ID: 276276
SSM Managed Care Organization
12303 Depaul Dr
Bridgeton, MO 63044
(314) 344-6000
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM St Joseph Hospital West
Laddu, Abhay, MD
Provider ID: 513049
St Louis University
1034 S Brentwood Ste 1120
Saint Louis, MO 63117
(314) 726-1612
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Laddu, Abhay, MD
Provider ID: 513049
St Louis University
2325 Dougherty Ferry Rd Ste 100
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Lash, Jennifer, MD !
Provider ID: 449787
St Louis University
1034 S Brentwood Blvd Ste 1120
Saint Louis, MO 63117
(314) 726-1612
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Lash, Jennifer, MD !"
Provider ID: 449787
St Louis University
2325 Dougherty Rd Ste 100
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Longnecker, Christopher, MD "
Provider ID: 378412
1034 S Brentwood Blvd Ste 1120
Saint Louis, MO 63117
(314) 726-1612
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Longnecker, Christopher, MD
Provider ID: 378412
2325 Dough Ferry Rd Ste 100
Saint Louis, MO 63122
(314) 726-1612
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Lutan, Robert, MD !
Provider ID: 242841
SSM Managed Care Organization
11133 Dunn Rd Ste 2346
Saint Louis, MO 63136
(314) 653-5125
Ages Seen: 00 Yrs/99 Yrs
Lutan, Robert, MD !
Provider ID: 242841
SSM Managed Care Organization
261 Dunn Rd
Florissant, MO 63031
(314) 653-5125
Ages Seen: 00 Yrs/99 Yrs
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
CARDIOLOGY (cont.)
Maniet, Alan, DO "
Provider ID: 239093
St Louis University
1034 S Brentwood Blvd Ste 1120
Saint Louis, MO 63117
(314) 726-1612
Ages Seen: 00 Yrs/99 Yrs
Miller, Donald Doug, MD "
Provider ID: 252145
St Louis University
1034 S Brentwood Blvd Ste 1120
Saint Louis, MO 63117
(314) 726-1612
Ages Seen: 00 Yrs/99 Yrs
Narayanan, Suresh, MD !"
Provider ID: 337795
SSM Managed Care Organization
11133 Dunn Rd Ste 2346
Saint Louis, MO 63136
(314) 653-5125
Ages Seen: 00 Yrs/99 Yrs
Narayanan, Suresh, MD !
Provider ID: 337804
SSM Managed Care Organization
12303 De Paul Dr
Bridgeton, MO 63044
(314) 344-6000
Ages Seen: 00 Yrs/99 Yrs
Narayanan, Suresh, MD !"
Provider ID: 337804
SSM Managed Care Organization
261 Dunn Rd
Florissant, MO 63031
(314) 839-5522
Ages Seen: 00 Yrs/99 Yrs
Neumayr, Robert, MD
Provider ID: 550137
St Louis University
1034 S Brentwood Blvd Ste 1120
Saint Louis, MO 63117
(314) 977-4663
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Neumayr, Robert, MD "
Provider ID: 550137
St Louis University
2325 Dougherty Ferry Rd Ste 100
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
! BOARD CERTIFIED
JANUARY 2011
Reis, Lisa, MD !
Provider ID: 360157
1423 S Big Bend Blvd
Saint Louis, MO 63117
(314) 880-6400
Ages Seen: 00 Yrs/99 Yrs
SSM St Clare Health Center
Qayyum, Usman, MD !
Provider ID: 337661
SSM Managed Care Organization
12277 Depaul Dr Ste 503
Bridgeton, MO 63044
(314) 739-9618
Ages Seen: 00 Yrs/99 Yrs
Noda, Sellchi, MD !
Provider ID: 337644
SSM Managed Care Organization
12255 Depaul Dr Ste 445
Saint Louis, MO 63122
(314) 647-8269
Ages Seen: 19 Yrs/99 Yrs
Qayyum, Usman, MD !
Provider ID: 337661
SSM Managed Care Organization
2355 Dougherty Ferry Rd Ste 320
Saint Louis, MO 63122
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
Ramadan, Rafiq, MD !
Provider ID: 247440
1015 Bowles Ave Ste G10
Fenton, MO 63026
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
Parham, Walter, MD !
Provider ID: 247485
St Louis University
1034 S Brentwood Blvd Ste 1120
Saint Louis, MO 63117
(314) 977-4663
Ages Seen: 18 Yrs/99 Yrs
Phlaum, Stephen, MD "
Provider ID: 235422
St Louis University
2325 Dougherty Ferry Rd
Kirkwood, MO 63122
(314) 977-9690
Ages Seen: 00 Yrs/99 Yrs
Qayyum, Usman, MD !
Provider ID: 337661
SSM Managed Care Organization
1015 Bowles Ave Ste G10
Fenton, MO 63026
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
Qayyum, Usman, MD !
Provider ID: 337661
SSM Managed Care Organization
11155 Dunn Rd Ste 304
Saint Louis, MO 63136
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
Ramadan, Rafiq, MD !
Provider ID: 247440
11155 Dunn Rd Ste 304
Saint Louis, MO 63136
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
Ramadan, Rafiq, MD !
Provider ID: 247440
12277 De Paul Dr Ste 503
Bridgeton, MO 63044
(314) 739-9618
Ages Seen: 00 Yrs/99 Yrs
Ramadan, Rafiq, MD !
Provider ID: 247440
2355 Dougherty Ferry Rd Ste 320
Saint Louis, MO 63122
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
Reis, Lisa, MD !
Provider ID: 360157
1011 Bowles Ave Ste G10
Fenton, MO 63026
(314) 965-9980
Ages Seen: 00 Yrs/99 Yrs
SSM St Clare Health Center
Reis, Lisa, MD !
Provider ID: 360157
1027 Bellevue Ave Ste 200
Saint Louis, MO 63117
(314) 645-6450
Ages Seen: 00 Yrs/99 Yrs
SSM St Clare Health Center
Reis, Lisa, MD !
Provider ID: 360157
6420 Clayton Rd
Saint Louis, MO 63117
(314) 768-8000
Ages Seen: 00 Yrs/99 Yrs
SSM St Clare Health Center
Schloss, Timothy, MD
Provider ID: 521458
SSM Managed Care Organization
1011 Bowles Ave Ste G10
Fenton, MO 63026
(636) 239-2711
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
St Anthonys Medical Center
Schloss, Timothy, MD
Provider ID: 521458
SSM Managed Care Organization
1015 Bowles Ave
Fenton, MO 63026
(636) 496-2000
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
St Anthonys Medical Center
Serota, Harvey, MD
Provider ID: 235566
SSM Managed Care Organization
1015 Bowles Ave Ste G10
Fenton, MO 63026
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
CARDIOLOGY (cont.)
Serota, Harvey, MD "
Provider ID: 235566
SSM Managed Care Organization
11155 Dunn Rd Ste 304E
Saint Louis, MO 63136
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
Serota, Harvey, MD "
Provider ID: 235566
SSM Managed Care Organization
12255 Depaul Dr Ste 865
Hazelwood, MO 63044
(314) 739-9618
Ages Seen: 00 Yrs/99 Yrs
Serota, Harvey, MD
Provider ID: 235566
SSM Managed Care Organization
12277 Depaul Dr Ste 503
Bridgeton, MO 63044
(314) 739-9618
Ages Seen: 00 Yrs/99 Yrs
Serota, Harvey, MD
Provider ID: 235566
SSM Managed Care Organization
2355 Dougherty Ferry Rd Ste 320
Saint Louis, MO 63122
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
Shah, Bharat, MD !"
Provider ID: 337836
SSM Managed Care Organization
11133 Dunn Rd Ste 2346
Saint Louis, MO 63136
(314) 653-5125
Ages Seen: 00 Yrs/99 Yrs
Shah, Bharat, MD !"
Provider ID: 337836
SSM Managed Care Organization
261 Dunn Rd
Florissant, MO 63031
(314) 839-5522
Ages Seen: 00 Yrs/99 Yrs
Siddiqui, Jawed, MD !"
Provider ID: 358893
Metro Cardiovascular
11115 New Halls Ferry Rd
Stes 301-302
Florissant, MO 63033
(314) 921-6200
Ages Seen: 12 Yrs/99 Yrs
St Louis University Hospital
! BOARD CERTIFIED
JANUARY 2011
Singh, Toniya, MD !
Provider ID: 338867
SSM Managed Care Organization
1015 Bowles Ave Ste G10
Fenton, MO 63026
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
Stolker, Joshua, MD !
Provider ID: 465678
St Louis University
1034 S Brentwood Blvd Ste 1120
Saint Louis, MO 63117
(314) 977-4663
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Singh, Toniya, MD !
Provider ID: 338867
SSM Managed Care Organization
11155 Dunn Rd Ste 304E
Saint Louis, MO 63136
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
Singh, Toniya, MD !"
Provider ID: 338867
SSM Managed Care Organization
12255 Depaul Dr Ste 870
Bridgeton, MO 63044
(314) 739-9618
Ages Seen: 00 Yrs/99 Yrs
Singh, Toniya, MD !"
Provider ID: 338867
SSM Managed Care Organization
12303 Depaul Dr Ste A
Bridgeton, MO 63044
(314) 966-5151
Ages Seen: 00 Yrs/99 Yrs
Singh, Toniya, MD !
Provider ID: 338867
SSM Managed Care Organization
2355 Dougherty Ferry Rd Ste 320
Saint Louis, MO 63122
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
Speidel, Christopher, MD !"
Provider ID: 337522
SSM Managed Care Organization
1027 Bellevue Ave Ste 139
Saint Louis, MO 63117
(314) 447-1301
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Speidel, Christopher, MD !
Provider ID: 337522
SSM Managed Care Organization
3023 N Ballas Rd Ste 400D
Saint Louis, MO 63131
(314) 447-1301
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Stolker, Joshua, MD !
Provider ID: 465678
St Louis University
2325 Dougherty Ferry Rd Ste 100
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Stronach, Linda, MD !
Provider ID: 337549
SSM Managed Care Organization
3023 N Ballas Rd Ste 400D
Saint Louis, MO 63131
(314) 447-1301
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Tahir, Mohammad, MD !
Provider ID: 247338
1015 Bowles Ave Ste G10
Fenton, MO 63026
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
Tahir, Mohammad, MD !"
Provider ID: 247338
11155 Dunn Rd Ste 304E
Saint Louis, MO 63136
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
Tahir, Mohammad, MD !"
Provider ID: 247338
12255 Depaul Dr Ste 870
Bridgeton, MO 63044
(314) 739-9618
Ages Seen: 00 Yrs/99 Yrs
Tahir, Mohammad, MD !"
Provider ID: 247338
12303 Depaul Dr Ste A
Bridgeton, MO 63044
(314) 966-5151
Ages Seen: 00 Yrs/99 Yrs
Thanavaro, Samer, MD !
Provider ID: 242836
SSM Managed Care Organization
11133 Dunn Rd Ste 2346
Saint Louis, MO 63136
(314) 653-5125
Ages Seen: 00 Yrs/99 Yrs
Thanavaro, Samer, MD !"
Provider ID: 242836
SSM Managed Care Organization
261 Dunn Rd
Florissant, MO 63031
(314) 839-5522
Ages Seen: 00 Yrs/99 Yrs
Thanigaraj, Srihari, MD !
Provider ID: 289777
1015 Bowles Ave Ste G10
Fenton, MO 06302
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
Thanigaraj, Srihari, MD !
Provider ID: 289777
11133 Dunn Rd
Saint Louis, MO 63136
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
Thanigaraj, Srihari, MD !"
Provider ID: 289777
11155 Dunn Rd Ste 304E
Saint Louis, MO 63136
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
Thanigaraj, Srihari, MD !"
Provider ID: 289777
12277 Depaul Dr Ste 503
Bridgeton, MO 63044
(314) 739-9618
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
Thanigaraj, Srihari, MD !
Provider ID: 289777
2355 Dougherty Ferry Rd Ste 320
Saint Louis, MO 63122
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
Valencia, Dana, MD !
Provider ID: 546243
SSM Managed Care Organization
1015 Bowles Ave
Fenton, MO 63026
(314) 995-6839
Ages Seen: 00 Yrs/99 Yrs
SSM St Clare Health Center
Tahir, Mohammad, MD !
Provider ID: 247338
2355 Dougherty Ferry Rd Ste 320
Saint Louis, MO 63122
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
CARDIOLOGY (cont.)
Valencia, Dana, MD !
Provider ID: 546243
SSM Managed Care Organization
3009 N Ballas Rd Ste 202B
Saint Louis, MO 63131
(314) 995-6839
Ages Seen: 00 Yrs/99 Yrs
SSM St Clare Health Center
Vardi, Gil, MD !
Provider ID: 337669
SSM Managed Care Organization
1015 Bowles Ave Ste G10
Fenton, MO 63026
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
Vardi, Gil, MD !"
Provider ID: 337669
SSM Managed Care Organization
11155 Dunn Rd Ste 304E
Saint Louis, MO 63136
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
Vardi, Gil, MD !"
Provider ID: 337669
SSM Managed Care Organization
12255 Depaul Dr Ste 870
Bridgeton, MO 63044
(314) 739-9618
Ages Seen: 00 Yrs/99 Yrs
Vardi, Gil, MD !
Provider ID: 337669
SSM Managed Care Organization
2355 Dougherty Ferry Rd Ste 320
Saint Louis, MO 63122
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
Weiss, Edward, MD
Provider ID: 236362
SSM Managed Care Organization
11133 Dunn Rd Ste 2346
Saint Louis, MO 63136
(314) 653-5125
Ages Seen: 00 Yrs/99 Yrs
Weiss, Edward, MD
Provider ID: 236362
SSM Managed Care Organization
261 Dunn Rd
Florissant, MO 63031
(314) 839-5522
Ages Seen: 00 Yrs/99 Yrs
Wright Jr, William, MD !
Provider ID: 443684
10010 Kennerly Rd
Saint Louis, MO 63128
Ages Seen: 00 Yrs/99 Yrs
SSM
St Anthonys Medical Center
! BOARD CERTIFIED
JANUARY 2011
CARDIOVASCULAR
SURGERY
Beardslee, Michael, MD !
Provider ID: 314510
1015 Bowles Ave
Fenton, MO 63026
(636) 496-2502
Ages Seen: 00 Yrs/99 Yrs
Dwyer, Jerome, MD
Provider ID: 554956
SSM Managed Care Organization
1015 Bowles Ave
Fenton, MO 63026
(314) 995-6839
Ages Seen: 00 Yrs/99 Yrs
SSM St Clare Health Center
Dwyer, Jerome, MD "
Provider ID: 554956
SSM Managed Care Organization
3009 N Ballas Rd Ste 202B
Saint Louis, MO 63131
(314) 995-6839
Ages Seen: 00 Yrs/99 Yrs
SSM St Clare Health Center
Theodoro, David, MD !"
Provider ID: 235662
SSM Managed Care Organization
1011 Bowles Ave Ste 300
Fenton, MO 63026
(314) 647-8269
Ages Seen: 00 Yrs/99 Yrs
Theodoro, David, MD !
Provider ID: 235662
SSM Managed Care Organization
1035 Bellevue Ave Ste 260
Saint Louis, MO 63117
(314) 647-8269
Ages Seen: 00 Yrs/99 Yrs
Theodoro, David, MD !
Provider ID: 235662
SSM Managed Care Organization
12277 Depaul Dr Ste 505
Bridgeton, MO 63044
(314) 291-1222
Ages Seen: 00 Yrs/99 Yrs
Theodoro, David, MD !"
Provider ID: 235662
SSM Managed Care Organization
1255 Depaul Dr Ste 445
Bridgeton, MO 63044
(314) 647-8269
Ages Seen: 00 Yrs/99 Yrs
CHIROPRACTIC
Bell, Gene, DC "
Provider ID: 385760
Gene D Bell DC
3300 N Hwy 67
Florissant, MO 63033
(314) 838-1983
Ages Seen: 00 Yrs/99 Yrs
DERMATOLOGY
Cheng, Amy, MD !
Provider ID: 428290
St Louis University
2325 Dougherty Ferry Rd Ste 100
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Glaser, Dee, MD !
Provider ID: 238843
SLU-Dept of Dermatology
2325 Dougherty Ferry Rd Ste 100
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St L
Guo, Aibing, MD
Provider ID: 550166
St Louis University
2325 Dougherty Ferry Rd Ste 100
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St L
Jensen, Sarah, MD !
Provider ID: 374828
St Louis University Hospital
2325 Dougherty Ferry Rd Ste 100
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St L
Semchyshyn, Natalie, MD !"
Provider ID: 356423
St Louis University
2325 Dougherty Ferry Rd Ste 100
Saint Louis, MO 63122
(314) 977-9666
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St L
Smith, Sarah, MD
Provider ID: 449300
St Louis University
2325 Dougherty Ferry Rd Ste 100
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St L
Tarbox, Michelle, MD !
Provider ID: 550154
St Louis University
2325 Dougherty Ferry Rd Ste 100
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St L
DERMATOPATHOLOGY
Tarbox, Michelle, MD !
Provider ID: 550154
St Louis University
2325 Dougherty Ferry Rd Ste 100
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St L
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
JANUARY 2011
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
Jeyakumar, Anita, MD !
Provider ID: 432710
St Louis University
12700 Southfork Rd Ste 101
Saint Louis, MO 63128
(314) 525-4949
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
St L
Levine, Laurence, MD !
Provider ID: 562325
3555 Sunset Office Dr Ste C110
Saint Louis, MO 63127
(314) 909-8778
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM St Joseph Hospital West
Mikulec, Anthony, MD !
Provider ID: 247483
621 S New Ballas Rd Ste 307A
Saint Louis, MO 63141
(314) 251-6362
Ages Seen: 00 Yrs/99 Yrs
Mikulec, Anthony, MD !
Provider ID: 247483
621 S New Ballas Rd Ste 482A
Saint Louis, MO 63141
(314) 251-6395
Ages Seen: 00 Yrs/99 Yrs
Mitchell, Ron, MD !"
Provider ID: 348024
St Louis University
12700 Southfork Rd Ste 101
Saint Louis, MO 63128
(314) 525-4949
Ages Seen: 00 Yrs/18 Yrs
St Louis University Hospital
! BOARD CERTIFIED
Sanford, Thomas, MD !
Provider ID: 291586
3009 N Ballas Rd Ste 228A
Saint Louis, MO 63131
(314) 991-0330
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Sanford, Thomas, MD !"
Provider ID: 291586
621 S New Ballas Rd Ste 307A
Saint Louis, MO 63141
(314) 251-6362
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Sanford, Thomas, MD !
Provider ID: 291586
621 S New Ballas Rd Ste 482 A
Saint Louis, MO 63141
(314) 251-6395
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Stith, John, MD !"
Provider ID: 236760
St Louis University
12700 Southford Rd Ste 101
Saint Louis, MO 63128
(314) 577-5305
Ages Seen: 00 Yrs/99 Yrs
Stith, John, MD !"
Provider ID: 236760
St Louis University
13131 Tesson Ferry Rd Ste 105
Saint Louis, MO 63128
(314) 842-3535
Ages Seen: 00 Yrs/99 Yrs
ENDOCRINOLOGY
DIABETES METABOLISM
Goel, Anoj, MD !
Provider ID: 480357
SSM Managed Care Organization
12277 De Paul Dr Ste 405
Bridgeton, MO 63044
(314) 344-7299
Ages Seen: 00 Yrs/99 Yrs
Goel, Anoj, MD !
Provider ID: 480357
SSM Managed Care Organization
8112 Delmar Blvd
Saint Louis, MO 63130
Ages Seen: 00 Yrs/99 Yrs
Griffing, George, MD !
Provider ID: 242434
St Louis University
1034 S Brentwood Blvd Ste 1120
Saint Louis, MO 63117
(314) 977-4663
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Thurman, Jerome, MD
Provider ID: 337442
SSM Managed Care Organization
12255 De Paul Dr Ste 500
Bridgeton, MO 63044
(314) 209-5180
Ages Seen: 00 Yrs/99 Yrs
Thurman, Jerome, MD "
Provider ID: 337442
SSM Managed Care Organization
12277 Depaul Dr Ste 405
Bridgeton, MO 63044
(636) 916-4842
Ages Seen: 00 Yrs/99 Yrs
FAMILY PRACTICE
Rivkin, Galina, MD !
Provider ID: 441187
2716 Telegraph Rd
Saint Louis, MO 63125
(314) 487-3155
Ages Seen: 18 Yrs/99 Yrs
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
GASTROENTEROLOGY
Agarwal, Banke, MD
Provider ID: 234893
St Louis University
12855 N 40th Dr
Saint Louis, MO 63141
(314) 336-1130
Ages Seen: 00 Yrs/99 Yrs
Alkaade, Samer, MD
Provider ID: 463482
St Louis University
8790 Watson Rd Ste 201
Saint Louis, MO 63119
(314) 543-2800
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Bialecki, Eldad, MD !"
Provider ID: 397436
SSM Managed Care Organization
100 Village Square Dr
Hazelwood, MO 63042
(314) 355-4010
Ages Seen: 00 Yrs/99 Yrs
Costigan, David, MD !
Provider ID: 521401
David J Costigan
10007 Kennerly Rd
Saint Louis, MO 63128
(314) 849-6898
Ages Seen: 16 Yrs/99 Yrs
Costigan, David, MD !
Provider ID: 521401
David J Costigan
1015 Bowles Ave
Fenton, MO 63026
Ages Seen: 16 Yrs/99 Yrs
Greenspan, Aaron, MD !
Provider ID: 433793
St Louis University
3555 Sunset Office Dr Ste C100
Saint Louis, MO 63127
(314) 238-9100
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Greenspan, Aaron, MD !
Provider ID: 433793
St Louis University
505 Couch Ave Ste 245
Saint Louis, MO 63122
(314) 238-9100
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
! BOARD CERTIFIED
JANUARY 2011
Greenspan, Aaron, MD !
Provider ID: 433793
St Louis University
6400 Clayton Rd Ste 216
Saint Louis, MO 63117
(314) 646-7848
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Hassan, Tariq, MD !"
Provider ID: 376206
SSM Managed Care Organization
100 Village Square Dr
Hazelwood, MO 63042
(314) 355-4010
Ages Seen: 15 Yrs/99 Yrs
Heavy, Michael, MD !
Provider ID: 512907
SSM Managed Care Organization
1011 Bowles Ave Ste 300
Fenton, MO 63026
(636) 496-5000
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Heavy, Michael, MD !
Provider ID: 512907
SSM Managed Care Organization
6400 Clayton Rd Ste 216
Saint Louis, MO 63117
(314) 646-7848
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Koenig, Gary, MD !
Provider ID: 354814
SSM Managed Care Organization
1150 Graham Rd Ste 105
Florissant, MO 63031
(314) 839-1900
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
Margolis, David, MD !"
Provider ID: 337208
SSM Managed Care Organization
100 Village Square Dr
Hazelwood, MO 63042
(314) 739-7793
Ages Seen: 00 Yrs/99 Yrs
Pelican, George, MD !
Provider ID: 440712
St Louis Connectcare
2425 Woodson Rd
Saint Louis, MO 63114
(314) 845-0766
Ages Seen: 18 Yrs/99 Yrs
Quader, Zafar, MD !"
Provider ID: 349462
Language: Urdu
Zafar Quader MD
10004 Kennerly Rd Ste 257 A
Saint Louis, MO 63128
(314) 842-6333
Ages Seen: 18 Yrs/99 Yrs
St Anthonys Medical Center
Quader, Zafar, MD
Provider ID: 349462
Language: Urdu
Zafar Quader MD
3009 N Ballas Rd Ste 229 A
Saint Louis, MO 63131
(314) 432-5144
Ages Seen: 18 Yrs/99 Yrs
St Anthonys Medical Center
Ramisetty, Roja, MD !
Provider ID: 555559
Language: Hindi, Telugu
SSM Managed Care Organization
2880 Netherton Dr Ste 200
Saint Louis, MO 63136
(314) 355-5400
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
Riley, Joel, MD !
Provider ID: 238168
Language: French
SSM Managed Care Organization
6400 Clayton Rd Ste 216
Saint Louis, MO 63117
(314) 646-7848
Ages Seen: 17 Yrs/99 Yrs
Stoffa, Robert, MD "
Provider ID: 444437
SSM Managed Care Organization
100 Village Square Dr
Hazelwood, MO 63042
(314) 355-4010
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
GENERAL DENTISTRY
Abrams, Marc, DDS "
Provider ID: T113031-28
Oral Maxillofacial Surgeons
456 N New Ballas Rd Ste 249
Creve Coeur, MO 63141
(314) 569-2201
Ages Seen: 00 Yrs/20 Yrs
Abrams, Marc, DDS "
Provider ID: T113031-27
Oral Maxillofacial Surgeons
500 Northwest Plz Ste 401
Saint Ann, MO 63074
(314) 291-4242
Ages Seen: 00 Yrs/20 Yrs
Beck, Robert, DMD
Provider ID: T113367-69
St Louis County Justice Center
100 S Central Ave
Clayton, MO 63105
(314) 615-5245
Ages Seen: 00 Yrs/99 Yrs
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
JANUARY 2011
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
! BOARD CERTIFIED
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
JANUARY 2011
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
! BOARD CERTIFIED
GENERAL SURGERY
Al Gebory, Faris, MD !"
Provider ID: 557866
Language: Arabic
Faris Al Gebory MD
2355 Dougherty Ferry Rd Ste 330
Saint Louis, MO 63122
(314) 821-5461
Ages Seen: 00 Yrs/99 Yrs
SSM St Joseph Hospital West
Aziz, Abdulhameed, MD
Provider ID: 456823
Midwest Acute Care Consultants
11155 Dunn Rd Ste 315E
Saint Louis, MO 63136
(314) 355-7500
Ages Seen: 00 Yrs/99 Yrs
Beckman, Robert, MD !
Provider ID: 425000
General Surgery of St Louis
12700 Southford Rd Ste 235
Saint Louis, MO 63128
(314) 842-2226
Ages Seen: 16 Yrs/99 Yrs
St Anthonys Medical Center
Brown, Bruce, MD !
Provider ID: 550850
SSM Managed Care Organization
1011 Bowles Ave Ste 300
Fenton, MO 63026
(636) 496-5000
Ages Seen: 00 Yrs/99 Yrs
SSM St Clare Health Center
Brown, Bruce, MD !
Provider ID: 550850
SSM Managed Care Organization
1031 Bellevue Ave Ste 300
Saint Louis, MO 63117
(314) 644-6300
Ages Seen: 00 Yrs/99 Yrs
SSM St Clare Health Center
Dysarz, Francis, MD
Provider ID: 392491
SSM Managed Care Organization
1035 Bellevue Ave Ste 203
Saint Louis, MO 63117
(314) 977-6051
Ages Seen: 00 Yrs/99 Yrs
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
GENERAL SURGERY (cont.)
Malik, Ayaz, MD !"
Provider ID: 496997
SSM Managed Care Organization
1031 Bellevue Ste 349
Saint Louis, MO 63117
(314) 644-2202
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Minkin, Darin, DO !
Provider ID: 467276
SSM Managed Care Organization
2355 Dougherty Ferry Rd Ste 430
Saint Louis, MO 63122
(314) 965-8410
Ages Seen: 00 Yrs/99 Yrs
SSM St Clare Health Center
Morris, Marvin, MD
Provider ID: 472579
Midwest Acute Care Consultants
11155 Dunn Rd Ste 315E
Saint Louis, MO 63136
(314) 355-7500
Ages Seen: 00 Yrs/99 Yrs
Peterson, Gary, MD !
Provider ID: 238703
St Louis University
10004 Kennerly
Saint Louis, MO 63128
(314) 977-6125
Ages Seen: 18 Yrs/99 Yrs
St Anthonys Medical Center
St L
Peterson, Gary, MD !
Provider ID: 238703
St Louis University
2325 Dougherty Ferry Rd Ste 100
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 18 Yrs/99 Yrs
St Anthonys Medical Center
St L
JANUARY 2011
Srisuro, Chotchai, MD !
Smith, Michael, MD !
Provider ID: 337591
Provider ID: 523755
SSM
Managed Care Organization
SSM Managed Care Organization
1011 Bowles Ave Ste G10
12348 Old Tesson Ferry Rd Ste 180
Fenton, MO 63026
Saint Louis, MO 63128
(636) 496-5450
(314) 842-6183
Ages Seen: 00 Yrs/99 Yrs
Ages Seen: 00 Yrs/99 Yrs
GYNECOLOGICAL
ONCOLOGY
Buekers, Thomas, MD !"
Provider ID: 291760
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
! BOARD CERTIFIED
Xynos, Francisco, MD !
Provider ID: 291679
224 S Woodsmill Rd Ste 665 S
Chesterfield, MO 63017
(314) 977-7455
Ages Seen: 13 Yrs/99 Yrs
SSM
SSM
St Louis University Hospital
Xynos, Francisco, MD "
Provider ID: 291679
6420 Clayton Rd
First Fl Clinic
Saint Louis, MO 63117
(314) 768-8373
Ages Seen: 13 Yrs/99 Yrs
SSM
SSM
St Louis University Hospital
GYNECOLOGY
Backer, Matthias, MD "
Provider ID: 238859
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
Backer, Matthias, MD "
Provider ID: 238859
St Louis University
6420 Clayton Rd
First Fl Clinic
Saint Louis, MO 63117
(314) 768-8373
Ages Seen: 00 Yrs/99 Yrs
Ekunno, Josiah, MD !"
Provider ID: 336929
SSM Managed Care Organization
11125 Dunn Rd Ste 202
Saint Louis, MO 63136
(314) 355-6218
Ages Seen: 00 Yrs/99 Yrs
HAND SURGERY
Dysarz, Francis, MD
Provider ID: 392491
SSM Managed Care Organization
1035 Bellevue Ave Ste 203
Saint Louis, MO 63117
(314) 977-6051
Ages Seen: 00 Yrs/99 Yrs
Kraemer, Bruce, MD !"
Provider ID: 292018
1035 Bellevue Ste 203
Saint Louis, MO 63117
(314) 645-6051
Ages Seen: 00 Yrs/99 Yrs
HEMATOLOGY &
ONCOLOGY
Becker-Koepke,
Stephanie, MD !
Provider ID: 513715
SSM Managed Care Organization
1011 Bowles Ave Ste G50
Fenton, MO 63026
(636) 496-4640
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM St Marys Health Center
Becker-Koepke,
Stephanie, MD !
Provider ID: 513715
SSM Managed Care Organization
6400 Clayton Rd Ste 302
Saint Louis, MO 63117
(314) 645-3370
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM St Marys Health Center
INFECTIOUS DISEASE
Aitken, Ramona, MD !"
Provider ID: 336693
SSM Managed Care Organization
10004 Kennerly Rd Ste 368B
Saint Louis, MO 63128
(314) 729-1570
Ages Seen: 00 Yrs/99 Yrs
Aitken, Ramona, MD !"
Provider ID: 336693
SSM Managed Care Organization
2325 Dougherty Ferry Rd Ste 206
Saint Louis, MO 63122
(314) 821-0900
Ages Seen: 00 Yrs/99 Yrs
Akhtar, Aamina, MD "
Provider ID: 337096
SSM Managed Care Organization
10004 Kennerly Rd Ste 368B
Saint Louis, MO 63128
(314) 729-1570
Ages Seen: 00 Yrs/99 Yrs
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
JANUARY 2011
Patri, Manokiran, MD !
Provider ID: 528282
SSM Managed Care Organization
10004 Kennerly Rd Ste 368B
INFECTIOUS DISEASE (cont.)
Saint Louis, MO 63128
(314) 729-1540
Akhtar, Aamina, MD "
Ages Seen: 00 Yrs/99 Yrs
Provider ID: 337096
SSM
SSM Managed Care Organization
SSM Depaul Health Center
2325 Dougherty Ferry Rd Ste 206
Saint Louis, MO 63122
Patri, Manokiran, MD !
(314) 821-0900
Provider ID: 528282
Ages Seen: 00 Yrs/99 Yrs
SSM Managed Care Organization
2325 Dougherty Ferry Rd Ste 206
Burmeister, R William, MD "
Saint Louis, MO 63122
Provider ID: 238096
(314) 821-0900
SSM Managed Care Organization
Ages Seen: 00 Yrs/99 Yrs
13131 Tesson Ferry Rd Ste 129
SSM
Saint Louis, MO 63128
SSM Depaul Health Center
(314) 849-6611
Ages Seen: 00 Yrs/99 Yrs
Slom, Trevor, MD !"
Provider ID: 337505
Dewan, Rajeev, MD !
Language: Hebrew
Provider ID: 508484
SSM Managed Care Organization
SSM Managed Care Organization
10004 Kennerly Rd Ste 368B
3844 S Lindbergh Blvd Ste 250
Saint Louis, MO 63128
Saint Louis, MO 63127
(314) 729-1570
(314) 842-3400
Ages Seen: 00 Yrs/99 Yrs
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
Slom, Trevor, MD !"
Provider ID: 337505
Dommaraju, Chandra, MD !"
Language: Hebrew
Provider ID: 359378
SSM Managed Care Organization
10004 US Hwy 61 Ste 260
2325 Dougherty Ferry Rd Ste 206
Saint Louis, MO 63128
Saint Louis, MO 63122
(314) 856-2347
(314) 821-0900
Ages Seen: 00 Yrs/99 Yrs
Ages Seen: 00 Yrs/99 Yrs
Gentry, Clare, MD "
Zinser, Phillip, MD !"
Provider ID: 359907
Provider ID: 337472
SSM Managed Care Organization
SSM Managed Care Organization
2325 Dougherty Ferry Rd
11125 Dunn Rd Ste 412
Saint Louis, MO 63122
Saint Louis, MO 63136
(314) 821-0900
(314) 355-7997
Ages Seen: 00 Yrs/99 Yrs
Ages Seen: 00 Yrs/99 Yrs
Nellore, Suresh, MD !"
Zinser, Phillip, MD !
Provider ID: 337504
Provider ID: 337472
SSM Managed Care Organization
SSM Managed Care Organization
10004 Kennerly Rd Ste 368B
12774 Boenker Ln
Saint Louis, MO 63128
Bridgeton, MO 63044
(314) 729-1570
(314) 291-7997
Ages Seen: 00 Yrs/99 Yrs
Ages Seen: 00 Yrs/99 Yrs
Nellore, Suresh, MD !"
Provider ID: 337504
INTERNAL MEDICINE
SSM Managed Care Organization
Aguilar, Robin, MD !
2325 Dougherty Ferry Rd Ste 206
Provider ID: 335954
Saint Louis, MO 63122
SSM Managed Care Organization
(314) 821-0900
1066 Executive Pkwy Ste 105
Ages Seen: 00 Yrs/99 Yrs
Saint Louis, MO 63141
(314) 317-9960
Ages Seen: 00 Yrs/99 Yrs
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
! BOARD CERTIFIED
Kinsella, Laurence, MD !
Provider ID: 237744
St Louis University
1055 Bowles Ave Ste 200
Fenton, MO 63026
(636) 496-3900
Ages Seen: 00 Yrs/99 Yrs
SSM
St Louis University Hospital
Kinsella, Laurence, MD !
Provider ID: 237744
St Louis University
2325 Dougherty Ferry Rd Ste 100
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 00 Yrs/99 Yrs
SSM
St Louis University Hospital
Krikorian, Raffi, MD !
Provider ID: 409407
Language: Armenian, German,
Russian
Comprehensive Cardiovascular C
3760 S Lindbergh Blvd Ste 101
Saint Louis, MO 63127
(314) 849-0923
Ages Seen: 16 Yrs/99 Yrs
Naydenov, Dinko, MD !
Provider ID: 378149
Midwest Acute Care Consultants
1066 Executive Pkwy Dr Ste 105
Saint Louis, MO 63141
(314) 317-9960
Ages Seen: 00 Yrs/99 Yrs
Naydenov, Dinko, MD !
Provider ID: 378149
Midwest Acute Care Consultants
11155 Dunn Rd Ste 315E
Saint Louis, MO 63136
(314) 355-7500
Ages Seen: 00 Yrs/99 Yrs
Osmon, Stephen, MD !"
Provider ID: 354917
SSM Managed Care Organization
1066 Executive Pkwy Ste 105
Saint Louis, MO 63141
(314) 317-0600
Ages Seen: 00 Yrs/99 Yrs
Parham, Walter, MD !
Provider ID: 247485
St Louis University
1034 S Brentwood Blvd Ste 1120
Saint Louis, MO 63117
(314) 977-4663
Ages Seen: 18 Yrs/99 Yrs
Patil, Pooja, MD !"
Provider ID: 378157
SSM Managed Care Organization
1066 Executive Pkwy Dr Ste 105
Saint Louis, MO 63141
(314) 317-9960
Ages Seen: 00 Yrs/99 Yrs
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
INTERNAL MEDICINE (cont.)
Potter, Sarah, DO
Provider ID: 539316
SSM Managed Care Organization
10010 Kennerly Rd
Saint Louis, MO 63128
(314) 525-1000
Ages Seen: 12 Yrs/99 Yrs
Potter, Sarah, DO
Provider ID: 539316
SSM Managed Care Organization
2345 Dougherty Ferry Rd
Saint Louis, MO 63122
(314) 966-9100
Ages Seen: 12 Yrs/99 Yrs
Pritz, Todd, MD !
Provider ID: 439159
Midwest Acute Care Consultants
11155 Dunn Rd Ste 315 E
Saint Louis, MO 63136
(315) 355-7500
Ages Seen: 00 Yrs/99 Yrs
Quader, Zafar, MD !"
Provider ID: 349462
Language: Urdu
Zafar Quader MD
10004 Kennerly Rd Ste 257 A
Saint Louis, MO 63128
(314) 842-6333
Ages Seen: 18 Yrs/99 Yrs
St Anthonys Medical Center
Quader, Zafar, MD
Provider ID: 349462
Language: Urdu
Zafar Quader MD
3009 N Ballas Rd Ste 229 A
Saint Louis, MO 63131
(314) 432-5144
Ages Seen: 18 Yrs/99 Yrs
St Anthonys Medical Center
Riley, Joel, MD !
Provider ID: 238168
Language: French
SSM Managed Care Organization
6400 Clayton Rd Ste 216
Saint Louis, MO 63117
(314) 646-7848
Ages Seen: 17 Yrs/99 Yrs
Rodgers, Heide, MD
Provider ID: 439152
Midwest Acute Care Consultants
11155 Dunn Ste 315E
Saint Louis, MO 63136
(314) 355-7500
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
JANUARY 2011
Zukowska, Danuta, MD !
Provider ID: 347543
Language: French, Polish,
Russian
SSM Managed Care Organization
2345 Dougherty Ferry Rd
Saint Louis, MO 63122
(636) 530-0800
Ages Seen: 00 Yrs/99 Yrs
MATERNAL FETAL
MEDICINE
Amon, Erol, MD !
Provider ID: 234886
St Louis University
1027 Bellevue Ave
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Amon, Erol, MD !"
Provider ID: 234886
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Amon, Erol, MD !
Provider ID: 557543
SSM Managed Care Organization
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
St Louis University Hospital
Amon, Erol, MD !
Provider ID: 234886
St Louis University
12303 De Paul Dr
Bridgeton, MO 63044
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Amon, Erol, MD !
Provider ID: 557543
SSM Managed Care Organization
12303 De Paul Dr
Bridgeton, MO 63044
(314) 344-6000
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
St Louis University Hospital
Amon, Erol, MD !
Provider ID: 234886
St Louis University
6420 Clayton Rd
First Fl Clinic
Saint Louis, MO 63117
(314) 768-8373
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Artal, Raul, MD !
Provider ID: 567383
SSM Managed Care Organization
1015 Bowles Ave
Fenton, MO 63026
(636) 496-2502
Ages Seen: 00 Yrs/999 Yrs
SSM
St Louis University Hospital
Artal, Raul, MD !
Provider ID: 567383
SSM Managed Care Organization
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 781-7455
Ages Seen: 00 Yrs/999 Yrs
SSM
St Louis University Hospital
Artal, Raul, MD "
Provider ID: 238616
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Artal, Raul, MD "
Provider ID: 238616
St Louis University
6420 Clayton Rd
First Fl Clinic
Saint Louis, MO 63117
(314) 768-8373
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Artal, Raul, MD !
Provider ID: 567383
SSM Managed Care Organization
6420 Clayton Rd Ste 290
Saint Louis, MO 63117
(314) 781-4772
Ages Seen: 00 Yrs/999 Yrs
SSM
St Louis University Hospital
Greenspoon, Jeffrey, MD !"
Provider ID: 555001
SSM Managed Care Organization
1015 Bowles Ave
Fenton, MO 63026
(636) 496-2502
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM St Joseph Hospital West
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
MATERNAL FETAL
MEDICINE (cont.)
Greenspoon, Jeffrey, MD !
Provider ID: 555001
SSM Managed Care Organization
1027 Bellevue Ave
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM St Joseph Hospital West
Greenspoon, Jeffrey, MD !"
Provider ID: 555001
SSM Managed Care Organization
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM St Joseph Hospital West
Greenspoon, Jeffrey, MD !
Provider ID: 424765
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 768-8873
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Greenspoon, Jeffrey, MD !
Provider ID: 555001
SSM Managed Care Organization
12303 De Paul Dr
Bridgeton, MO 63044
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM St Joseph Hospital West
Greenspoon, Jeffrey, MD !
Provider ID: 424765
St Louis University
12303 Depaul Dr
Bridgeton, MO 63044
(314) 344-5495
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Greenspoon, Jeffrey, MD !
Provider ID: 555001
SSM Managed Care Organization
6420 Clayton Rd
First Fl
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM St Joseph Hospital West
! BOARD CERTIFIED
JANUARY 2011
Greenspoon, Jeffrey, MD !
Provider ID: 424765
St Louis University
6420 Clayton Rd
First Fl Clinic
Saint Louis, MO 63117
(314) 768-8873
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Gross, Gilad, MD !
Provider ID: 539989
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 18 Yrs/99 Yrs
SSM
St Louis University Hospital
Gross, Gilad, MD !
Provider ID: 539989
St Louis University
224 S Woods Mill Rd
S First Fl Clinicte 66
Chesterfield, MO 63017
(314) 977-7455
Ages Seen: 18 Yrs/99 Yrs
SSM
St Louis University Hospital
Gross, Gilad, MD !
Provider ID: 539989
St Louis University
6420 Clayton Rd
First Fl Clinic
Saint Louis, MO 63117
(314) 768-8373
Ages Seen: 18 Yrs/99 Yrs
SSM
St Louis University Hospital
Mostello, Dorothea, MD !"
Provider ID: 555243
SSM Managed Care Organization
1015 Bowles Ave
Fenton, MO 63026
(636) 496-2502
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM St Joseph Hospital West
Mostello, Dorothea, MD !"
Provider ID: 555243
SSM Managed Care Organization
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM St Joseph Hospital West
Mostello, Dorothea, MD !
Provider ID: 555243
SSM Managed Care Organization
12303 De Paul Dr
Bridgeton, MO 63044
(314) 344-6495
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM St Joseph Hospital West
Vlastos, Emanuel, MD
Provider ID: 380590
St Louis University
1015 Bowles Ave
Fenton, MO 63026
(363) 649-6200
Ages Seen: 18 Yrs/99 Yrs
SSM
St Anthonys Medical Center
St L
Vlastos, Emanuel, MD !
Provider ID: 380590
St Louis University
1027 Bellevue Ave
Saint Louis, MO 63117
(314) 768-8730
Ages Seen: 18 Yrs/99 Yrs
SSM
St Anthonys Medical Center
St L
Myles, Thomas, MD !
Provider ID: 536265
SSM Managed Care Organization
1015 Bowles Ave
Fenton, MO 63026
(636) 496-2000
Ages Seen: 00 Yrs/99 Yrs
Vlastos, Emanuel, MD
Provider ID: 380590
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 18 Yrs/99 Yrs
SSM
St Anthonys Medical Center
St L
Myles, Thomas, MD !
Provider ID: 536265
SSM Managed Care Organization
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
Myles, Thomas, MD !
Provider ID: 536265
SSM Managed Care Organization
12255 Depaul Dr Ste 65
Bridgeton, MO 63044
(314) 781-7455
Ages Seen: 00 Yrs/99 Yrs
Myles, Thomas, MD !
Provider ID: 536265
SSM Managed Care Organization
12303 Depaul Dr
Bridgeton, MO 63044
(314) 344-6000
Ages Seen: 00 Yrs/99 Yrs
Myles, Thomas, MD !
Provider ID: 536265
SSM Managed Care Organization
6420 Clayton Rd
Saint Louis, MO 63117
(314) 768-8373
Ages Seen: 00 Yrs/99 Yrs
Vlastos, Emanuel, MD !
Provider ID: 380590
St Louis University
12303 Depaul Dr
Bridgeton, MO 63044
(314) 344-6495
Ages Seen: 18 Yrs/99 Yrs
SSM
St Anthonys Medical Center
St L
Vlastos, Emanuel, MD !
Provider ID: 380590
St Louis University
6420 Clayton Rd
Saint Louis, MO 63117
(314) 768-8873
Ages Seen: 18 Yrs/99 Yrs
SSM
St Anthonys Medical Center
St L
MEDICAL ONCOLOGY
Greenberg, David, MD
Provider ID: 558932
St Louis University
621 S New Ballas Rd
Ste 3005 Tower B
Saint Louis, MO 63141
(314) 251-7580
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St L
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
JANUARY 2011
French, Michael, MD !
Provider ID: 569557
SSM Managed Care Organization
12303 De Paul Dr
MEDICAL ONCOLOGY (cont.)
Bridgeton, MO 63044
(314) 344-6000
Schergen, Alvin, MD !"
Ages Seen: 00 Yrs/99 Yrs
Provider ID: 376540
SSM
SSM Managed Care Organization
SSM
6400 Clayton Rd Ste 302
St Anthonys Medical Center
Saint Louis, MO 63117
(314) 645-3370
Hall, Heather, MD
Ages Seen: 00 Yrs/99 Yrs
Provider ID: 291862
SSM
St Louis University
SSM St Marys Health Center
6420 Clayton Rd
St A
Saint Louis, MO 63117
(618) 577-5642
NEONATAL PERINATAL
Ages Seen: 00 Yrs/99 Yrs
MEDICINE
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
! BOARD CERTIFIED
Havranek, Thomas, MD !
Provider ID: 546336
SSM Managed Care Organization
12303 De Paul Dr
Bridgeton, MO 63044
(314) 344-6000
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM Cardinal Glennon Child
Mayer, Nicholas, MD !
Provider ID: 520943
SSM Managed Care Organization
11125 Dunn Rd Ste 308
Saint Louis, MO 63136
(314) 741-1600
Ages Seen: 00 Yrs/99 Yrs
Spence, Kimberly, MD !
Provider ID: 546664
SSM Managed Care Organization
12303 De Paul Dr
Bridgeton, MO 63044
(314) 344-6000
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM Cardinal Glennon Child
NEPHROLOGY
Alvarez, Alejandro, MD !"
Provider ID: 337259
Language: Spanish
SSM Managed Care Organization
10004 Kennerly Rd Ste 374B
Saint Louis, MO 63128
(314) 842-9669
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
St Louis University Hospital
Alvarez, Alejandro, MD !
Provider ID: 337259
Language: Spanish
SSM Managed Care Organization
3009 N Ballas Rd Ste 365C
Saint Louis, MO 63131
(314) 991-0137
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
St Louis University Hospital
Alvarez, Alejandro, MD !"
Provider ID: 337259
Language: Spanish
SSM Managed Care Organization
6400 Clayton Rd Ste 216
Saint Louis, MO 63117
(314) 842-9669
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
St Louis University Hospital
Argoudelis, Alexis, MD !"
Provider ID: 562537
3009 N Ballas Rd Ste 365C
Saint Louis, MO 63131
(314) 991-0137
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM St Marys Health Center
Bentley, Felicia, MD !
Provider ID: 422329
Bentley Renal Care
11125 Dunn Rd Ste 308
Saint Louis, MO 63136
(314) 741-1600
Ages Seen: 12 Yrs/99 Yrs
Chen, Qing, MD !
Provider ID: 546333
Language: Chinese
SSM Managed Care Organization
12855 N Forty Dr Ste 205
Saint Louis, MO 63141
(314) 720-0900
Ages Seen: 00 Yrs/99 Yrs
Chen, Qing, MD !
Provider ID: 546333
Language: Chinese
SSM Managed Care Organization
3844 S Lindbergh Blvd Ste 220
Saint Louis, MO 63127
(314) 525-0545
Ages Seen: 00 Yrs/99 Yrs
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
NEPHROLOGY (cont.)
Mataic, Danijela, MD "
Provider ID: 366100
Language: Spanish
SSM Managed Care Organization
6400 Clayton Rd Ste 347 B
Saint Louis, MO 63128
(314) 644-2202
Ages Seen: 00 Yrs/99 Yrs
Mwintshi, Kabeya, MD !
Provider ID: 539328
Language: French, Swahili
SSM Managed Care Organization
10004 Kennerly Rd Ste 374B
Saint Louis, MO 63128
(314) 842-9669
Ages Seen: 00 Yrs/99 Yrs
Mwintshi, Kabeya, MD !
Provider ID: 539328
Language: French, Swahili
SSM Managed Care Organization
11636 W Florissant Ave
Florissant, MO 63033
(314) 842-9669
Ages Seen: 00 Yrs/99 Yrs
Mwintshi, Kabeya, MD !
Provider ID: 539328
Language: French, Swahili
SSM Managed Care Organization
6400 Clayton Rd Ste 216
Saint Louis, MO 63117
(314) 842-9669
Ages Seen: 00 Yrs/99 Yrs
Pande, Sangeeta, MD !
Provider ID: 541625
SSM Managed Care Organization
11125 Dunn Rd Ste 308
Saint Louis, MO 63136
(314) 741-1600
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
Pandurangan,
Gopalakrish, MD !"
Provider ID: 375052
SSM Managed Care Organization
10004 Kennerly Rd Ste 315
Saint Louis, MO 63128
(314) 843-3449
Ages Seen: 00 Yrs/99 Yrs
Quadir, Humayun, MD !"
Provider ID: 337471
SSM Managed Care Organization
10004 Kennerly Rd Ste 315A
Saint Louis, MO 63128
(314) 843-3449
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
JANUARY 2011
Seltzer, Jay, MD !
Provider ID: 545026
SSM Managed Care Organization
12855 N 40 Dr Ste 205
Saint Louis, MO 63141
(314) 729-0900
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
Singh, Inderjit, MD !"
Provider ID: 435350
Language: Hindi, Punjabi, Urdu
Inderjit Singh MD
11125 Dunn Rd Ste 308
Saint Louis, MO 63136
(314) 741-1600
Ages Seen: 00 Yrs/99 Yrs
Stern-Mailey, Kira, MD !
Provider ID: 337581
SSM Managed Care Organization
3009 N Ballas Rd Ste 142
Saint Louis, MO 63131
(314) 289-6677
Ages Seen: 18 Yrs/99 Yrs
Tauk, Nabil, MD !
Provider ID: 337308
SSM Managed Care Organization
10004 Kennerly Rd Ste 103A
Saint Louis, MO 63128
(314) 543-5235
Ages Seen: 00 Yrs/99 Yrs
Tauk, Nabil, MD !
Provider ID: 337308
SSM Managed Care Organization
12277 De Paul Dr
Ste 405 South
Bridgeton, MO 63044
(314) 344-7299
Ages Seen: 00 Yrs/99 Yrs
NEUROLOGY
Alshekhlee, Amer, MD !
Provider ID: 552418
SSM Managed Care Organization
12303 Depaul Dr
Bridgeton, MO 63044
(314) 344-6000
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Andrews, Wegdan, MD !
Provider ID: 325048
St Louis University
2325 Dougherty Ferry Rd Ste 100
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Callison, Richard, MD !
Provider ID: 566738
SSM Managed Care Organization
12303 De Paul Dr
Bridgeton, MO 63044
(314) 344-6000
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM Depaul Health Center
Cruz- Flores, Salvador, MD !
Provider ID: 513100
Language: Spanish
SSM Managed Care Organization
1015 Bowles Ave
Fenton, MO 63026
(636) 496-2000
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM Cardinal Glennon Child
St L
Cruz- Flores, Salvador, MD !
Provider ID: 513100
Language: Spanish
SSM Managed Care Organization
12303 Depaul Dr
Bridgeton, MO 63044
(314) 344-6000
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM Cardinal Glennon Child
St L
Cruz- Flores, Salvador, MD !
Provider ID: 513100
Language: Spanish
SSM Managed Care Organization
6400 Clayton Rd
Saint Louis, MO 63117
(314) 768-8000
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM Cardinal Glennon Child
St L
Dobmeyer, Susan, MD !"
Provider ID: 385657
SSM Managed Care Organization
3009 N Ballas Rd Ste 102B
Saint Louis, MO 63131
(314) 725-2010
Ages Seen: 18 Yrs/99 Yrs
Faber, Cheryl, MD !
Provider ID: 385662
Language: Chinese
SSM Managed Care Organization
3009 N Ballas Rd Ste 102B
Saint Louis, MO 63131
(314) 725-2010
Ages Seen: 18 Yrs/99 Yrs
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
NEUROLOGY (cont.)
Vora, Nirav, MD !
Provider ID: 550448
Language: Gujarati
SSM Managed Care Organization
1015 Bowles Ave
Fenton, MO 63026
(636) 496-2000
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
St Louis University Hospital
Vora, Nirav, MD !
Provider ID: 550448
Language: Gujarati
SSM Managed Care Organization
12303 Depaul Dr
Bridgeton, MO 63044
(314) 344-6000
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
St Louis University Hospital
NEUROSURGERY
Eller, Jorge, MD !"
Provider ID: 550136
St Louis University
10012 Kennerly Rd Ste 400
Saint Louis, MO 63128
(314) 577-8720
Ages Seen: 00 Yrs/99 Yrs
SSM
St Anthonys Medical Center
St L
Felton, Jason, MD
Provider ID: 556391
St Louis University
10012 Kennerl Y Rd Ste 400
Saint Louis, MO 63128
(314) 543-5951
Ages Seen: 00 Yrs/99 Yrs
SSM
St Anthonys Medical Center
St L
Khan, Shah-Naz, MD !
Provider ID: 527757
St Louis University
10004 Kennerly Rd Ste 400
Saint Louis, MO 63128
(314) 543-5951
Ages Seen: 18 Yrs/99 Yrs
! BOARD CERTIFIED
JANUARY 2011
OBSTETRICS/
GYNECOLOGY
Alvarez, Alejandra, MD
Provider ID: 550871
Language: Spanish
SSM Managed Care Organization
3555 Sunset Office Dr Ste 107
Saint Louis, MO 63127
(314) 238-9000
Ages Seen: 00 Yrs/99 Yrs
SSM St Clare Health Center
Amon, Erol, MD !
Provider ID: 234886
St Louis University
1027 Bellevue Ave
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Amon, Erol, MD !"
Provider ID: 234886
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Amon, Erol, MD !
Provider ID: 234886
St Louis University
12303 De Paul Dr
Bridgeton, MO 63044
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Amon, Erol, MD !
Provider ID: 234886
St Louis University
6420 Clayton Rd
First Fl Clinic
Saint Louis, MO 63117
(314) 768-8373
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Artal, Raul, MD "
Provider ID: 238616
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Artal, Raul, MD "
Provider ID: 238616
St Louis University
6420 Clayton Rd
First Fl Clinic
Saint Louis, MO 63117
(314) 768-8373
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Babar, Sangeeta, MD "
Provider ID: 443345
Peoples Health Center
11642 W Florissant Rd
Saint Louis, MO 63033
(314) 367-7848
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Babar, Sangeeta, MD "
Provider ID: 443345
Peoples Health Center
7200 Manchester Rd
Saint Louis, MO 63043
(314) 367-7848
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Barr, Susan, MD
Provider ID: 412688
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Blaskiewicz, Robert, MD "
Provider ID: 235873
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
OBSTETRICS/
GYNECOLOGY (cont.)
Dubas, Nicole, MD
Provider ID: 462967
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Dubas, Nicole, MD
Provider ID: 462775
St Louis Cty Department of Health
4000 Jennings St Rd
Saint Louis, MO 63121
(314) 679-7800
Ages Seen: 00 Yrs/99 Yrs
SSM
St Louis University Hospital
Dubas, Nicole, MD
Provider ID: 462775
St Louis Cty Department of Health
4580 S Linbergh
Saint Louis, MO 63127
(314) 842-1300
Ages Seen: 00 Yrs/99 Yrs
SSM
St Louis University Hospital
Fisher, Marsha, MD !"
Provider ID: 356823
Serenity Womens Healthcare I
493 Saint Francois Ste 2
Florissant, MO 63031
(314) 972-9888
Ages Seen: 00 Yrs/99 Yrs
Gosser, Brian, MD
Provider ID: 392028
SSM Managed Care Organization
10004 Kennerly Ste 386
Saint Louis, MO 63128
(314) 842-7910
Ages Seen: 00 Yrs/99 Yrs
St Anthonys Medical Center
Greenspoon, Jeffrey, MD !
Provider ID: 424765
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 768-8873
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Greenspoon, Jeffrey, MD !
Provider ID: 424765
St Louis University
12303 Depaul Dr
Bridgeton, MO 63044
(314) 344-5495
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
! BOARD CERTIFIED
JANUARY 2011
Greenspoon, Jeffrey, MD !
Provider ID: 424765
St Louis University
6420 Clayton Rd
First Fl Clinic
Saint Louis, MO 63117
(314) 768-8873
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Hahn, Eran, MD !"
Provider ID: 291708
Language: Hebrew
SSM Managed Care Organization
1035 Bellevue Ave Ste 320
Saint Louis, MO 63117
(314) 344-8100
Ages Seen: 18 Yrs/99 Yrs
SSM Depaul Health Center
Hahn, Eran, MD !"
Provider ID: 291708
Language: Hebrew
SSM Managed Care Organization
12255 De Paul Dr Ste 320
Bridgeton, MO 63044
(314) 344-8100
Ages Seen: 18 Yrs/99 Yrs
SSM Depaul Health Center
Hahn, Eran, MD !
Provider ID: 291708
Language: Hebrew
SSM Managed Care Organization
12303 Depaul Dr
Bridgeton, MO 63044
(314) 344-6000
Ages Seen: 18 Yrs/99 Yrs
SSM Depaul Health Center
Handler, Michael, MD !"
Provider ID: 337597
16964 Manchester Rd
Grover, MO 63040
(636) 458-8881
Ages Seen: 00 Yrs/99 Yrs
Handler, Michael, MD !"
Provider ID: 337597
533 Couch Ave Ste 292
Saint Louis, MO 63122
(314) 821-8881
Ages Seen: 00 Yrs/99 Yrs
Hoenicke, Nicole, MD !"
Provider ID: 291768
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 781-7455
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Hoenicke, Nicole, MD !"
Provider ID: 291768
12303 Depaul Dr
Hazelwood, MO 63044
(314) 781-7455
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
OBSTETRICS/
GYNECOLOGY (cont.)
Konkol, Deborah, MD !
Provider ID: 337578
SSM Managed Care Organization
533 Couch Ave Ste 186
Saint Louis, MO 63122
(314) 725-4359
Ages Seen: 00 Yrs/99 Yrs
Lefevre, Cherie, MD !"
Provider ID: 238056
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Lefevre, Cherie, MD !"
Provider ID: 238056
St Louis University
12255 Depaul Dr Ste 65
Bridgeton, MO 63044
(314) 781-7455
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Lefevre, Cherie, MD !"
Provider ID: 238056
St Louis University
12303 Depaul Dr
Bridgeton, MO 63044
(314) 781-7455
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Lefevre, Cherie, MD !"
Provider ID: 238056
St Louis University
6420 Clayton Rd
First Fl Clinic
Saint Louis, MO 63117
(314) 768-8373
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Leong, Fah Che, MD !"#
Provider ID: 239092
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
SSM
St Louis University Hospital
! BOARD CERTIFIED
JANUARY 2011
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
OBSTETRICS/
GYNECOLOGY (cont.)
Myles, Thomas, MD !
Provider ID: 239091
St Louis University
12303 Depaul Dr
Bridgeton, MO 63044
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
St Louis University Hospital
Myles, Thomas, MD !
Provider ID: 239091
St Louis University
224 S Woodsmill Rd Ste 665 S
Chesterfield, MO 63017
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
St Louis University Hospital
Myles, Thomas, MD !
Provider ID: 239091
St Louis University
6420 Clayton Rd
Saint Louis, MO 63117
(314) 768-8373
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
St Louis University Hospital
Nguyen, Thinh, MD "
Provider ID: 504591
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 18 Yrs/99 Yrs
SSM
St Louis University Hospital
North County Health Center "
Provider ID: 321467
2796-98 N Hwy 67
Florissant, MO 63033
(314) 921-4445
Petersen, Diane, MD !"
Provider ID: 365136
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 16 Yrs/99 Yrs
St Louis University Hospital
! BOARD CERTIFIED
JANUARY 2011
Scott, Leslie, MD !
Provider ID: 486031
SSM Managed Care Organization
10135 W Florissant Ave
Saint Louis, MO 63136
(314) 521-1444
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
Scott, Leslie, MD !
Provider ID: 486031
SSM Managed Care Organization
12303 Depaul Dr
Bridgeton, MO 63044
(314) 521-1444
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
Shah, Mitul, MD !
Provider ID: 412681
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Shah, Mitul, MD !
Provider ID: 422604
St Louis Cty Department of Health
6065 Helen Ave
Saint Louis, MO 63134
(314) 522-6410
Ages Seen: 18 Yrs/99 Yrs
SSM
St Louis University Hospital
Shyken, Jaye, MD "
Provider ID: 554755
SSM Managed Care Organization
1015 Bowles Ave
Fenton, MO 63026
(636) 496-2502
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM Depaul Health Center
Shyken, Jaye, MD
Provider ID: 554755
SSM Managed Care Organization
12303 De Paul Dr
Bridgeton, MO 63044
(314) 344-6000
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM Depaul Health Center
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
OBSTETRICS/
GYNECOLOGY (cont.)
Thomure, Michael, MD !"
Provider ID: 237428
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 781-7455
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Thomure, Michael, MD !"
Provider ID: 237428
St Louis University
12303 Depaul Dr
Hazelwood, MO 63044
(314) 781-7455
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Thomure, Michael, MD !"
Provider ID: 237428
St Louis University
6420 Clayton Rd
First Fl Clinic
Saint Louis, MO 63117
(314) 781-4772
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Treece, Yvonne, MD "
Provider ID: 479737
Peoples Health Center
7200 Manchester Rd
Maryland Heights, MO 63043
(314) 367-7848
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Tritto, April, MD "
Provider ID: 467917
St Louis Cty Department of Health
4580 S Lindbergh
Lemay, MO 63125
(314) 842-1300
Ages Seen: 18 Yrs/99 Yrs
Tritto, April, MD "
Provider ID: 467917
St Louis Cty Department of Health
6065 Helen Ave
Berkeley, MO 63134
(314) 522-6410
Ages Seen: 18 Yrs/99 Yrs
Tritto, April, MD
Provider ID: 428225
St Louis University
6420 Clayton Rd
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 18 Yrs/99 Yrs
! BOARD CERTIFIED
JANUARY 2011
Vlastos, Emanuel, MD !
Provider ID: 380590
St Louis University
1015 Bowles Ave
Fenton, MO 63026
(363) 649-6200
Ages Seen: 18 Yrs/99 Yrs
SSM
St Anthonys Medical Center
St L
Vlastos, Emanuel, MD !
Provider ID: 380590
St Louis University
1027 Bellevue Ave
Saint Louis, MO 63117
(314) 768-8730
Ages Seen: 18 Yrs/99 Yrs
SSM
St Anthonys Medical Center
St L
Vlastos, Emanuel, MD !
Provider ID: 380590
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 18 Yrs/99 Yrs
SSM
St Anthonys Medical Center
St L
Vlastos, Emanuel, MD
Provider ID: 380590
St Louis University
12303 Depaul Dr
Bridgeton, MO 63044
(314) 344-6495
Ages Seen: 18 Yrs/99 Yrs
SSM
St Anthonys Medical Center
St L
Vlastos, Emanuel, MD
Provider ID: 380590
St Louis University
6420 Clayton Rd
Saint Louis, MO 63117
(314) 768-8873
Ages Seen: 18 Yrs/99 Yrs
SSM
St Anthonys Medical Center
St L
Ward, Donald, MD !
Provider ID: 238618
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 18 Yrs/99 Yrs
SSM
St Louis University Hospital
Ward, Donald, MD !
Provider ID: 238618
St Louis University
12255 Depaul Dr Ste 65
Hazelwood, MO 63044
(314) 781-7455
Ages Seen: 18 Yrs/99 Yrs
SSM
St Louis University Hospital
Ward, Donald, MD !
Provider ID: 524430
St Louis Cty Department of Health
4000 Jenning Station Rd
Saint Louis, MO 63121
(314) 679-7800
Ages Seen: 00 Yrs/99 Yrs
SSM
St Louis University Hospital
Ward, Donald, MD !
Provider ID: 238618
St Louis University
4000 Jennings Station Rd
Saint Louis, MO 63121
(314) 679-7800
Ages Seen: 18 Yrs/99 Yrs
SSM
St Louis University Hospital
Ward, Donald, MD !"
Provider ID: 238618
St Louis University
6420 Clayton Rd
First Fl Clinic
Saint Louis, MO 63117
(314) 781-1505
Ages Seen: 18 Yrs/99 Yrs
SSM
St Louis University Hospital
West County Health Center "
Provider ID: 321466
1 Stonegate Center
Manchester, MO 63088
(636) 431-0030
Xynos, Francisco, MD "
Provider ID: 291679
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 13 Yrs/99 Yrs
SSM
SSM
St Louis University Hospital
Xynos, Francisco, MD
Provider ID: 291679
224 S Woodsmill Rd Ste 665 S
Chesterfield, MO 63017
(314) 977-7455
Ages Seen: 13 Yrs/99 Yrs
SSM
SSM
St Louis University Hospital
OCCUPATIONAL MEDICINE
Covert, Richard, MD !
Provider ID: 409863
SSM Managed Care Organization
1 Village Square Center Ste A
Hazelwood, MO 63042
(314) 731-9675
Ages Seen: 00 Yrs/99 Yrs
OPHTHALMOLOGY
Akduman, Levent, MD
Provider ID: 234525
St Louis University
1034 S Kirkwood Rd
Saint Louis, MO 63122
(314) 821-4252
Ages Seen: 00 Yrs/99 Yrs
Brothers, Whitney, MD !
Provider ID: 531659
SSM Managed Care Organization
222 S Woods Mill Rd Ste 660N
Chesterfield, MO 63017
(314) 878-9902
Ages Seen: 00 Yrs/99 Yrs
SSM St Joseph Health Center
Cruz, Oscar, MD !"
Provider ID: 234357
Language: Spanish
SLU-Dept of Pediatrics
12700 Southfork Rd
Saint Louis, MO 63125
(314) 977-6100
Ages Seen: 00 Yrs/99 Yrs
Cruz, Oscar, MD !"
Provider ID: 234357
Language: Spanish
SLU-Dept of Pediatrics
13131 Tesson Ferry Rd
Saint Louis, MO 63129
(314) 842-3535
Ages Seen: 00 Yrs/99 Yrs
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
OPHTHALMOLOGY (cont.)
Davitt, Bradley, MD !"
Provider ID: 238064
SLU-Dept of Ophthalmology
12700 Southfork Rd
Saint Louis, MO 63125
(314) 977-4440
Ages Seen: 00 Yrs/99 Yrs
Davitt, Bradley, MD !"
Provider ID: 238064
SLU-Dept of Ophthalmology
13131 Tesson Ferry Rd
Saint Louis, MO 63129
(314) 842-3535
Ages Seen: 00 Yrs/99 Yrs
JANUARY 2011
Olk, Robert, MD !
Provider ID: 470051
Nu-Crown dba Crown Optica
1730 Clarkson Rd Ste B
Chesterfield, MO 63017
(636) 537-0700
Ages Seen: 00 Yrs/99 Yrs
Olk, Robert, MD !
Provider ID: 470051
Nu-Crown dba Crown Optica
8885 Ladue Rd
Saint Louis, MO 63124
(314) 721-2720
Ages Seen: 00 Yrs/99 Yrs
Olk, Robert, MD !
Provider ID: 470051
Nu-Crown dba Crown Optica
10465 St Charles Rock Rd
Saint Ann, MO 63074
(314) 423-2010
Ages Seen: 00 Yrs/99 Yrs
Olk, Robert, MD !
Provider ID: 470051
Nu-Crown dba Crown Optica
2538 Lemay Plaza
Saint Louis, MO 63125
(314) 894-2255
Ages Seen: 00 Yrs/99 Yrs
Olk, Robert, MD !
Provider ID: 470051
Nu-Crown dba Crown Optica
935 N Hwy 67
Florissant, MO 63031
(314) 838-7644
Ages Seen: 00 Yrs/99 Yrs
Olk, Robert, MD !
Provider ID: 470051
Nu-Crown dba Crown Optica
11477 Olive Blvd
Saint Louis, MO 63141
(314) 567-3884
Ages Seen: 00 Yrs/99 Yrs
Olk, Robert, MD !
Provider ID: 470051
Nu-Crown dba Crown Optica
343 S Kirkwood Rd
Saint Louis, MO 63122
(314) 965-6773
Ages Seen: 00 Yrs/99 Yrs
Olk, Robert, MD !
Provider ID: 470051
Nu-Crown dba Crown Optica
427 Lafayette Center
Ballwin, MO 63011
(636) 391-1309
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
Olk, Robert, MD !
Provider ID: 337475
SSM Managed Care Organization
4305 Butler Hill Rd
Saint Louis, MO 63128
(314) 569-2020
Ages Seen: 00 Yrs/99 Yrs
Olk, Robert, MD !
Provider ID: 470051
Nu-Crown dba Crown Optica
5694 Telegraph Plaza
Saint Louis, MO 63129
(314) 846-4222
Ages Seen: 00 Yrs/99 Yrs
Olk, Robert, MD !"
Provider ID: 337475
SSM Managed Care Organization
699 Gravois Bluff Blvd Ste B
Fenton, MO 63026
(618) 993-5686
Ages Seen: 00 Yrs/99 Yrs
Olk, Robert, MD !
Provider ID: 470051
Nu-Crown dba Crown Optica
7305 Watson Rd
Saint Louis, MO 63119
(314) 352-5367
Ages Seen: 00 Yrs/99 Yrs
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
OPHTHALMOLOGY (cont.)
Peralta, Enrique, MD
Provider ID: 337507
Language: French
SSM Managed Care Organization
11477 Olive Blvd
Saint Louis, MO 63141
(314) 878-2222
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Peralta, Enrique, MD "
Provider ID: 337507
Language: French
SSM Managed Care Organization
11710 Chesterfield
Airport Rd
Chesterfield, MO 63005
(314) 569-2020
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Peralta, Enrique, MD "
Provider ID: 337507
Language: French
SSM Managed Care Organization
11710 Old Ballas Rd Ste 102
Saint Louis, MO 63141
(314) 569-2020
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Peralta, Enrique, MD "
Provider ID: 337507
Language: French
SSM Managed Care Organization
12255 De Paul Dr Ste 420
Bridgeton, MO 63044
(314) 291-5000
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Peralta, Enrique, MD "
Provider ID: 417573
Language: French
Nu-Crown dba Crown Optica
12406 Tesson Ferry Rd
Saint Louis, MO 63128
(314) 842-5858
Ages Seen: 03 Yrs/99 Yrs
SSM St Marys Health Center
Peralta, Enrique, MD "
Provider ID: 417573
Language: French
Nu-Crown dba Crown Optica
12601 Olive Blvd
Saint Louis, MO 63141
(314) 336-4690
Ages Seen: 03 Yrs/99 Yrs
SSM St Marys Health Center
! BOARD CERTIFIED
JANUARY 2011
Peralta, Enrique, MD
Provider ID: 337507
Language: French
SSM Managed Care Organization
17249 Chesterfield Airport Rd
Chesterfield, MO 63005
(314) 569-2020
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Peralta, Enrique, MD
Provider ID: 337507
Language: French
SSM Managed Care Organization
1730 Clarkson Rd Ste B
Chesterfield, MO 63017
(314) 878-2222
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Peralta, Enrique, MD
Provider ID: 337507
Language: French
SSM Managed Care Organization
5694 Telegraph Plz
Saint Louis, MO 63129
(314) 878-2222
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Peralta, Enrique, MD
Provider ID: 417573
Language: French
Nu-Crown dba Crown Optica
7235 Watson Rd
Saint Louis, MO 63119
(314) 352-5367
Ages Seen: 03 Yrs/99 Yrs
SSM St Marys Health Center
Peralta, Enrique, MD
Provider ID: 337507
Language: French
SSM Managed Care Organization
730 S Kirkwood Rd
Saint Louis, MO 63122
(314) 569-2020
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
OPHTHALMOLOGY (cont.)
Ullrich, Chris, OD !
Provider ID: 440377
Nu-Crown dba Crown Optica
10465 St Charles Rock Rd
Saint Louis, MO 63074
(314) 423-2010
Ages Seen: 00 Yrs/99 Yrs
Ullrich, Chris, OD !
Provider ID: 440377
Nu-Crown dba Crown Optica
11477 Olive Blvd
Creve Coeur, MO 63141
(314) 567-3884
Ages Seen: 00 Yrs/99 Yrs
Ullrich, Chris, OD !
Provider ID: 440377
Nu-Crown dba Crown Optica
12406 Tesson Ferry Rd
Saint Louis, MO 63128
(314) 842-5252
Ages Seen: 00 Yrs/99 Yrs
Ullrich, Chris, OD !
Provider ID: 440377
Nu-Crown dba Crown Optica
12601 Olive Blvd
Saint Louis, MO 63141
(314) 336-4690
Ages Seen: 00 Yrs/99 Yrs
Ullrich, Chris, OD !
Provider ID: 440377
Nu-Crown dba Crown Optica
12607 Olive Blvd
Saint Louis, MO 63141
(800) 407-2696
Ages Seen: 00 Yrs/99 Yrs
Ullrich, Chris, OD !
Provider ID: 440377
Nu-Crown dba Crown Optica
1730 Clarkson Rd Ste B
Chesterfield, MO 63017
(636) 537-0700
Ages Seen: 00 Yrs/99 Yrs
Ullrich, Chris, OD !
Provider ID: 440377
Nu-Crown dba Crown Optica
2538 Lemay Plaza
Saint Louis, MO 63125
(314) 894-2255
Ages Seen: 00 Yrs/99 Yrs
Ullrich, Chris, OD !
Provider ID: 440377
Nu-Crown dba Crown Optica
343 S Kirkwood Rd
Saint Louis, MO 63122
(314) 965-3773
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
JANUARY 2011
Ullrich, Chris, OD !
Provider ID: 440377
Nu-Crown dba Crown Optica
427 Lafayette Center
Ballwin, MO 63011
(636) 391-1309
Ages Seen: 00 Yrs/99 Yrs
Andrud, Andrea, OD
Provider ID: 468860
Nu-Crown dba Crown Optica
11477 Olive Blvd
Creve Coeur, MO 63141
(314) 567-3884
Ages Seen: 00 Yrs/99 Yrs
Andrud, Andrea, OD
Provider ID: 468860
Nu-Crown dba Crown Optica
8885 Ladue Rd
Saint Louis, MO 63124
(314) 721-2720
Ages Seen: 00 Yrs/99 Yrs
Ullrich, Chris, OD !
Provider ID: 440377
Nu-Crown dba Crown Optica
7235 Watson Rd
Saint Louis, MO 63119
(314) 352-5367
Ages Seen: 00 Yrs/99 Yrs
Andrud, Andrea, OD
Provider ID: 468860
Nu-Crown dba Crown Optica
12406 Tesson Ferry Rd
Saint Louis, MO 63128
(314) 842-5252
Ages Seen: 00 Yrs/99 Yrs
Andrud, Andrea, OD
Provider ID: 468860
Nu-Crown dba Crown Optica
935 N Hwy 67
Florissant, MO 63031
(314) 838-7644
Ages Seen: 00 Yrs/99 Yrs
Ullrich, Chris, OD !
Provider ID: 440377
Nu-Crown dba Crown Optica
8885 Ladue Rd
Saint Louis, MO 63124
(314) 721-2720
Ages Seen: 00 Yrs/99 Yrs
Andrud, Andrea, OD
Provider ID: 468860
Nu-Crown dba Crown Optica
12601 Olive Blvd
Saint Louis, MO 63141
(314) 336-4690
Ages Seen: 00 Yrs/99 Yrs
Andrud, Andrea, OD
Provider ID: 468860
Nu-Crown dba Crown Optica
9838 Clayton Rd
Saint Louis, MO 63124
(314) 993-4399
Ages Seen: 00 Yrs/99 Yrs
Ullrich, Chris, OD !
Provider ID: 440377
Nu-Crown dba Crown Optica
935 N Hwy 67
Florissant, MO 63031
(314) 838-7644
Ages Seen: 00 Yrs/99 Yrs
Andrud, Andrea, OD
Provider ID: 468860
Nu-Crown dba Crown Optica
1730 Clarkson Rd Ste B
Chesterfield, MO 63017
(636) 537-0700
Ages Seen: 00 Yrs/99 Yrs
Bagwasi, Thebe, OD
Provider ID: 554332
Bagwasi OD Family Eyecare
3270 Telegraph Rd
Saint Louis, MO 63125
(314) 845-3164
Ages Seen: 00 Yrs/99 Yrs
Ullrich, Chris, OD !
Provider ID: 440377
Nu-Crown dba Crown Optica
9838 Clayton Rd
Saint Louis, MO 63124
(314) 993-4399
Ages Seen: 00 Yrs/99 Yrs
Andrud, Andrea, OD
Provider ID: 468860
Nu-Crown dba Crown Optica
2538 Lemay Blvd
Saint Louis, MO 63125
(314) 894-2255
Ages Seen: 00 Yrs/99 Yrs
Bartosik, Wendy, OD
Provider ID: 473947
1 Brentwood Promenade
Brentwood, MO 63144
(314) 961-7552
Ages Seen: 05 Yrs/99 Yrs
OPTOMETRY
Allhoff, Henry, OD "
Provider ID: 321501
Clarkson Eyecare
14858 Manchester Rd
Ballwin, MO 63021
(636) 557-2020
Ages Seen: 00 Yrs/99 Yrs
Allhoff, Henry, OD
Provider ID: 321501
Clarkson Eyecare
2185 S Mason Rd
Town & Country, MO 63131
(314) 389-2020
Ages Seen: 00 Yrs/99 Yrs
Andrud, Andrea, OD
Provider ID: 468860
Nu-Crown dba Crown Optica
10465 St Charles Rock Rd
Saint Ann, MO 63074
(314) 423-2010
Ages Seen: 00 Yrs/99 Yrs
Andrud, Andrea, OD
Provider ID: 468860
Nu-Crown dba Crown Optica
343 S Kirkwood Rd
Kirkwood, MO 63122
(314) 965-6773
Ages Seen: 00 Yrs/99 Yrs
Andrud, Andrea, OD
Provider ID: 468860
Nu-Crown dba Crown Optica
427 Lafayette Center
Ballwin, MO 63011
(636) 391-1309
Ages Seen: 00 Yrs/99 Yrs
Andrud, Andrea, OD
Provider ID: 468860
Nu-Crown dba Crown Optica
7235 Watson Rd
Saint Louis, MO 63119
(314) 352-5367
Ages Seen: 00 Yrs/99 Yrs
Bartosik, Wendy, OD
Provider ID: 473947
10465 St Charles Rock Rd
Saint Ann, MO 63074
(314) 423-2010
Ages Seen: 05 Yrs/99 Yrs
Bartosik, Wendy, OD
Provider ID: 473947
11477 Olive Blvd
Creve Coeur, MO 63141
(314) 567-3884
Ages Seen: 05 Yrs/99 Yrs
Bartosik, Wendy, OD
Provider ID: 473947
12406 Tesson Ferry Rd
Saint Louis, MO 63128
(314) 843-5252
Ages Seen: 05 Yrs/99 Yrs
Bartosik, Wendy, OD
Provider ID: 473947
12601 Olive Blvd
Saint Louis, MO 63141
(314) 336-4690
Ages Seen: 05 Yrs/99 Yrs
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
OPTOMETRY (cont.)
Bartosik, Wendy, OD
Provider ID: 473947
1730 Clarkson Rd Ste B
Chesterfield, MO 63017
(636) 537-0700
Ages Seen: 05 Yrs/99 Yrs
Bartosik, Wendy, OD
Provider ID: 473947
2538 Lemay Plz
Saint Louis, MO 63125
(314) 894-2255
Ages Seen: 05 Yrs/99 Yrs
Bartosik, Wendy, OD
Provider ID: 473947
343 S Kirkwood Rd
Saint Louis, MO 63122
(314) 965-6773
Ages Seen: 05 Yrs/99 Yrs
Bartosik, Wendy, OD
Provider ID: 473947
427 Lafayette Center
Ballwin, MO 63011
(363) 391-1309
Ages Seen: 05 Yrs/99 Yrs
Bartosik, Wendy, OD
Provider ID: 473947
7235 Watson Rd
Saint Louis, MO 63119
(314) 352-5367
Ages Seen: 05 Yrs/99 Yrs
Bartosik, Wendy, OD
Provider ID: 473947
7305 Watson Rd
Saint Louis, MO 63119
(314) 352-5367
Ages Seen: 05 Yrs/99 Yrs
Bartosik, Wendy, OD
Provider ID: 473947
8885 Ladue Rd
Saint Louis, MO 63124
(314) 721-2720
Ages Seen: 05 Yrs/99 Yrs
Bartosik, Wendy, OD
Provider ID: 473947
9338 Clayton Rd
Saint Louis, MO 63124
(314) 993-4399
Ages Seen: 05 Yrs/99 Yrs
Bartosik, Wendy, OD
Provider ID: 473947
935 N Hwy 67
Florissant, MO 63031
(314) 838-7644
Ages Seen: 05 Yrs/99 Yrs
! BOARD CERTIFIED
JANUARY 2011
Beckham, Marsha, OD
Provider ID: 541986
Fredericktown Vision Center
114 E Lockwood
Webster, MO 63119
(314) 961-1211
Ages Seen: 00 Yrs/99 Yrs
Brave, Jennifer, OD
Provider ID: 471228
Nu-Crown dba Crown Optica
12406 Tesson Ferry Rd
Saint Louis, MO 63128
(314) 842-5252
Ages Seen: 03 Yrs/99 Yrs
Brave, Jennifer, OD
Provider ID: 471228
Nu-Crown dba Crown Optica
935 N Hwy 67
Florissant, MO 63031
(314) 838-7644
Ages Seen: 03 Yrs/99 Yrs
Beckham, Marsha, OD
Provider ID: 371557
Leonard Hughes Co dba Webs
114 E Lockwood Ave
Webster, MO 63119
(314) 961-1211
Ages Seen: 00 Yrs/99 Yrs
Brave, Jennifer, OD
Provider ID: 471228
Nu-Crown dba Crown Optica
12601 Olive Rd
Saint Louis, MO 63141
(314) 336-4690
Ages Seen: 03 Yrs/99 Yrs
Brave, Jennifer, OD
Provider ID: 471228
Nu-Crown dba Crown Optica
935 N US Hwy 67
Florissant, MO 63031
(314) 838-7644
Ages Seen: 03 Yrs/99 Yrs
Bellamy, Todd, OD
Provider ID: 321502
Clarkson Eyecare
736 N New Ballas
Creve Coeur, MO 63141
(314) 432-1134
Ages Seen: 00 Yrs/99 Yrs
Brave, Jennifer, OD
Provider ID: 471228
Nu-Crown dba Crown Optica
1730 Clarkson Rd Ste B
Chesterfield, MO 63017
(636) 537-0700
Ages Seen: 03 Yrs/99 Yrs
Brave, Jennifer, OD
Provider ID: 471228
Nu-Crown dba Crown Optica
9838 Clayton Rd
Saint Louis, MO 63124
(314) 993-4399
Ages Seen: 03 Yrs/99 Yrs
Brave, Jennifer, OD
Provider ID: 471228
Nu-Crown dba Crown Optica
2538 Lemay Plz
Saint Louis, MO 63125
(314) 894-2255
Ages Seen: 03 Yrs/99 Yrs
Clarkson Eyecare
Provider ID: 329439
50 E N St
Wildwood, MO 63025
(636) 200-4393
Ages Seen: 00 Yrs/99 Yrs
Brave, Jennifer, OD
Provider ID: 471228
Nu-Crown dba Crown Optica
343 S Kirkwood Rd
Saint Louis, MO 63122
(314) 965-6773
Ages Seen: 03 Yrs/99 Yrs
Brave, Jennifer, OD
Provider ID: 471228
Nu-Crown dba Crown Optica
427 Lafayette Center
Ballwin, MO 63011
(636) 391-1309
Ages Seen: 03 Yrs/99 Yrs
Brave, Jennifer, OD
Provider ID: 471228
Nu-Crown dba Crown Optica
10465 St Charles Rock Rd
Saint Louis, MO 63074
(314) 423-2010
Ages Seen: 03 Yrs/99 Yrs
Brave, Jennifer, OD
Provider ID: 471228
Nu-Crown dba Crown Optica
7235 Watson Rd
Saint Louis, MO 63119
(314) 352-5367
Ages Seen: 03 Yrs/99 Yrs
Brave, Jennifer, OD
Provider ID: 471228
Nu-Crown dba Crown Optica
11477 Olive Blvd
Creve Coeur, MO 63141
(314) 567-3884
Ages Seen: 03 Yrs/99 Yrs
Brave, Jennifer, OD
Provider ID: 471228
Nu-Crown dba Crown Optica
8885 Ladue Rd
Saint Louis, MO 63124
(314) 721-2720
Ages Seen: 03 Yrs/99 Yrs
Collier, Janet, OD
Provider ID: 321507
Clarkson Eyecare
730 S Kirkwood Rd
Kirkwood, MO 63122
(314) 821-2626
Ages Seen: 00 Yrs/99 Yrs
Craig, Margit, OD
Provider ID: 321509
Clarkson Eyecare
14858 Manchester Rd
Ballwin, MO 63021
(636) 557-2020
Ages Seen: 00 Yrs/99 Yrs
Craig, Margit, OD "
Provider ID: 321509
Clarkson Eyecare
2185 S Mason Rd
Town & Country, MO 63131
(314) 821-5666
Ages Seen: 00 Yrs/99 Yrs
Dalton, Jeanine, OD
Provider ID: 321510
Clarkson Eyecare
3533 Dunn Rd
Florissant, MO 63033
(314) 838-2100
Ages Seen: 00 Yrs/99 Yrs
Day, Sara, OD
Provider ID: 525843
Day Optometry
1391 Smizer Mill Rd Ste 102
Fenton, MO 63026
(636) 305-9600
Ages Seen: 00 Yrs/99 Yrs
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
OPTOMETRY (cont.)
Del Tergo, Margaret, OD "
Provider ID: 321511
Clarkson Eyecare
17249 Chesterfield Airport Rd
Chesterfield, MO 63005
(636) 787-7000
Ages Seen: 00 Yrs/99 Yrs
Del Tergo, Margaret, OD
Provider ID: 321511
Clarkson Eyecare
699 Gravois Bluffs
Fenton, MO 63026
(636) 349-3005
Ages Seen: 00 Yrs/99 Yrs
Durham, Lisa, OD "
Provider ID: 321527
Clarkson Eyecare
32 Four Season Center
Chesterfield, MO 63017
(636) 938-7010
Ages Seen: 00 Yrs/99 Yrs
Durham, Lisa, OD "
Provider ID: 321527
Clarkson Eyecare
54 The Legends Pkwy Ste 151
Eureka, MO 63025
(636) 938-7010
Ages Seen: 00 Yrs/99 Yrs
Fox, Jamal, OD "
Provider ID: 402713
Fox Eye Care Professionals
2037 Dorsett Village Rd
Maryland Heights, MO 63043
(314) 205-9797
Ages Seen: 00 Yrs/99 Yrs
Hafezi, Eneida, OD
Provider ID: 469842
Nu-Crown dba Crown Optica
10465 St Charles Rock Rd
Saint Ann, MO 63074
(314) 423-2010
Ages Seen: 03 Yrs/99 Yrs
Hafezi, Eneida, OD
Provider ID: 469842
Nu-Crown dba Crown Optica
11477 Olive Blvd
Saint Louis, MO 63141
(314) 567-3884
Ages Seen: 03 Yrs/99 Yrs
Hafezi, Eneida, OD
Provider ID: 469842
Nu-Crown dba Crown Optica
12406 Tesson Ferry Rd
Saint Louis, MO 63128
(314) 842-5858
Ages Seen: 03 Yrs/99 Yrs
! BOARD CERTIFIED
JANUARY 2011
Hafezi, Eneida, OD
Provider ID: 469842
Nu-Crown dba Crown Optica
12601 Olive Blvd
Saint Louis, MO 63141
(314) 336-4690
Ages Seen: 03 Yrs/99 Yrs
Hafezi, Eneida, OD
Provider ID: 469842
Nu-Crown dba Crown Optica
9838 Clayton Rd
Saint Louis, MO 63124
(314) 993-4399
Ages Seen: 03 Yrs/99 Yrs
Hafezi, Eneida, OD
Provider ID: 469842
Nu-Crown dba Crown Optica
1730 Clarkston Rd Ste B
Chesterfield, MO 63017
(636) 537-0700
Ages Seen: 03 Yrs/99 Yrs
Hafezi, Eneida, OD
Provider ID: 469842
Nu-Crown dba Crown Optica
2538 Lemay Plz
Saint Louis, MO 63125
(314) 894-2255
Ages Seen: 03 Yrs/99 Yrs
Hedgpath, Elizabeth, OD
Provider ID: 321592
Crown Optical
7235 Watson Rd
Saint Louis, MO 63119
(314) 352-5367
Ages Seen: 00 Yrs/99 Yrs
Hafezi, Eneida, OD
Provider ID: 469842
Nu-Crown dba Crown Optica
343 S Kirkwood Rd
Saint Louis, MO 63122
(314) 965-6773
Ages Seen: 03 Yrs/99 Yrs
Hafezi, Eneida, OD
Provider ID: 469842
Nu-Crown dba Crown Optica
427 Lafayette Center
Ballwin, MO 63011
(636) 391-1309
Ages Seen: 03 Yrs/99 Yrs
Hafezi, Eneida, OD
Provider ID: 469842
Nu-Crown dba Crown Optica
7235 Watson Rd
Saint Louis, MO 63119
(314) 352-5367
Ages Seen: 03 Yrs/99 Yrs
Hafezi, Eneida, OD
Provider ID: 469842
Nu-Crown dba Crown Optica
8885 Ladue Rd
Saint Louis, MO 63124
(314) 721-2720
Ages Seen: 03 Yrs/99 Yrs
Hafezi, Eneida, OD
Provider ID: 469842
Nu-Crown dba Crown Optica
935 N Hwy 67
Florissant, MO 63031
(314) 838-7644
Ages Seen: 03 Yrs/99 Yrs
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
OPTOMETRY (cont.)
Hegyi, Laura, OD "
Provider ID: 321598
Crown Optical
12406 Tesson Ferry Rd
Saint Louis, MO 63128
(314) 842-5858
Ages Seen: 00 Yrs/99 Yrs
Hegyi, Laura, OD "
Provider ID: 321598
Crown Optical
12601 Olive Blvd
Creve Coeur, MO 63141
(314) 336-4690
Ages Seen: 00 Yrs/99 Yrs
Hegyi, Laura, OD "
Provider ID: 321598
Crown Optical
1740 Clarkson Rd Ste B
Chesterfield, MO 63017
(636) 537-0700
Ages Seen: 00 Yrs/99 Yrs
Hegyi, Laura, OD "
Provider ID: 321598
Crown Optical
2538 Lemay Plaza
Saint Louis, MO 63125
(312) 894-2255
Ages Seen: 00 Yrs/99 Yrs
Hegyi, Laura, OD "
Provider ID: 321598
Crown Optical
343 S Kirkwood Rd
Kirkwood, MO 63122
(314) 965-6773
Ages Seen: 00 Yrs/99 Yrs
Hegyi, Laura, OD "
Provider ID: 321598
Crown Optical
427 Lafayette Center
Ballwin, MO 63011
(636) 391-1309
Ages Seen: 00 Yrs/99 Yrs
Hegyi, Laura, OD "
Provider ID: 321598
Crown Optical
5694 Telegraph Plaza
Saint Louis, MO 63129
(314) 846-4222
Ages Seen: 00 Yrs/99 Yrs
Hegyi, Laura, OD "
Provider ID: 321598
Crown Optical
7305 Watson Rd
Saint Louis, MO 63119
(314) 352-5367
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
JANUARY 2011
Jacques, Chantal, OD
Provider ID: 555309
Nu-Crown dba Crown Optica
10465 Saint Charles Rock Rd
Saint Ann, MO 63074
(314) 423-2010
Ages Seen: 02 Yrs/99 Yrs
Jacques, Chantal, OD
Provider ID: 555309
Nu-Crown dba Crown Optica
11477 Olive Blvd
Saint Louis, MO 63141
(314) 567-3884
Ages Seen: 02 Yrs/99 Yrs
Hoelting, Carl, MD
Provider ID: 344773
Clarkson Eyecare
7342 Manchester
Chesterfield, MO 63017
(314) 645-1575
Ages Seen: 00 Yrs/99 Yrs
Jacques, Chantal, OD
Provider ID: 555309
Nu-Crown dba Crown Optica
12406 Tesson Ferry Rd
Saint Louis, MO 63128
(314) 842-5252
Ages Seen: 02 Yrs/99 Yrs
Jacques, Chantal, OD
Provider ID: 555309
Nu-Crown dba Crown Optica
343 S Kirkwood Rd
Saint Louis, MO 63122
(314) 965-6773
Ages Seen: 02 Yrs/99 Yrs
Hohenberger, Mary, OD
Provider ID: 321602
Nu-Crown dba Crown Optica
7235 Watson Rd
Saint Louis, MO 63119
(314) 352-5367
Ages Seen: 00 Yrs/99 Yrs
Jacques, Chantal, OD
Provider ID: 555309
Nu-Crown dba Crown Optica
427 Lafayette Center
Ballwin, MO 63011
(636) 391-1309
Ages Seen: 02 Yrs/99 Yrs
Jacques, Chantal, OD
Provider ID: 555309
Nu-Crown dba Crown Optica
5694 Telegraph Rd
Saint Louis, MO 63129
(314) 846-4222
Ages Seen: 02 Yrs/99 Yrs
Jacques, Chantal, OD
Provider ID: 555309
Nu-Crown dba Crown Optica
8885 Ladue Rd
Saint Louis, MO 63124
(314) 721-2720
Ages Seen: 02 Yrs/99 Yrs
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
OPTOMETRY (cont.)
Jacques, Chantal, OD
Provider ID: 555309
Nu-Crown dba Crown Optica
935 N Hwy 67
Florissant, MO 63031
(314) 838-7644
Ages Seen: 02 Yrs/99 Yrs
Karpel, Amber, OD "
Provider ID: 321515
Clarkson Eyecare
14868 Manchester Rd
Ballwin, MO 63011
(314) 389-2020
Ages Seen: 00 Yrs/99 Yrs
Karpel, Amber, OD
Provider ID: 321515
Clarkson Eyecare
17249 Chesterfield Airport Rd
Chesterfield, MO 63005
(636) 787-7000
Ages Seen: 00 Yrs/99 Yrs
Karpel, Amber, OD "
Provider ID: 321515
Clarkson Eyecare
2185 S Mason Rd
Saint Louis, MO 63131
(314) 389-2020
Ages Seen: 00 Yrs/99 Yrs
Katich, Michael, OD "
Provider ID: 321586
Nu-Crown dba Crown Optica
10465 St Charles Rock Rd
Saint Louis, MO 63074
(314) 423-2010
Ages Seen: 00 Yrs/99 Yrs
Katich, Michael, OD "
Provider ID: 321586
Nu-Crown dba Crown Optica
11477 Olive Blvd
Creve Coeur, MO 63141
(314) 567-3884
Ages Seen: 00 Yrs/99 Yrs
Katich, Michael, OD "
Provider ID: 321586
Nu-Crown dba Crown Optica
12406 Tesson Ferry Rd
Saint Louis, MO 63128
(314) 842-5858
Ages Seen: 00 Yrs/99 Yrs
Katich, Michael, OD "
Provider ID: 321586
Nu-Crown dba Crown Optica
12601 Olive Blvd
Creve Coeur, MO 63141
(314) 336-4690
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
JANUARY 2011
Kilgore, Abby, OD
Provider ID: 321608
Nu-Crown dba Crown Optica
7235 Watson Rd
Saint Louis, MO 63119
(314) 352-5367
Ages Seen: 00 Yrs/99 Yrs
Katich, Michael, OD
Provider ID: 321586
Nu-Crown dba Crown Optica
7235 Watson Rd
Saint Louis, MO 63119
(314) 352-5367
Ages Seen: 00 Yrs/99 Yrs
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
OPTOMETRY (cont.)
Koester, Amber, OD "
Provider ID: 439834
Clarkson Eyecare
17249 Chesterfield Airport Rd
Chesterfield, MO 63005
(636) 787-7000
Ages Seen: 00 Yrs/99 Yrs
Koester, Amber, OD "
Provider ID: 439834
Clarkson Eyecare
2404 Taylor Rd
Grover, MO 63040
(636) 458-8787
Ages Seen: 00 Yrs/99 Yrs
Konopik, John, OD "
Provider ID: 321607
Nu-Crown dba Crown Optica
10465 St Charles Rock Rd
Saint Louis, MO 63074
(314) 423-2010
Ages Seen: 00 Yrs/99 Yrs
Konopik, John, OD "
Provider ID: 321607
Nu-Crown dba Crown Optica
11477 Olive Blvd
Creve Coeur, MO 63141
(314) 567-3884
Ages Seen: 00 Yrs/99 Yrs
Konopik, John, OD "
Provider ID: 321607
Nu-Crown dba Crown Optica
12406 Tesson Ferry Rd
Saint Louis, MO 63128
(314) 842-5858
Ages Seen: 00 Yrs/99 Yrs
Konopik, John, OD "
Provider ID: 321607
Nu-Crown dba Crown Optica
12601 Olive Blvd
Creve Coeur, MO 63141
(314) 336-4690
Ages Seen: 00 Yrs/99 Yrs
Konopik, John, OD "
Provider ID: 321607
Nu-Crown dba Crown Optica
1730 Clarkson Rd Ste B
Chesterfield, MO 63017
(636) 537-0700
Ages Seen: 00 Yrs/99 Yrs
Konopik, John, OD "
Provider ID: 321607
Nu-Crown dba Crown Optica
2538 Lemay Plaza
Saint Louis, MO 63125
(314) 846-4222
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
JANUARY 2011
Leipholtz, Jeffrey, OD
Provider ID: 540316
Leonard Hughes Co dba Webs
114 E Lockwood
Saint Louis, MO 63119
(314) 961-1211
Ages Seen: 00 Yrs/99 Yrs
Konopik, John, OD
Provider ID: 321607
Nu-Crown dba Crown Optica
7235 Watson Rd
Saint Louis, MO 63119
(314) 352-5367
Ages Seen: 00 Yrs/99 Yrs
Levi, Christina, OD
Provider ID: 321599
Nu-Crown dba Crown Optica
7235 Watson Rd
Saint Louis, MO 63119
(314) 352-5367
Ages Seen: 00 Yrs/99 Yrs
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
OPTOMETRY (cont.)
Lojka, Brian, OD
Provider ID: 321519
Clarkson Eyecare
194 Clarkson Rd
Ellisville, MO 63011
(636) 227-2020
Ages Seen: 00 Yrs/99 Yrs
Lojka, Brian, OD "
Provider ID: 321519
Clarkson Eyecare
2404 Taylor Rd
Grover, MO 63040
(636) 227-2020
Ages Seen: 00 Yrs/99 Yrs
Lopatin, Brian, OD "
Provider ID: 321604
Nu-Crown dba Crown Optica
10465 St Charles Rock Rd
Saint Louis, MO 63074
(314) 423-2010
Ages Seen: 00 Yrs/99 Yrs
Lopatin, Brian, OD "
Provider ID: 321604
Nu-Crown dba Crown Optica
11477 Olive Blvd
Creve Coeur, MO 63141
(314) 567-3884
Ages Seen: 00 Yrs/99 Yrs
Lopatin, Brian, OD "
Provider ID: 321604
Nu-Crown dba Crown Optica
12406 Tesson Ferry Rd
Saint Louis, MO 63128
(314) 842-5858
Ages Seen: 00 Yrs/99 Yrs
Lopatin, Brian, OD "
Provider ID: 321604
Nu-Crown dba Crown Optica
12601 Olive Blvd
Creve Coeur, MO 63141
(314) 336-4690
Ages Seen: 00 Yrs/99 Yrs
Lopatin, Brian, OD "
Provider ID: 321604
Nu-Crown dba Crown Optica
1730 Clarkson Rd Ste B
Chesterfield, MO 63017
(636) 537-0700
Ages Seen: 00 Yrs/99 Yrs
Lopatin, Brian, OD "
Provider ID: 321604
Nu-Crown dba Crown Optica
2538 Lemay Plaza
Saint Louis, MO 63125
(314) 846-4222
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
JANUARY 2011
Lopatin, Brian, OD
Provider ID: 321604
Nu-Crown dba Crown Optica
7235 Watson Rd
Saint Louis, MO 63119
(314) 352-5367
Ages Seen: 00 Yrs/99 Yrs
McCormick-Gossage, Amber, OD
Provider ID: 480029
Nu-Crown dba Crown Optica
10465 St Charles Rock Rd
Saint Ann, MO 63074
(314) 423-2010
Ages Seen: 03 Yrs/99 Yrs
McCormick-Gossage, Amber, OD
Provider ID: 480029
Nu-Crown dba Crown Optica
11477 Olive Blvd
Saint Louis, MO 63141
(314) 567-3884
Ages Seen: 03 Yrs/99 Yrs
McCormick-Gossage, Amber, OD
Provider ID: 480029
Nu-Crown dba Crown Optica
12406 Tesson Ferry Rd
Saint Louis, MO 63128
(314) 842-5252
Ages Seen: 03 Yrs/99 Yrs
McCormick-Gossage, Amber, OD
Provider ID: 480029
Nu-Crown dba Crown Optica
12601 Olive Blvd
Saint Louis, MO 63141
(314) 336-4690
Ages Seen: 03 Yrs/99 Yrs
Lutz, Charles, OD
Provider ID: 321605
Nu-Crown dba Crown Optica
7235 Watson Rd
Saint Louis, MO 63119
(314) 352-5367
Ages Seen: 00 Yrs/99 Yrs
McCormick-Gossage, Amber, OD
Provider ID: 480029
Nu-Crown dba Crown Optica
1730 Clarkson Rd Ste B
Chesterfield, MO 63017
(636) 537-0700
Ages Seen: 03 Yrs/99 Yrs
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
JANUARY 2011
McMurry, Kristin, OD
Provider ID: 554329
Nu-Crown dba Crown Optica
10465 Saint Charles Rock Rd
OPTOMETRY (cont.)
Saint Ann, MO 63074
(314) 423-2010
McCormick-Gossage, Amber, OD
Ages Seen: 04 Yrs/99 Yrs
Provider ID: 480029
Nu-Crown dba Crown Optica
McMurry, Kristin, OD
2538 Lemay Plaza
Provider ID: 554329
Saint Louis, MO 63125
Nu-Crown dba Crown Optica
(314) 894-2255
11477 Olive Blvd
Ages Seen: 03 Yrs/99 Yrs
Creve Coeur, MO 63141
(314) 567-3884
McCormick-Gossage, Amber, OD
Ages Seen: 04 Yrs/99 Yrs
Provider ID: 480029
Nu-Crown dba Crown Optica
McMurry, Kristin, OD
343 S Kirkwood Rd
Provider ID: 554329
Saint Louis, MO 63122
Nu-Crown dba Crown Optica
(314) 965-6773
12406 Tesson Ferry Rd
Ages Seen: 03 Yrs/99 Yrs
Saint Louis, MO 63128
(314) 842-5858
McCormick-Gossage, Amber, OD
Ages Seen: 04 Yrs/99 Yrs
Provider ID: 480029
Nu-Crown dba Crown Optica
McMurry, Kristin, OD
427 Lafayette Center
Provider ID: 554329
Ballwin, MO 63011
Nu-Crown dba Crown Optica
(636) 391-1309
12601 Olive Blvd
Ages Seen: 03 Yrs/99 Yrs
Saint Louis, MO 63141
(314) 336-4690
McCormick-Gossage, Amber, OD
Ages Seen: 04 Yrs/99 Yrs
Provider ID: 480029
Nu-Crown dba Crown Optica
McMurry, Kristin, OD
7235 Watson Rd
Provider ID: 554329
Saint Louis, MO 63119
Nu-Crown dba Crown Optica
(314) 352-5367
1740 Clarkson Rd
Ages Seen: 03 Yrs/99 Yrs
Chesterfield, MO 63017
(636) 537-0700
McCormick-Gossage, Amber, OD
Ages Seen: 04 Yrs/99 Yrs
Provider ID: 480029
Nu-Crown dba Crown Optica
McMurry, Kristin, OD
7305 Watson Rd
Provider ID: 554329
Saint Louis, MO 63119
Nu-Crown dba Crown Optica
(314) 352-5367
2538 Lemay Plaza
Ages Seen: 03 Yrs/99 Yrs
Saint Louis, MO 63125
(314) 894-2255
McCormick-Gossage, Amber, OD
Ages Seen: 04 Yrs/99 Yrs
Provider ID: 480029
Nu-Crown dba Crown Optica
McMurry, Kristin, OD
8885 Ladue Rd
Provider ID: 554329
Saint Louis, MO 63124
Nu-Crown dba Crown Optica
(314) 721-2720
343 S Kirkwood Rd
Ages Seen: 03 Yrs/99 Yrs
Saint Louis, MO 63122
(314) 965-6773
McCormick-Gossage, Amber, OD
Ages Seen: 04 Yrs/99 Yrs
Provider ID: 480029
Nu-Crown dba Crown Optica
McMurry, Kristin, OD
935 N Hwy 67
Provider ID: 554329
Florissant, MO 63031
Nu-Crown dba Crown Optica
(314) 838-7644
427 Lafayette Center
Ages Seen: 03 Yrs/99 Yrs
Ballwin, MO 63011
(636) 391-1309
McCormick-Gossage, Amber, OD
Ages Seen: 04 Yrs/99 Yrs
Provider ID: 480029
Nu-Crown dba Crown Optica
9838 Clayton Rd
Saint Louis, MO 63124
(314) 993-4399
Ages Seen: 03 Yrs/99 Yrs
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
! BOARD CERTIFIED
McMurry, Kristin, OD
Provider ID: 554329
Nu-Crown dba Crown Optica
49638 Clayton Rd
Saint Louis, MO 63124
(314) 993-4399
Ages Seen: 04 Yrs/99 Yrs
McMurry, Kristin, OD
Provider ID: 554329
Nu-Crown dba Crown Optica
5694 Telegraph Rd
Saint Louis, MO 63129
(314) 846-4222
Ages Seen: 04 Yrs/99 Yrs
McMurry, Kristin, OD
Provider ID: 554329
Nu-Crown dba Crown Optica
7305 Waltson Rd
Saint Louis, MO 63119
(314) 352-5367
Ages Seen: 04 Yrs/99 Yrs
McMurry, Kristin, OD
Provider ID: 554329
Nu-Crown dba Crown Optica
8885 Ladue Rd
Saint Louis, MO 63124
(314) 721-2720
Ages Seen: 04 Yrs/99 Yrs
McMurry, Kristin, OD
Provider ID: 554329
Nu-Crown dba Crown Optica
935 N Hwy 67
Florissant, MO 63031
Ages Seen: 04 Yrs/99 Yrs
Menzel, Stephen, OD
Provider ID: 321520
Clarkson Eyecare
68 Fenton Plaza
Fenton, MO 63026
(636) 349-3005
Ages Seen: 00 Yrs/99 Yrs
Menzel, Stephen, OD "
Provider ID: 321520
Clarkson Eyecare
8562-66 Eager Rd
Brentwood, MO 63144
(314) 726-2277
Ages Seen: 00 Yrs/99 Yrs
Metz, Charles, OD
Provider ID: 321521
Clarkson Eyecare
8562-66 Eager Rd
Brentwood, MO 63144
(314) 726-2277
Ages Seen: 00 Yrs/99 Yrs
PHO, Selena, OD "
Provider ID: 321601
Nu-Crown dba Crown Optica
10465 St Charles Rock Rd
Saint Louis, MO 63074
(314) 423-2010
Ages Seen: 00 Yrs/99 Yrs
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
OPTOMETRY (cont.)
PHO, Selena, OD
Provider ID: 321601
Nu-Crown dba Crown Optica
7235 Watson Rd
Saint Louis, MO 63119
(314) 352-5367
Ages Seen: 00 Yrs/99 Yrs
PHO, Selena, OD "
Provider ID: 321601
Nu-Crown dba Crown Optica
8885 Ladue Crossing
Ladue, MO 63124
(314) 721-2720
Ages Seen: 00 Yrs/99 Yrs
PHO, Selena, OD "
Provider ID: 321601
Nu-Crown dba Crown Optica
935 North Hwy 67
Florissant, MO 63031
(314) 838-7644
Ages Seen: 00 Yrs/99 Yrs
PHO, Selena, OD "
Provider ID: 321601
Nu-Crown dba Crown Optica
9838 Clayton Rd
Saint Louis, MO 63124
(314) 993-4399
Ages Seen: 00 Yrs/99 Yrs
Picker, David, OD "
Provider ID: 321587
Crown Optical
10465 St Charles Rock Rd
Saint Louis, MO 63074
(314) 423-2010
Ages Seen: 00 Yrs/99 Yrs
Picker, David, OD "
Provider ID: 321587
Crown Optical
11477 Olive Blvd
Creve Coeur, MO 63141
(314) 567-3884
Ages Seen: 00 Yrs/99 Yrs
Picker, David, OD "
Provider ID: 321587
Crown Optical
12406 Tesson Ferry Rd
Saint Louis, MO 63128
(314) 842-5858
Ages Seen: 00 Yrs/99 Yrs
Picker, David, OD "
Provider ID: 321587
Crown Optical
12601 Olive Blvd
Creve Coeur, MO 63141
(314) 336-4690
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
JANUARY 2011
Pollock, Connie, OD
Provider ID: 321590
Nu-Crown dba Crown Optica
7235 Watson Rd
Saint Louis, MO 63119
(314) 352-5367
Ages Seen: 00 Yrs/99 Yrs
Picker, David, OD
Provider ID: 321587
Crown Optical
7235 Watson Rd
Saint Louis, MO 63119
(314) 352-5367
Ages Seen: 00 Yrs/99 Yrs
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
OPTOMETRY (cont.)
Renner, Debra, OD "
Provider ID: 474248
11477 Olive Blvd
Creve Coeur, MO 63141
(314) 567-3884
Ages Seen: 03 Yrs/99 Yrs
Renner, Debra, OD "
Provider ID: 474248
12406 Tesson Ferry Rd
Saint Louis, MO 63128
(314) 842-5252
Ages Seen: 03 Yrs/99 Yrs
Renner, Debra, OD
Provider ID: 474248
12601 Olive Blvd
Saint Louis, MO 63141
(314) 336-4690
Ages Seen: 03 Yrs/99 Yrs
Renner, Debra, OD "
Provider ID: 474248
1730 Clarkson Rd Ste B
Chesterfield, MO 63017
(636) 537-0700
Ages Seen: 03 Yrs/99 Yrs
Renner, Debra, OD "
Provider ID: 474248
2538 Lemay Plz
Saint Louis, MO 63125
(314) 894-2255
Ages Seen: 03 Yrs/99 Yrs
Renner, Debra, OD "
Provider ID: 474248
343 S Kirkwood Rd
Kirkwood, MO 63122
(314) 965-6773
Ages Seen: 03 Yrs/99 Yrs
Renner, Debra, OD "
Provider ID: 474248
427 Lafayette Center
Ballwin, MO 63011
(636) 391-1309
Ages Seen: 03 Yrs/99 Yrs
Renner, Debra, OD "
Provider ID: 474248
7235 Watson Rd
Saint Louis, MO 63119
(314) 352-5367
Ages Seen: 03 Yrs/99 Yrs
Renner, Debra, OD "
Provider ID: 474248
7305 Watson Rd
Saint Louis, MO 63119
(314) 352-5367
Ages Seen: 03 Yrs/99 Yrs
! BOARD CERTIFIED
JANUARY 2011
Short, Howard, OD
Provider ID: 321597
Nu-Crown dba Crown Optica
7235 Watson Rd
Saint Louis, MO 63119
(314) 352-5367
Ages Seen: 00 Yrs/99 Yrs
Wachter, James, OD
Provider ID: 321530
Clarkson Eyecare
194 Clarkson Rd
Ellisville, MO 63011
(636) 227-2020
Ages Seen: 00 Yrs/99 Yrs
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
OPTOMETRY (cont.)
Wade, Mark, OD "
Provider ID: 321591
Nu-Crown dba Crown Optica
11477 Olive Blvd
Creve Coeur, MO 63141
(314) 567-3884
Ages Seen: 00 Yrs/99 Yrs
Wade, Mark, OD "
Provider ID: 321591
Nu-Crown dba Crown Optica
12406 Tesson Ferry Rd
Saint Louis, MO 63128
(314) 842-5858
Ages Seen: 00 Yrs/99 Yrs
Wade, Mark, OD "
Provider ID: 321591
Nu-Crown dba Crown Optica
12601 Olive Blvd
Creve Coeur, MO 63141
(314) 336-4690
Ages Seen: 00 Yrs/99 Yrs
Wade, Mark, OD "
Provider ID: 321591
Nu-Crown dba Crown Optica
1730 Clarkson Rd Ste B
Chesterfield, MO 63017
(636) 537-0700
Ages Seen: 00 Yrs/99 Yrs
Wade, Mark, OD "
Provider ID: 321591
Nu-Crown dba Crown Optica
2538 Lemay Plaza
Saint Louis, MO 63125
(314) 846-4222
Ages Seen: 00 Yrs/99 Yrs
Wade, Mark, OD "
Provider ID: 321591
Nu-Crown dba Crown Optica
343 S Kirkwood Rd
Kirkwood, MO 63122
(314) 965-6773
Ages Seen: 00 Yrs/99 Yrs
Wade, Mark, OD "
Provider ID: 321591
Nu-Crown dba Crown Optica
427 Lafayette Center
Ballwin, MO 63011
(636) 391-1309
Ages Seen: 00 Yrs/99 Yrs
Wade, Mark, OD "
Provider ID: 321591
Nu-Crown dba Crown Optica
5694 Telegraph Plaza
Saint Louis, MO 63129
(314) 846-4222
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
JANUARY 2011
Wade, Mark, OD
Provider ID: 321591
Nu-Crown dba Crown Optica
7235 Watson Rd
Saint Louis, MO 63119
(314) 352-5367
Ages Seen: 00 Yrs/99 Yrs
Wang, Chih-Jen, OD
Provider ID: 366321
Nu-Crown dba Crown Optica
1730 Clarkson Rd Ste B
Chesterfield, MO 63017
(636) 537-0700
Ages Seen: 00 Yrs/99 Yrs
Wang, Chih-Jen, OD
Provider ID: 366321
Nu-Crown dba Crown Optica
935 N Hwy 67
Florissant, MO 63031
(314) 838-7644
Ages Seen: 00 Yrs/99 Yrs
Wang, Chih-Jen, OD
Provider ID: 366321
Nu-Crown dba Crown Optica
1740 Clarkson Rd
Chesterfield, MO 63017
(636) 537-0700
Ages Seen: 00 Yrs/99 Yrs
Wang, Chih-Jen, OD
Provider ID: 366321
Nu-Crown dba Crown Optica
9838 Clayton Rd
Saint Louis, MO 63124
(314) 993-4399
Ages Seen: 00 Yrs/99 Yrs
Wang, Chih-Jen, OD
Provider ID: 366321
Nu-Crown dba Crown Optica
2538 Lemay Plaza
Saint Louis, MO 63125
(314) 894-2255
Ages Seen: 00 Yrs/99 Yrs
Whitten, Paul, OD
Provider ID: 385274
Resler-Kerber Opy
875 St Francois
Florissant, MO 63031
(314) 839-2400
Ages Seen: 00 Yrs/99 Yrs
Wang, Chih-Jen, OD
Provider ID: 366321
Nu-Crown dba Crown Optica
343 S Kirkwood Rd
Saint Louis, MO 63122
(314) 965-6773
Ages Seen: 00 Yrs/99 Yrs
Wang, Chih-Jen, OD
Provider ID: 366321
Nu-Crown dba Crown Optica
10465 St Charles Rock Rd
Saint Ann, MO 63074
(314) 423-2010
Ages Seen: 00 Yrs/99 Yrs
Wang, Chih-Jen, OD
Provider ID: 366321
Nu-Crown dba Crown Optica
427 Lafayette Center
Ballwin, MO 63011
(636) 391-1309
Ages Seen: 00 Yrs/99 Yrs
Wang, Chih-Jen, OD
Provider ID: 366321
Nu-Crown dba Crown Optica
11477 Olive Blvd
Saint Louis, MO 63141
(314) 567-3884
Ages Seen: 00 Yrs/99 Yrs
Wang, Chih-Jen, OD
Provider ID: 366321
Nu-Crown dba Crown Optica
5694 Telegraph Plaza
Saint Louis, MO 63129
(314) 846-4222
Ages Seen: 00 Yrs/99 Yrs
Williamson, Jill, OD
Provider ID: 438291
Clarkson Eyecare
9540 Manchester Rd
Saint Louis, MO 63119
(314) 962-3836
Ages Seen: 00 Yrs/99 Yrs
Wang, Chih-Jen, OD
Provider ID: 366321
Nu-Crown dba Crown Optica
12406 Tesson Ferry Rd
Saint Louis, MO 63128
(314) 842-5858
Ages Seen: 00 Yrs/99 Yrs
Wang, Chih-Jen, OD
Provider ID: 366321
Nu-Crown dba Crown Optica
7235 Watson Rd
Saint Louis, MO 63119
(314) 352-5367
Ages Seen: 00 Yrs/99 Yrs
Wang, Chih-Jen, OD
Provider ID: 366321
Nu-Crown dba Crown Optica
12601 Olive Blvd
Saint Louis, MO 63141
(314) 336-4690
Ages Seen: 00 Yrs/99 Yrs
Wang, Chih-Jen, OD
Provider ID: 366321
Nu-Crown dba Crown Optica
8885 Ladue Rd
Saint Louis, MO 63124
(314) 721-2720
Ages Seen: 00 Yrs/99 Yrs
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
OPTOMETRY (cont.)
Woodyard, Matthew, OD "
Provider ID: 321594
Nu-Crown dba Crown Optica
12406 Tesson Ferry Rd
Saint Louis, MO 63128
(314) 842-5858
Ages Seen: 00 Yrs/99 Yrs
Woodyard, Matthew, OD "
Provider ID: 321594
Nu-Crown dba Crown Optica
12601 Olive Blvd
Creve Coeur, MO 63141
(314) 336-4690
Ages Seen: 00 Yrs/99 Yrs
Woodyard, Matthew, OD "
Provider ID: 321594
Nu-Crown dba Crown Optica
1730 Clarkson Rd Ste B
Chesterfield, MO 63017
(636) 537-0700
Ages Seen: 00 Yrs/99 Yrs
Woodyard, Matthew, OD "
Provider ID: 321594
Nu-Crown dba Crown Optica
2538 Lemay Plaza
Saint Louis, MO 63125
(314) 846-4222
Ages Seen: 00 Yrs/99 Yrs
Woodyard, Matthew, OD "
Provider ID: 321594
Nu-Crown dba Crown Optica
343 S Kirkwood Rd
Kirkwood, MO 63122
(314) 965-6773
Ages Seen: 00 Yrs/99 Yrs
Woodyard, Matthew, OD "
Provider ID: 321594
Nu-Crown dba Crown Optica
427 Lafayette Center
Ballwin, MO 63011
(636) 391-1309
Ages Seen: 00 Yrs/99 Yrs
Woodyard, Matthew, OD "
Provider ID: 321594
Nu-Crown dba Crown Optica
5694 Telegraph Plaza
Saint Louis, MO 63129
(314) 846-4222
Ages Seen: 00 Yrs/99 Yrs
Woodyard, Matthew, OD
Provider ID: 321594
Nu-Crown dba Crown Optica
7235 Watson Rd
Saint Louis, MO 63119
(314) 352-5367
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
JANUARY 2011
ORTHOPAEDIC SURGERY
Anderson, Peter, MD !"
Provider ID: 496807
1011 Bowles Ave Ste 400
Fenton, MO 63026
(314) 821-4884
Ages Seen: 00 Yrs/99 Yrs
SSM St Joseph Hospital West
Anderson, Peter, MD !
Provider ID: 496807
7345 Watson Rd
Saint Louis, MO 63119
(314) 633-8558
Ages Seen: 00 Yrs/99 Yrs
SSM St Joseph Hospital West
Burns, Katherine, MD !
Provider ID: 404467
SSM Managed Care Organization
12266 De Paul Dr Ste 220
Bridgeton, MO 63044
(314) 291-3399
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM Depaul Health Center
St A
Jachna, Jody, MD
Provider ID: 385923
SSM Managed Care Organization
1150 Graham Rd Ste 102
Florissant, MO 63031
(314) 837-5555
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM St Joseph Hospital West
Calvert, George, MD !
Provider ID: 439141
SSM Managed Care Organization
12277 Depaul Dr
Bridgeton, MO 63044
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM St Joseph Hospital West
Knierim, Crystel, MD !
Provider ID: 385914
SSM Managed Care Organization
1150 Graham Rd Ste 102
Florissant, MO 63031
(314) 837-5555
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM Depaul Health Center
Belew, Mark, MD !
Provider ID: 385911
SSM Managed Care Organization
1150 Graham Rd Ste 102
Florissant, MO 63031
(314) 837-5555
Ages Seen: 00 Yrs/99 Yrs
SSM St Joseph Health Center
Greenberg, David, MD
Provider ID: 558932
St Louis University
621 S New Ballas Rd
Ste 3005 Tower B
Saint Louis, MO 63141
(314) 251-7580
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St L
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
ORTHOPAEDIC SURGERY
(cont.)
Nott, Erik, MD !
Provider ID: 564640
St Louis University
621 S New Ballas Rd
Ste 3005 Tower B
Saint Louis, MO 63141
(314) 251-7580
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St L
Puryear, Aki, MD "
Provider ID: 287182
St Louis University
12700 Southford Rd Ste 101
Saint Louis, MO 63128
(314) 577-5302
Ages Seen: 18 Yrs/99 Yrs
Rashid, Mary Elizab, MD "
Provider ID: 561591
St Louis University
621 S New Ballas Rd
Ste 3005 Tower B
Saint Louis, MO 63141
(314) 251-7580
Ages Seen: 00 Yrs/99 Yrs
Roush, Randall, MD !
Provider ID: 385945
SSM Managed Care Organization
1150 Graham Rd Ste 102
Florissant, MO 63031
(314) 837-5555
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM St Joseph Hospital West
Roush, Randall, MD !"
Provider ID: 385945
SSM Managed Care Organization
12266 Depaul Dr Ste 110
Bridgeton, MO 63044
(314) 291-7900
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM St Joseph Hospital West
Schrorer, William, MD !
Provider ID: 566313
SSM Managed Care Organization
12266 De Paul Dr Ste 220
Bridgeton, MO 63044
(314) 291-3399
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
! BOARD CERTIFIED
JANUARY 2011
Gahn, Richard, MD !
Provider ID: 246474
SSM Managed Care Organization
12345 W Bend Dr Ste 302
Saint Louis, MO 63128
(314) 729-0707
Ages Seen: 15 Yrs/99 Yrs
SSM St Clare Health Center
Weis, Terry, DO !
Provider ID: 385949
SSM Managed Care Organization
12266 Depaul Dr Ste 110
Bridgeton, MO 63044
(314) 291-7900
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM Depaul Health Center
PAIN MANAGEMENT
Boedefeld, Michael, MD !
Provider ID: 404971
SSM Managed Care Organization
10012 Kennerly Rd Ste 404
Saint Louis, MO 63128
(314) 729-7100
Ages Seen: 00 Yrs/99 Yrs
SSM
St Anthonys Medical Center
Boedefeld, Michael, MD !
Provider ID: 404971
SSM Managed Care Organization
1015 Bowles Ave
Fenton, MO 63026
(636) 496-2000
Ages Seen: 00 Yrs/99 Yrs
SSM
St Anthonys Medical Center
Gahn, Richard, MD !"
Provider ID: 246474
SSM Managed Care Organization
1031 Belleville Ave Ste 310
Saint Louis, MO 63117
(314) 768-8491
Ages Seen: 15 Yrs/99 Yrs
SSM St Clare Health Center
PEDIATRIC
ENDOCRINOLOGY
Kanafani, Nadim, DO
Provider ID: 514556
St Louis University
12700 Southford Rd Ste 101
Saint Louis, MO 63128
(314) 977-2222
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
St L
PEDIATRIC
GASTROENTEROLOGY
Foy, Thomas, MD "
Provider ID: 236357
St Louis University
505 Couch Ave
Saint Louis, MO 63122
(314) 966-1528
Ages Seen: 00 Yrs/18 Yrs
St Louis University Hospital
PEDIATRIC
OPHTHALMOLOGY
Cruz, Oscar, MD "
Provider ID: 234357
Language: Spanish
SLU-Dept of Pediatrics
12700 Southfork Rd
Saint Louis, MO 63125
(314) 977-6100
Ages Seen: 00 Yrs/99 Yrs
Cruz, Oscar, MD "
Provider ID: 234357
Language: Spanish
SLU-Dept of Pediatrics
13131 Tesson Ferry Rd
Saint Louis, MO 63129
(314) 842-3535
Ages Seen: 00 Yrs/99 Yrs
PEDIATRICS
Bauer, Nancy, MD
Provider ID: 523664
SSM Managed Care Organization
12303 Depaul Dr
Bridgeton, MO 63044
(314) 344-6000
Ages Seen: 00 Yrs/99 Yrs
Cerny, Laura, MD !
Provider ID: 546671
SSM Managed Care Organization
1015 Bowles Ave
Fenton, MO 63026
(636) 496-2000
Ages Seen: 00 Yrs/21 Yrs
SSM
SSM
SSM Cardinal Glennon Child
Cerny, Laura, MD !"
Provider ID: 546671
SSM Managed Care Organization
12303 De Paul Dr
Bridgeton, MO 63044
(314) 344-6000
Ages Seen: 00 Yrs/21 Yrs
SSM
SSM
SSM Cardinal Glennon Child
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
PEDIATRICS (cont.)
Washko, Todd, MD !
Provider ID: 397536
SSM Managed Care Organization
12255 Depaul Dr
Bridgeton, MO 63044
(314) 344-6000
Ages Seen: 00 Yrs/21 Yrs
Washko, Todd, MD !
Provider ID: 397536
SSM Managed Care Organization
12303 Depaul Dr
Bridgeton, MO 63044
(314) 344-6000
Ages Seen: 00 Yrs/21 Yrs
Washko, Todd, MD !
Provider ID: 397536
SSM Managed Care Organization
525 Couch Ave
Saint Louis, MO 63122
(314) 966-0000
Ages Seen: 00 Yrs/21 Yrs
JANUARY 2011
Ali, Ahmed, MD
Provider ID: 513415
Language: Urdu
SSM Managed Care Organization
6420 Clayton Rd
Saint Louis, MO 63117
(314) 768-5300
Ages Seen: 00 Yrs/99 Yrs
Dang, Phung, MD !
Provider ID: 457362
Language: Vietnamese
SSM Managed Care Organization
6420 Clayton Rd
Sixth Fl
Saint Louis, MO 63117
(314) 768-5300
Ages Seen: 00 Yrs/99 Yrs
Doty, Catherine, MD !
Provider ID: 571100
Allied Physicians Group
1585 Woodlake Dr Ste 214
Chesterfield, MO 63017
(314) 205-8858
Ages Seen: 00 Yrs/99 Yrs
Zenker, Steven, MD !
Provider ID: 337750
SSM Managed Care Organization
12303 Depaul Dr
Bridgeton, MO 63044
(314) 344-6000
Ages Seen: 00 Yrs/21 Yrs
Khattak, Hafiz, MD
Provider ID: 450764
Gateway Healthcare
140 E Lockwood
Saint Louis, MO 63119
(314) 961-3038
Ages Seen: 00 Yrs/99 Yrs
SSM St Joseph Hospital West
St A
Zenker, Steven, MD !
Provider ID: 337750
SSM Managed Care Organization
525 Couch Ave
Saint Louis, MO 63122
(314) 966-1600
Ages Seen: 00 Yrs/21 Yrs
Nguyen, Phuong, MD !
Provider ID: 337651
SSM Managed Care Organization
1 Village Square Plaza Ste A
Hazelwood, MO 63042
(314) 881-4290
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
Nguyen, Phuong, MD !
Provider ID: 337651
SSM Managed Care Organization
1027 Bellevue Ave Ste 15
Saint Louis, MO 63117
(314) 768-5375
Ages Seen: 00 Yrs/99 Yrs
Nguyen, Phuong, MD !
Provider ID: 337651
SSM Managed Care Organization
11977 St Charles Rock Rd
Bridgeton, MO 63044
(314) 209-7700
Ages Seen: 00 Yrs/99 Yrs
Nguyen, Phuong, MD !
Provider ID: 337651
SSM Managed Care Organization
201 South Kirkwood Rd
Saint Louis, MO 63122
(314) 984-9220
Ages Seen: 00 Yrs/99 Yrs
Ogle, Abna, MD !
Provider ID: 335849
SSM Managed Care Organization
1 Village Sqre Plaza Ste A
Hazelwood, MO 63042
(314) 731-4555
Ages Seen: 00 Yrs/99 Yrs
Ogle, Abna, MD !
Provider ID: 335849
SSM Managed Care Organization
1027 Bellevue Ave Ste 15
Saint Louis, MO 63117
(314) 768-5375
Ages Seen: 00 Yrs/99 Yrs
Ogle, Abna, MD !
Provider ID: 335849
SSM Managed Care Organization
11977 St Charles Rock Rd
Bridgeton, MO 63044
(314) 209-7700
Ages Seen: 00 Yrs/99 Yrs
Ogle, Abna, MD !
Provider ID: 335849
SSM Managed Care Organization
201 S Kirkwood Rd
Saint Louis, MO 63122
(314) 984-9220
Ages Seen: 00 Yrs/99 Yrs
Ogle, Abna, MD !
Provider ID: 335849
SSM Managed Care Organization
6420 Clayton Rd
Sixth Fl
Saint Louis, MO 63117
(314) 768-5205
Ages Seen: 00 Yrs/99 Yrs
Villaflores, Herbert, MD
Provider ID: 535633
SSM Managed Care Organization
6400 Clayton Rd
Saint Louis, MO 63117
(314) 768-5300
Ages Seen: 00 Yrs/99 Yrs
PLASTIC &
RECONSTRUCTIVE
SURGERY
Kraemer, Bruce, MD !"
Provider ID: 292018
1035 Bellevue Ste 203
Saint Louis, MO 63117
(314) 645-6051
Ages Seen: 00 Yrs/99 Yrs
Lin, Alexander, MD
Provider ID: 556255
St Louis University
1035 Bellevue Ave Ste 203
Saint Louis, MO 63117
(314) 645-6051
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM Cardinal Glennon Child
St L
Plikaitis, Christina, MD
Provider ID: 556257
St Louis University
1035 Bellevue Ave Ste 203
Saint Louis, MO 63117
(314) 645-6051
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM Cardinal Glennon Child
St L
PODIATRY
Boberg, Jeffrey, DPM !
Provider ID: 306390
Ankle & Foot Surgeons of The M
1224 Graham Rd Ste 2007
Florissant, MO 63031
(314) 921-5340
Ages Seen: 00 Yrs/99 Yrs
SSM
St Anthonys Medical Center
Boberg, Jeffrey, DPM !"
Provider ID: 306390
Ankle & Foot Surgeons of The M
12255 Depaul Dr Ste 100
Bridgeton, MO 63044
(314) 739-7100
Ages Seen: 00 Yrs/99 Yrs
SSM
St Anthonys Medical Center
Brooks, Jeffrey, DPM !"
Provider ID: 463384
SSM Managed Care Organization
11709 Old Ballas Rd Ste 201
Saint Louis, MO 63141
(314) 432-1903
Ages Seen: 00 Yrs/99 Yrs
Mine
SSM
SSM Depaul Health Center
Brooks, Jeffrey, DPM !"
Provider ID: 463384
SSM Managed Care Organization
141 E Madison Ste 100
Saint Louis, MO 63122
(314) 821-8855
Ages Seen: 00 Yrs/99 Yrs
Mine
SSM
SSM Depaul Health Center
Claxton, Matthew, DPM "
Provider ID: 405022
12255 Depaul Dr Ste 100
Bridgeton, MO 63044
(314) 739-7100
Ages Seen: 00 Yrs/99 Yrs
Drago, Joseph, MD !"
Provider ID: 336793
SSM Managed Care Organization
12255 Depaul Dr Ste 800
Bridgeton, MO 63044
(314) 291-6202
Ages Seen: 00 Yrs/99 Yrs
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
PODIATRY (cont.)
Duddy, Robert, MD !
Provider ID: 561272
SSM Managed Care Organization
11709 Old Ballas Rd Ste 201
Saint Louis, MO 63141
(314) 432-1903
Ages Seen: 00 Yrs/99 Yrs
Mine
SSM
St Anthonys Medical Center
Duddy, Robert, MD !
Provider ID: 561272
SSM Managed Care Organization
141 E Madison Ave Ste 100
Saint Louis, MO 63122
(314) 821-8855
Ages Seen: 00 Yrs/99 Yrs
Mine
SSM
St Anthonys Medical Center
Figura, Michael, MD !"
Provider ID: 336744
SSM Managed Care Organization
4105 Union Rd
Saint Louis, MO 63129
(314) 894-3761
Ages Seen: 00 Yrs/99 Yrs
Franke, Anna, DPM
Provider ID: 386036
SSM Managed Care Organization
10004 Kennerly Rd Ste 300A
Saint Louis, MO 63128
(314) 543-5960
Ages Seen: 00 Yrs/99 Yrs
Franke, Anna, DPM "
Provider ID: 386036
SSM Managed Care Organization
1224 Graham Rd Ste 2007
Florissant, MO 63031
(314) 921-5340
Ages Seen: 00 Yrs/99 Yrs
Franke, Anna, DPM "
Provider ID: 386036
SSM Managed Care Organization
12255 Depaul Dr Ste 100
Bridgeton, MO 63044
(314) 739-7100
Ages Seen: 00 Yrs/99 Yrs
Gerlach, William, MD !"
Provider ID: 336818
SSM Managed Care Organization
1001 South Kirkwood Rd Ste 120
Saint Louis, MO 63122
(314) 966-8887
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
JANUARY 2011
Gerlach, William, MD !
Provider ID: 336811
SSM Managed Care Organization
2315 Dougherty Ferry Rd Ste 110
Saint Louis, MO 63122
(314) 966-5400
Ages Seen: 00 Yrs/99 Yrs
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
PODIATRY (cont.)
Reed, Tracy, DPM "
Provider ID: 495402
Tracy M Reed DPM
5937 W Florissant Ave
Saint Louis, MO 63136
(314) 381-2224
Ages Seen: 12 Yrs/99 Yrs
Reed, Tracy, DPM
Provider ID: 321746
Peoples Health Center
7200 Manchester Rd
Saint Louis, MO 63143
Ages Seen: 00 Yrs/99 Yrs
Stewart, Julie, DPM !
Provider ID: 449798
SSM Managed Care Organization
1299 Reavis Barracks Rd
Saint Louis, MO 63125
(314) 487-9300
Ages Seen: 00 Yrs/99 Yrs
Stewart, Julie, DPM !
Provider ID: 449798
SSM Managed Care Organization
7345 Watson Rd
Saint Louis, MO 63119
(314) 633-8517
Ages Seen: 00 Yrs/99 Yrs
Timko, Dennis, DPM
Provider ID: 337458
SSM Managed Care Organization
11449 Olive Blvd
Creve Coeur, MO 63141
(314) 989-1700
Ages Seen: 00 Yrs/99 Yrs
Timko, Dennis, DPM "
Provider ID: 337458
SSM Managed Care Organization
2325 Doughery Ferry Rd Ste 206
Saint Louis, MO 63122
(314) 821-0900
Ages Seen: 00 Yrs/99 Yrs
Visser, Harry, DPM !"
Provider ID: 416251
SSM Managed Care Organization
11709 Old Ballas Rd Ste 201
Saint Louis, MO 63141
(314) 432-1903
Ages Seen: 00 Yrs/99 Yrs
Mine
SSM
SSM Depaul Health Center
! BOARD CERTIFIED
JANUARY 2011
PSYCHIATRY
Ahmad, Aqeeb, MD !
Provider ID: T0601130000-05
Language: Urdu
Aqeeb Ahmad
11520 St Charles Rock Rd
Bridgeton, MO 63044
(314) 383-1100
Ages Seen: 18 Yrs/99 Yrs
Barnes Jewish Hospital
Chrstn Hospital NE
Ahmad, Aqeeb, MD !"
Provider ID: T0601130000-01
Language: Urdu
Aqeeb Ahmad
6917 W Florissant Ave
Saint Louis, MO 63136
(314) 383-1100
Ages Seen: 18 Yrs/99 Yrs
Barnes Jewish Hospital
Chrstn Hospital NE
Banton, Michael, MD !"
Provider ID: T0351990000-05
The Psychc Center
13354 Manchester Rd Ste 220
Saint Louis, MO 63131
(314) 692-7886
Ages Seen: 00 Yrs/17 Yrs
Bhuyan, Elly, MD !
Provider ID: T0332850000-06
Fmly Mntl Health II
443 N New Ballas Rd Ste 249
Saint Louis, MO 63141
(314) 872-7069
Ages Seen: 06 Yrs/99 Yrs
Depaul Health Center
St Anthonys Medcl Center
St Anthonys Medcl Center
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
PSYCHIATRY (cont.)
Khan, Saad, MD !
Provider ID: T1268560000-03
Language: Urdu
Saad Z Khan
777 Craig Rd Ste 130
Saint Louis, MO 63141
(314) 872-7792
Ages Seen: 13 Yrs/99 Yrs
St Johns Mercy Medcl Center
Krojanker, David, MD !"
Provider ID: T4581380000-10
Language: German, Spanish
David N Krojanker
777 Craig Rd Ste 125
Saint Louis, MO 63141
(314) 373-6930
Ages Seen: 18 Yrs/99 Yrs
SSM Managed Care Orgn LLC
Admn
Kulkarni, Satish, MD !"
Provider ID: T0184200000-06
Psych Care Conslnt
5000 Cedar Plaza Pkwy Ste 350
Saint Louis, MO 63128
(314) 843-4333
Ages Seen: 06 Yrs/99 Yrs
Centerpointe Hospital
Deaconess Hospital Inc
St Marys Medcl Center
Laks, Natarajan, MD !
Provider ID: T0263890000-11
Language: Tamil
Natarajan Laks
5000 Cedar Plaza Pkwy Ste 350
Saint Louis, MO 63128
(314) 842-2260
Ages Seen: 18 Yrs/99 Yrs
South Pointe Hospital
St Anthonys Medcl Center
Laks, Natarajan, MD !"
Provider ID: T0263890000-13
Language: Tamil
Psych Care Conslnt
763 S New Ballas Rd Ste 110
Saint Louis, MO 63141
(314) 569-1717
Ages Seen: 18 Yrs/99 Yrs
South Pointe Hospital
St Anthonys Medcl Center
Larice, Rolando, MD !"
Provider ID: T2067460000-08
Language: Italian, Portuguese,
Romanian, Spanish
Rolando A Larice
16216 Baxter Rd Ste 350
Chesterfield, MO 63017
(636) 537-3399
Ages Seen: 13 Yrs/99 Yrs
Depaul Health Center
! BOARD CERTIFIED
JANUARY 2011
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
PSYCHIATRY (cont.)
Rutledge, John, MD !
Provider ID: T0388770000-02
John Paul Rutledge
10420 Old Olive St Rd Ste 202
Saint Louis, MO 63141
(314) 991-9700
Ages Seen: 06 Yrs/99 Yrs
St Marys Health Center
Salazar, Berette, MD !"
Provider ID: T0850630000-02
Language: Spanish
Berette A Salazar
7750 Clayton Rd Ste 104
Saint Louis, MO 63117
(314) 781-9299
Ages Seen: 18 Yrs/64 Yrs
Barnes Jewish Hospital
St Marys Health Center
Jefferson City
Sky, Adam, DO !
Provider ID: T0860940000-05
Psych Care Conslnt
1201 Bellevue Ave
Saint Louis, MO 63117
(314) 647-4488
Ages Seen: 18 Yrs/99 Yrs
St Marys Health Center
Suri, Jagdish, Mbbc "
Provider ID: T4607390000-07
Language: French, Urdu
Psych Care Conslnt
763 S New Ballas Rd Ste 110
Saint Louis, MO 63141
(314) 569-1717
Ages Seen: 06 Yrs/64 Yrs
Suri, Vinod, Mbbc !"
Provider ID: T4607420000-06
Language: Urdu
Psych Care Conslnt
763 S New Ballas Rd Ste 110
Saint Louis, MO 63141
(314) 569-1717
Ages Seen: 13 Yrs/64 Yrs
Taysi, Engin, MD "
Provider ID: T1193710000-01
Language: Turkish
Psych Care Conslnt
12255 De Paul Dr Ste 250
Bridgeton, MO 63044
(314) 344-7770
Ages Seen: 00 Yrs/64 Yrs
Depaul Health Center
Hawthorn Child Psych Hospital
! BOARD CERTIFIED
JANUARY 2011
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
PSYCHOLOGY (cont.)
Detrick Jr, Paul, PhD !"
Provider ID: T0080340000-01
Florissant Psychl Svc
701 Saint Francois St
Florissant, MO 63031
(314) 837-7828
Ages Seen: 18 Yrs/64 Yrs
Feely, John, PhD "
Provider ID: T0080050000-02
John M Feely
225 S Meramec Ave Ste 504
Saint Louis, MO 63105
(314) 725-8889
Ages Seen: 18 Yrs/99 Yrs
Frankel, Amy, PhD "
Provider ID: T0402820000-07
Amy G Frankel
6260 S Lindbergh Blvd Ste 104
Saint Louis, MO 63123
(314) 995-1296
Ages Seen: 06 Yrs/99 Yrs
Frankel, Marc, PhD "
Provider ID: T0080060000-02
Marc T Frankel
225 S Meramec Ave Ste 504
Saint Louis, MO 63105
(314) 725-8889
Ages Seen: 65 Yrs/99 Yrs
Grady, Jane, PhD !"
Provider ID: T0156940000-04
Jane G Grady
10420 Old Olive St Rd Ste 202
Saint Louis, MO 63141
(314) 991-9700
Ages Seen: 06 Yrs/64 Yrs
Hasak, Jennifer, PhD "
Provider ID: T4589270000-05
Jennifer K Hasak
777 S New Ballas Rd Ste 208W
Saint Louis, MO 63141
(314) 569-0655
Ages Seen: 18 Yrs/99 Yrs
Hasak, Paul, PhD "
Provider ID: T0153760000-05
Paul Andrew Hasak
777 S New Ballas Rd Ste 208W
Saint Louis, MO 63141
(314) 569-0655
Ages Seen: 18 Yrs/99 Yrs
Henderson Jr, J, PhD "
Provider ID: T0431150000-02
J Gibson Henderson Jr
473 Graywood Dr
Ballwin, MO 63011
(636) 227-6340
Ages Seen: 13 Yrs/99 Yrs
! BOARD CERTIFIED
JANUARY 2011
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
PSYCHOLOGY (cont.)
Schultz, Rosalyn, PhD "
Provider ID: T0159320000-02
Rosalyn A Schultz
7711 Bonhomme Ave Ste 800
Saint Louis, MO 63105
(314) 862-8070
Ages Seen: 06 Yrs/99 Yrs
Schwender, Bonnie, MA "
Provider ID: T2376930000-01
Psych Care Conslnt
2900 Lemay Ferry Rd Ste 221
Saint Louis, MO 63125
(314) 892-0667
Ages Seen: 18 Yrs/99 Yrs
Shaw, Patricia, PhD "
Provider ID: T4582270000-05
Phoenix Psychl Grp
225 S Meramec Ave Ste 506
Clayton, MO 63105
(314) 863-3588
Ages Seen: 13 Yrs/99 Yrs
Stahl, Deborah, PhD "
Provider ID: T0973030000-03
Deborah A Stahl
10777 Sunset Office Dr Ste 315
Saint Louis, MO 63127
(314) 963-5288
Ages Seen: 00 Yrs/99 Yrs
Till, Steven, PhD "
Provider ID: T4589320000-04
Steven M Till
621 S New Ballas Rd Ste 112A
Saint Louis, MO 63141
(314) 251-6545
Ages Seen: 18 Yrs/99 Yrs
Trimble, John, PhD "
Provider ID: T1430980000-04
Chrstn Psychl and Fmly Svcs
9378 Olive Blvd Ste 106
Saint Louis, MO 63132
(615) 405-7569
Ages Seen: 00 Yrs/99 Yrs
Voorhees, Craig, PhD
Provider ID: T1292750000-08
Craig M Voorhees
10004 Kennerly Rd Ste 362B
Saint Louis, MO 63128
(314) 872-3972
Ages Seen: 00 Yrs/99 Yrs
Voorhees, Craig, PhD "
Provider ID: T1292750000-07
Craig M Voorhees
10420 Old Olive St Rd Ste 204
Creve Coeur, MO 63141
(314) 872-3972
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
JANUARY 2011
Eaton, Robert, MD !
Provider ID: 336670
SSM Managed Care Organization
450 North New Ballas Rd Ste 262
Saint Louis, MO 63141
(314) 993-2884
Ages Seen: 00 Yrs/99 Yrs
Eaton, Royal, MD !
Provider ID: 336666
SSM Managed Care Organization
11133 Dunn Rd Ste 2335
Saint Louis, MO 63136
(314) 653-5007
Ages Seen: 00 Yrs/99 Yrs
Flury, Kirk, MD !
Provider ID: 486483
St Louis University
2325 Dougherty Ferr Rd Ste 100
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
PULMONARY DISEASE
Barkoviak, Michael, MD !
Provider ID: 309638
11133 Dunn Rd Ste 2335
Saint Louis, MO 63136
(314) 653-5007
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
Brook, Alan, MD !
Provider ID: 336675
SSM Managed Care Organization
11133 Dunn Rd Ste 2335
Saint Louis, MO 63136
(314) 653-5007
Ages Seen: 18 Yrs/99 Yrs
SSM
SSM
SSM St Joseph Hospital West
Brook, Alan, MD !
Provider ID: 336675
SSM Managed Care Organization
450 N New Ballas Rd Ste 262N
Saint Louis, MO 63141
(314) 993-2884
Ages Seen: 18 Yrs/99 Yrs
SSM
SSM
SSM St Joseph Hospital West
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
PULMONARY DISEASE
(cont.)
Masi, Anthony, MD !
Provider ID: 340016
SSM Managed Care Organization
13975 Manchester Rd Ste 7
Ballwin, MO 63011
(636) 391-1222
Ages Seen: 00 Yrs/99 Yrs
Masi, Anthony, MD !
Provider ID: 340016
SSM Managed Care Organization
969 Mason Rd Ste 260
Saint Louis, MO 63141
(314) 821-1222
Ages Seen: 00 Yrs/99 Yrs
Matuschak, George, MD !
Provider ID: 238356
St Louis University
2325 Dougherty Ferry Rd Ste 100
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Munoz, Cesar, MD !"
Provider ID: 321685
SSM Managed Care Organization
777 S New Ballas Ste 219W
Saint Louis, MO 63141
(314) 991-1118
Ages Seen: 18 Yrs/99 Yrs
SSM St Marys Health Center
Nayak, Ravi, MD !
Provider ID: 287088
2325 Dougherty Ferry Rd Ste 100
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Sachdeva, Ashutosh, MD !
Provider ID: 463703
St Louis University
2325 Dougherty Fery Rd Ste 100
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Salamat, Nikhat, MD !"
Provider ID: 495570
Language: Punjabi, Urdu
Nikhat Salamat Pulmonary Assoc
727 Craig Rd Ste 101
Saint Louis, MO 63141
(314) 994-9499
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
JANUARY 2011
Sandiford, Patrick, MD !
Provider ID: 335841
SSM Managed Care Organization
12255 Depaul Dr Ste 500
Bridgeton, MO 63044
(314) 209-5180
Ages Seen: 00 Yrs/99 Yrs
Lincoln County Mem Hospital
Uppal, Praveena, MD !
Provider ID: 380791
Language: Hindi, Punjabi
SSM Managed Care Organization
12303 Depaul Dr
Bridgeton, MO 63044
(314) 344-6000
Ages Seen: 12 Yrs/99 Yrs
Zweig, Wm Douglas, MD !
Provider ID: 337478
SSM Managed Care Organization
11133 Dunn Rd Ste 2335
Saint Louis, MO 63136
(314) 653-5007
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM St Joseph Hospital West
Sarama, Robert, MD !
Provider ID: 535599
Language: Italian
SSM Managed Care Organization
6420 Clayton Rd
Saint Louis, MO 63117
(314) 768-8373
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM St Marys Health Center
Stoeckel, David, MD !"
Provider ID: 234123
St Louis University
2325 Dougherty Ferry Rd Ste 100
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Taylor, Brian, MD !"
Provider ID: 496973
SSM Managed Care Organization
11133 Dunn Rd Ste 2335
Saint Louis, MO 63136
(314) 653-5007
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
Taylor, Brian, MD !"
Provider ID: 496973
SSM Managed Care Organization
1225 Graham Rd
Florissant, MO 63031
(314) 953-6040
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
Uppal, Praveena, MD !
Provider ID: 380791
Language: Hindi, Punjabi
SSM Managed Care Organization
12255 Depaul Dr Ste 550
Bridgeton, MO 63044
(314) 291-9501
Ages Seen: 12 Yrs/99 Yrs
Zweig, Wm Douglas, MD !
Provider ID: 337478
SSM Managed Care Organization
450 N New Ballas Rd Ste 262
Saint Louis, MO 63141
(314) 993-2884
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM St Joseph Hospital West
RADIATION ONCOLOGY
Devineni, Venkata, MD !
Provider ID: 337027
SSM Managed Care Organization
12303 De Paul Dr
Bridgeton, MO 63044
(314) 344-6090
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM St Joseph Hospital West
Devineni, Venkata, MD !
Provider ID: 337027
SSM Managed Care Organization
12303 Depaul Dr
Dept of Oncolo
Bridgeton, MO 63044
(314) 344-6090
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM St Joseph Hospital West
Devineni, Venkata, MD !
Provider ID: 337027
SSM Managed Care Organization
6420 Clayton Rd
Saint Louis, MO 63117
(314) 768-8267
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM St Joseph Hospital West
RHEUMATOLOGY
Shaikh, Aisha, MD !
Provider ID: 548266
SSM Managed Care Organization
1011 Bowles Ave Ste 300
Fenton, MO 63026
(636) 496-5000
Ages Seen: 00 Yrs/99 Yrs
SSM St Clare Health Center
SLEEP MEDICINE
Salamat, Nikhat, MD !"
Provider ID: 495570
Language: Punjabi, Urdu
Nikhat Salamat Pulmonary Assoc
727 Craig Rd Ste 101
Saint Louis, MO 63141
(314) 994-9499
Ages Seen: 00 Yrs/99 Yrs
SPORTS MEDICINE
Jachna, Jody, MD !
Provider ID: 385923
SSM Managed Care Organization
1150 Graham Rd Ste 102
Florissant, MO 63031
(314) 837-5555
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM St Joseph Hospital West
Jachna, Jody, MD !"
Provider ID: 385923
SSM Managed Care Organization
12266 Depaul Dr Ste 110
Bridgeton, MO 63044
(314) 291-7900
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM St Joseph Hospital West
Wadsworth, Larkin, MD !
Provider ID: 384810
St Louis University
2325 Dougherty Ferry Rd Ste 100
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 06 Yrs/99 Yrs
THORACIC &
CARDIOVASCULAR
SURGERY
Axford, Trevor, MD !
Provider ID: 385868
SSM Managed Care Organization
1011 Bowles Ave Ste 300
Fenton, MO 63026
(314) 647-8269
Ages Seen: 00 Yrs/99 Yrs
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
THORACIC &
CARDIOVASCULAR
SURGERY (cont.)
Axford, Trevor, MD !"
Provider ID: 385868
SSM Managed Care Organization
1035 Bellevue Ave Ste 260
Saint Louis, MO 63117
(314) 647-8269
Ages Seen: 00 Yrs/99 Yrs
Axford, Trevor, MD !
Provider ID: 385868
SSM Managed Care Organization
1035 Bellevue Ave Ste 305
Saint Louis, MO 63117
(314) 647-8269
Ages Seen: 00 Yrs/99 Yrs
Axford, Trevor, MD !
Provider ID: 385868
SSM Managed Care Organization
12255 Depaul Dr Ste 445
Bridgeton, MO 63044
(314) 647-8269
Ages Seen: 00 Yrs/99 Yrs
Dorazio, Stephen, MD !"
Provider ID: 458663
SSM Managed Care Organization
1011 Bowles Ave Ste 300
Fenton, MO 63026
(314) 647-8269
Ages Seen: 00 Yrs/99 Yrs
SSM St Joseph Health Center
Dorazio, Stephen, MD !"
Provider ID: 458663
SSM Managed Care Organization
1035 Bellevue Ave Ste 502
Saint Louis, MO 63117
(314) 647-8269
Ages Seen: 00 Yrs/99 Yrs
SSM St Joseph Health Center
Dorazio, Stephen, MD !"
Provider ID: 458663
SSM Managed Care Organization
12255 Depaul Dr Ste 445
Bridgeton, MO 63044
(314) 647-8269
Ages Seen: 00 Yrs/99 Yrs
SSM St Joseph Health Center
Kraeger, Russell, MD !"
Provider ID: 235032
SSM Managed Care Organization
10004 Kennerly Rd Ste 186B
Saint Louis, MO 63128
(314) 543-5939
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
JANUARY 2011
THORACIC SURGERY
Naunheim, Keith, MD !
Provider ID: 239176
SLU-Dept of Surgery
1035 Bellevue Ave
Saint Louis, MO 63117
(314) 977-6051
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
UROLOGY/GYNECOLOGY
Steele, Andrew, MD "
Provider ID: 291743
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
SSM
St Louis University Hospital
Steele, Andrew, MD !
Provider ID: 291743
224 S Woodsmill Rd Ste 665 S
Chesterfield, MO 63017
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
SSM
St Louis University Hospital
Steele, Andrew, MD "
Provider ID: 291743
3655 Vista Ave
Saint Louis, MO 63117
(314) 577-8000
Ages Seen: 00 Yrs/99 Yrs
SSM
St Louis University Hospital
Steele, Andrew, MD
Provider ID: 291743
6420 Clayton Rd
First Fl Clinic
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
SSM
St Louis University Hospital
Peterson, Gary, MD !
Provider ID: 238703
St Louis University
2325 Dougherty Ferry Rd Ste 100
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 18 Yrs/99 Yrs
St Anthonys Medical Center
St L
VASCULAR SURGERY
Zakhary, Emad, MD !
Provider ID: 569127
St Louis University
10004 Kennerly Rd Ste 186B
Saint Louis, MO 63128
(314) 525-4325
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St A
St L
Elfenbein, Dianne, MD !
Provider ID: 544646
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 268-6406
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
St L
Peterson, Brian, MD !
Provider ID: 365193
10004 Kennerly
Saint Louis, MO 63128
(314) 977-6125
Ages Seen: 18 Yrs/99 Yrs
St Anthonys Medical Center
St L
Peterson, Brian, MD !
Provider ID: 365193
22325 Dougherty Ferry Rd Ste 100
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 18 Yrs/99 Yrs
St Anthonys Medical Center
St L
Peterson, Gary, MD !
Provider ID: 238703
St Louis University
10004 Kennerly
Saint Louis, MO 63128
(314) 977-6125
Ages Seen: 18 Yrs/99 Yrs
St Anthonys Medical Center
St L
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
ALLERGY & IMMUNOLOGY
(cont.)
Slavin, Raymond, MD "
Provider ID: 236753
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 00 Yrs/99 Yrs
Temprano, James, MD !
Provider ID: 529920
St Louis University
3660 Vista Ave Ste 203
Saint Louis, MO 63110
(314) 977-6070
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
CARDIOLOGY
JANUARY 2011
Johnson, Randy, MD !
Provider ID: 545055
Cardiology & Critical Care Con
3915 Watson Rd Ste 200
Saint Louis, MO 63109
(314) 787-8082
Ages Seen: 00 Yrs/99 Yrs
St Anthonys Medical Center
Laddu, Abhay, MD
Provider ID: 513049
St Louis University
3635 Vista
Saint Louis, MO 63110
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Berg, Ryan, MD
Provider ID: 460761
St Louis University
3660 Vista Ave Ste 103
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Forsberg, Michael, MD !
Provider ID: 385068
St Louis University
3660 Vista Ave Ste 103
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Boineau, John, MD
Provider ID: 321719
Smiley Urgent Care Center
216 S Kings Hwy
Saint Louis, MO 63110
(314) 879-6300
Ages Seen: 18 Yrs/99 Yrs
Boineau, John, MD "
Provider ID: 321719
Smiley Urgent Care Center
5535 Delmar
Saint Louis, MO 63112
(314) 879-6363
Ages Seen: 18 Yrs/99 Yrs
! BOARD CERTIFIED
Friedman, Daniel, MD !
Provider ID: 463090
St Louis University
3660 Vista Ave Ste 103
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Janosik, Denise, MD "
Provider ID: 234349
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 577-6190
Ages Seen: 00 Yrs/99 Yrs
Katyal, Alok, MD
Provider ID: 276276
SSM Managed Care Organization
6420 Clayton Rd
Saint Louis, MO 63150
(314) 768-8000
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM St Joseph Hospital West
Kayembe, Tshiswaka, MD !"
Provider ID: 321699
Language: French, Spanish
Midwest Health Professionals
3936 S Broadway
Saint Louis, MO 63118
(314) 209-9331
Ages Seen: 00 Yrs/99 Yrs
Kayembe, Tshiswaka, MD !
Provider ID: 321699
Language: French, Spanish
Midwest Health Professionals
6125 Clayton Ave Ste 410
Saint Louis, MO 63139
(314) 644-5757
Ages Seen: 00 Yrs/99 Yrs
Kayembe, Tshiswaka, MD !
Provider ID: 321699
Language: French, Spanish
Midwest Health Professionals
6150 Oakland Ave
Saint Louis, MO 63139
Ages Seen: 00 Yrs/99 Yrs
Kayembe, Tshiswaka, MD !
Provider ID: 321699
Language: French, Spanish
Midwest Health Professionals
8793 Watson Rd
Saint Louis, MO 63139
(314) 209-9331
Ages Seen: 00 Yrs/99 Yrs
Laddu, Abhay, MD
Provider ID: 513049
St Louis University
3660 Vista Ave Ste 103
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Lash, Jennifer, MD !
Provider ID: 449787
St Louis University
3635 Vista Ave @ Grand Blvd
Ste 103
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Lash, Jennifer, MD !
Provider ID: 449787
St Louis University
3660 Vista Ave Ste 103
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Lim, Michael, MD !"
Provider ID: 291839
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 00 Yrs/99 Yrs
Longnecker, Christopher, MD "
Provider ID: 378412
3655 Vista
Saint Louis, MO 63110
(314) 577-8860
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Longnecker, Christopher, MD "
Provider ID: 378412
3660 Vista Ave Ste 103
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
CARDIOLOGY (cont.)
Mikolajczak, Peter, MD
Provider ID: 513183
St Louis University
3660 Vista Ave Ste 103
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Miller, Douglas, MD "
Provider ID: 233785
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Parham, Walter, MD !"
Provider ID: 247485
St Louis University
3660 Vista Ave Ste 103
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 18 Yrs/99 Yrs
Ruwitch, Joseph, MD "
Provider ID: 321581
St Louis Connectcare
5535 Delmar Blvd
Saint Louis, MO 63112
(314) 879-6363
Ages Seen: 18 Yrs/99 Yrs
Shapiro, Michael, MD !
Provider ID: 334562
St Louis University
3660 Vista Ave Ste 103
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Siddiqui, Jawed, MD !"
Provider ID: 358893
Metro Cardiovascular
3737 N Kingshighway
Saint Louis, MO 63115
(314) 382-3630
Ages Seen: 12 Yrs/99 Yrs
St Louis University Hospital
Taniuchi, Megumi, MD !"
Provider ID: 325032
St Louis University
1034 S Brentwood Blvd Ste 1120
Saint Louis, MO 63177
(314) 726-1612
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
! BOARD CERTIFIED
JANUARY 2011
Aronberg, Jerome, MD !
Provider ID: 438159
St Louis Connectcare
5535 Delmar Blvd
Saint Louis, MO 63112
(314) 361-2273
Ages Seen: 00 Yrs/99 Yrs
Thanigaraj, Srihari, MD !
Provider ID: 289777
4921 Parkview Pl
Saint Louis, MO 63110
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
Garrett, Andrea, MD !
Provider ID: 529913
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3400
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
CARDIOVASCULAR
SURGERY
Farkas, Emily, MD
Provider ID: 431232
St Louis University
3655 Vista Ave Ste 108
Saint Louis, MO 63110
(314) 977-6125
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Farkas, Emily, MD
Provider ID: 431232
St Louis University
3660 Vista Ave Ste 108
Saint Louis, MO 63110
(314) 977-6125
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
DERMATOLOGY
Amato, Jason, MD "
Provider ID: 236281
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3400
Ages Seen: 00 Yrs/99 Yrs
Cheng, Amy, MD !
Provider ID: 428290
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3400
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Council, Martha, MD
Provider ID: 550173
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3400
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St L
Doig, Mark "
Provider ID: 247271
SLU-Dept of Dermatology
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 577-6064
Ages Seen: 00 Yrs/99 Yrs
Duvall, Joseph, MD "
Provider ID: 235851
SLU-Dept of Dermatology
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 577-6064
Ages Seen: 00 Yrs/99 Yrs
Erickson, Quenby, DO !
Provider ID: 522315
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3420
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
DERMATOLOGY (cont.)
Obadiah, Joseph, MD "
Provider ID: 238328
SLU-Dept of Dermatology
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 268-6064
Ages Seen: 00 Yrs/99 Yrs
Obadiah, Joseph, MD "
Provider ID: 238328
SLU-Dept of Dermatology
2325 Dougherty Ferry Rd Ste 100
Saint Louis, MO 63104
(314) 256-3400
Ages Seen: 00 Yrs/99 Yrs
Pitts, Eric, MD "
Provider ID: 237093
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3400
Ages Seen: 00 Yrs/99 Yrs
Riordan, Anne, MD "
Provider ID: 239070
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3400
Ages Seen: 00 Yrs/99 Yrs
Semchyshyn, Natalie, MD !
Provider ID: 356423
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3400
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St L
Siegfried, Elaine, MD
Provider ID: 235534
St Louis University
1465 S Grand
Saint Louis, MO 63104
(314) 256-3400
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Siegfried, Elaine, MD "
Provider ID: 235534
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3400
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
! BOARD CERTIFIED
JANUARY 2011
Smith, Sarah, MD
Provider ID: 449300
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3400
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St L
Tournas, Joshua, MD "
Provider ID: 504597
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3430
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Uhlemann, John, MD !
Provider ID: 438274
St Louis Connectcare
5535 Delmar Blvd
Saint Louis, MO 63112
(314) 879-6300
Ages Seen: 00 Yrs/99 Yrs
Vidal, Claudia, MD "
Provider ID: 504594
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3430
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Walters, Richard, MD !
Provider ID: 438267
St Louis Connectcare
5535 Delmar Blvd
Saint Louis, MO 63112
(314) 879-6369
Ages Seen: 00 Yrs/99 Yrs
Wolfe, Edward, MD
Provider ID: 347654
St Louis Connectcare
5535 Delmar
Saint Louis, MO 63112
(314) 879-6363
Ages Seen: 18 Yrs/99 Yrs
Yoon, Jaeyoung, MD
Provider ID: 464011
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3400
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
DERMATOPATHOLOGY
Wang, Xiao-Dong, MD "
Provider ID: 234320
SLU-Dept of Dermatology
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3400
Ages Seen: 00 Yrs/99 Yrs
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
EAR NOSE & THROAT (cont.)
Sanford, Thomas, MD !"
Provider ID: 291586
3635 Vista Ave
Saint Louis, MO 63110
(314) 977-5110
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
Sanford, Thomas, MD !
Provider ID: 291586
3660 Vista Ave Ste 312
Saint Louis, MO 63110
(314) 977-5110
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Sepich, Virgina, MD "
Provider ID: 265961
St Louis University
1465 Grand Blvd
Saint Louis, MO 63104
(314) 577-5675
Ages Seen: 00 Yrs/99 Yrs
Stith, John, MD !"
Provider ID: 236760
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5650
Ages Seen: 00 Yrs/99 Yrs
Varvares, Mark, MD !"
Provider ID: 248268
3660 Vista Ave Ste 312
Saint Louis, MO 63110
(314) 977-5110
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Walker, Ronald, MD
Provider ID: 547827
St Louis University
146 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5650
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St L
Walker, Ronald, MD "
Provider ID: 547827
St Louis University
3655 Vista Ave
Second Fl
Saint Louis, MO 63110
(314) 977-5110
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St L
Walker, Ronald, MD "
Provider ID: 547827
St Louis University
3660 Vista Ave Ste 312
Saint Louis, MO 63110
(314) 977-5110
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St L
! BOARD CERTIFIED
JANUARY 2011
ENDOCRINOLOGY
DIABETES METABOLISM
Albert, Stewart, MD "
Provider ID: 236756
St Louis University
3660 Vista Ave Ste 204
Saint Louis, MO 63110
(314) 977-6055
Ages Seen: 00 Yrs/99 Yrs
Brody, Arnold, MD "
Provider ID: 321573
Language: Italian
Saint Louis Connectcare
5535 Delmar Blvd
Saint Louis, MO 63112
(314) 879-6363
Ages Seen: 18 Yrs/99 Yrs
Goel, Anoj, MD !
Provider ID: 480357
SSM Managed Care Organization
3535 S Jefferson Ave Ste 201
Saint Louis, MO 63118
(314) 577-5778
Ages Seen: 00 Yrs/99 Yrs
Griffing, George, MD !
Provider ID: 242434
St Louis University
3518 Laclede Ave
Saint Louis, MO 63103
(314) 977-2323
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Griffing, George, MD !
Provider ID: 242434
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
FAMILY PRACTICE
Rivkin, Galina, MD !
Provider ID: 441187
5535 Delmar
Saint Louis, MO 63112
(314) 879-6300
Ages Seen: 18 Yrs/99 Yrs
GASTROENTEROLOGY
Agarwal, Banke, MD "
Provider ID: 234893
St Louis University
3660 Vista Ave Ste 302
Saint Louis, MO 63110
(314) 977-6150
Ages Seen: 00 Yrs/99 Yrs
Alkaade, Samer, MD
Provider ID: 463482
St Louis University
3660 Vista Ave Ste 302
Saint Louis, MO 63110
(314) 577-6000
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Ashraf, Yassir, MD !
Provider ID: 463002
St Louis University
915 N Grand Blvd
Saint Louis, MO 63106
(314) 289-6434
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Bacon, Bruce, MD "
Provider ID: 238623
St Louis University
3660 Vista Ave Ste 302
Saint Louis, MO 63110
(314) 577-6000
Ages Seen: 00 Yrs/99 Yrs
Bouneva, Iliana, MD !
Provider ID: 529912
St Louis University
3660 Vista Ave Ste 302
Saint Louis, MO 63110
(314) 577-6000
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Burton, Frank, MD "
Provider ID: 235039
SLU-Dept of Internal Medicine
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 00 Yrs/99 Yrs
Burton, Mary, MD "
Provider ID: 238934
SLU-Dept of Internal Medicine
3660 Vista Ave Ste 302
Saint Louis, MO 63110
(314) 577-6000
Ages Seen: 00 Yrs/99 Yrs
Dibisceglie, Adrian, MD "
Provider ID: 239095
SLU-Dept of Internal Medicine
3660 Vista Ave Ste 302
Saint Louis, MO 63110
(314) 577-6000
Ages Seen: 00 Yrs/99 Yrs
Giacaman, Mike, MD !"
Provider ID: 237121
St Louis University
3660 Vista Ave Ste 302
Saint Louis, MO 63110
(314) 977-6055
Ages Seen: 18 Yrs/99 Yrs
Gordon, Glenn, MD !
Provider ID: 423056
St Louis University
3660 Vista Ave Ste 302
Saint Louis, MO 63110
(314) 577-6000
Ages Seen: 18 Yrs/99 Yrs
Greenspan, Aaron, MD !"
Provider ID: 433793
St Louis University
3660 Vista Ave Ste 302
Saint Louis, MO 63110
(314) 977-6150
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
GASTROENTEROLOGY
(cont.)
Hachem, Christine, MD
Provider ID: 456845
St Louis University
3660 Vista Ave Ste 302
Saint Louis, MO 63110
(314) 577-6000
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Handoyo, Frans, MD !"
Provider ID: 321771
Language: Indonesian
Frans Handoyo MD Ind
4130 S Grand Blvd
Saint Louis, MO 63118
(314) 752-7370
Ages Seen: 12 Yrs/99 Yrs
St A
St Anthonys Medical Center
Labundy, Jennifer, MD "
Provider ID: 504836
St Louis University
3660 Vista Ave Ste 302
Saint Louis, MO 63110
(314) 577-6000
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Naidu, Gonugunta, MD "
Provider ID: 321566
St Louis Connectcare
5535 Delmar
Saint Louis, MO 63112
(314) 879-6363
Ages Seen: 18 Yrs/99 Yrs
St A
St Anthonys Medical Center
JANUARY 2011
Vangoidsenhoven, Guy, MD
Provider ID: 490463
St Louis Connectcare
5536 Delmar Blvd
Saint Louis, MO 63112
(314) 879-6363
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
GENERAL DENTISTRY
Ahmed, Nawal M, DMD "
Provider ID: T113015-02
Mhdchc dba Homer G Philips
2425 Whittier St
Saint Louis, MO 63113
(314) 371-3100
Ages Seen: 00 Yrs/99 Yrs
Ahmed, Nawal M, DMD "
Provider ID: T113015-05
St Louis Comprehensive Health
Center
4411 N Newstead Ave
Saint Louis, MO 63115
(314) 381-9990
Ages Seen: 00 Yrs/99 Yrs
Ahmed, Nawal M, DMD "
Provider ID: T113015-04
St Louis Comprehensive Health
Center
5471 Dr Martin Luther King Dr
Saint Louis, MO 63112
(314) 367-5820
Ages Seen: 00 Yrs/99 Yrs
Ahmed, Nawal M, DMD
Provider ID: T113015-03
Mhdchc dba Florence Hill
5541 Riverview Blvd
Saint Louis, MO 63120
(314) 389-4566
Ages Seen: 00 Yrs/99 Yrs
Pelican, George, MD !
Provider ID: 440712
St Louis Connectcare
3635 Vista Ave
Saint Louis, MO 63110
(314) 879-6363
Ages Seen: 18 Yrs/99 Yrs
Pelican, George, MD !
Provider ID: 440712
St Louis Connectcare
5535 Delmar Blvd
Saint Louis, MO 63112
(314) 361-2273
Ages Seen: 18 Yrs/99 Yrs
! BOARD CERTIFIED
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
JANUARY 2011
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
! BOARD CERTIFIED
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
JANUARY 2011
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
! BOARD CERTIFIED
Egan, Robert, MD !
Provider ID: 256653
3535 South Jefferson Ste 101
Saint Louis, MO 63118
(314) 771-7677
Ages Seen: 00 Yrs/99 Yrs
St Alexius Hospital
GENERAL SURGERY
Andrus, Charles, MD !
Provider ID: 354431
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6131
Ages Seen: 00 Yrs/99 Yrs
Freeman, Carl, MD !
Provider ID: 396900
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5600
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Freeman, Carl, MD !"
Provider ID: 396900
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6027
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Holt, Brian, MD !
Provider ID: 547881
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6027
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Holt, Brian, MD !
Provider ID: 547881
St Louis University
3660 Vista Ave Ste 108
Saint Louis, MO 63110
(314) 977-6125
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
GENERAL SURGERY (cont.)
Hsueh, Eddy, MD "
Provider ID: 237529
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 977-6125
Ages Seen: 00 Yrs/99 Yrs
Hunt, Steven, MD !
Provider ID: 441889
5535 Delmar Blvd
Saint Louis, MO 63112
(314) 879-6369
Ages Seen: 00 Yrs/99 Yrs
Johnson, Frank, MD !"
Provider ID: 236442
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6125
Ages Seen: 00 Yrs/99 Yrs
Kaminski, Donald, MD "
Provider ID: 235571
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 977-6125
Ages Seen: 00 Yrs/99 Yrs
Mahoney, Kevin, MD !
Provider ID: 412586
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6131
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Mahoney, Kevin, MD !
Provider ID: 412586
St Louis University
3660 Vista Ave Ste 108
Saint Louis, MO 63110
(314) 977-6125
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Mosley Jr, Julian, MD
Provider ID: 383396
Language: German, Spanish
SSM Managed Care Organization
6125 Clayton Ave Ste 430
Saint Louis, MO 63139
(314) 768-3634
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
JANUARY 2011
Naughton, Daniel, MD !
Provider ID: 522411
SSM Managed Care Organization
1465 S Grand Blvd
63104
Saint Louis, MO 63104
(314) 577-5600
Ages Seen: 00 Yrs/99 Yrs
Peterson, Gary, MD !"
Provider ID: 238703
St Louis University
3660 Vista Ave Ste 108
Saint Louis, MO 63110
(314) 977-6125
Ages Seen: 18 Yrs/99 Yrs
St Anthonys Medical Center
St L
Phan, Peter, MD "
Provider ID: 561641
3660 Vista Ave Ste 108
Saint Louis, MO 63110
(314) 977-6125
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Raman, Kathleen, MD !
Provider ID: 422844
Language: Spanish
St Louis Connectcare
5535 Delmar Blvd
Saint Louis, MO 63112
(314) 879-6369
Ages Seen: 00 Yrs/99 Yrs
Scifres, Aaron, MD !"
Provider ID: 252320
St Louis University
3660 Vista Ave
Saint Louis, MO 63104
(314) 977-6125
Ages Seen: 00 Yrs/99 Yrs
Shapiro, Herbert, MD !
Provider ID: 378193
Herbert N Shapiro MD & Consul
6150 Oakland Ave
Forest Park Hospital
Saint Louis, MO 63139
(636) 391-7100
Ages Seen: 17 Yrs/99 Yrs
Smith, Kenneth, MD "
Provider ID: 245753
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-6198
Ages Seen: 00 Yrs/99 Yrs
Solomon, Harvey, MD "
Provider ID: 236875
St Louis University
3635 Vista @ Grand Blvd
Saint Louis, MO 63110
(314) 977-6125
Ages Seen: 00 Yrs/99 Yrs
GENETIC COUNSELING
Gottesman, Gary, MD "
Provider ID: 236358
SLU-Dept of Pediatrics
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 977-6100
Ages Seen: 00 Yrs/18 Yrs
GERIATRIC MEDICINE
Banks, William, MD "
Provider ID: 234165
St Louis University
3635 Vista @ Grand
Saint Louis, MO 63110
(314) 977-6055
Ages Seen: 65 Yrs/99 Yrs
St Louis University Hospital
Bhutto, Asif, MD
Provider ID: 463675
St Louis University
3660 Vista Ave Ste 204
Saint Louis, MO 63110
Ages Seen: 65 Yrs/99 Yrs
Perry, Horace, MD "
Provider ID: 235998
St Louis University
1402 S Grand Blvd
Saint Louis, MO 63104
(314) 977-6100
Ages Seen: 00 Yrs/99 Yrs
Yap, Frederick, MD !
Provider ID: 530730
St Louis University
3660 Vista Ave Ste 204
Saint Louis, MO 63110
(314) 977-6055
Ages Seen: 65 Yrs/99 Yrs
St Louis University Hospital
GYNECOLOGICAL
ONCOLOGY
Buekers, Thomas, MD !"
Provider ID: 291760
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6027
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Xynos, Francisco, MD !"
Provider ID: 291679
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6027
Ages Seen: 13 Yrs/99 Yrs
SSM
SSM
St Louis University Hospital
GYNECOLOGY
Mathews, Katherine, MD "
Provider ID: 321497
St Louis Connectcare
5535 Delmar
Saint Louis, MO 63112
(314) 879-6363
Ages Seen: 18 Yrs/99 Yrs
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
HAND SURGERY
Kraemer, Bruce, MD !"
Provider ID: 292018
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5650
Ages Seen: 00 Yrs/99 Yrs
Kraemer, Bruce, MD !"
Provider ID: 292018
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6130
Ages Seen: 00 Yrs/99 Yrs
Kraemer, Bruce, MD !"
Provider ID: 292018
3660 Vista Ave
Saint Louis, MO 63110
(314) 577-6125
Ages Seen: 00 Yrs/99 Yrs
HEMATOLOGY
Kudva, Ganesh, MD "
Provider ID: 235426
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 00 Yrs/99 Yrs
Reimers, Hans-Joachi, MD "
Provider ID: 234352
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 00 Yrs/99 Yrs
Richart, John, MD "
Provider ID: 235425
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 00 Yrs/99 Yrs
HEMATOLOGY &
ONCOLOGY
Fesler, Mark, MD "
Provider ID: 547918
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6056
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
! BOARD CERTIFIED
JANUARY 2011
Graham, Irene, MD !
Provider ID: 291810
St Louis University
3691 Rutger St
Saint Louis, MO 63110
(314) 977-9050
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
INFECTIOUS DISEASE
Anderson, Edwin, MD !
Provider ID: 238860
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5600
Ages Seen: 00 Yrs/21 Yrs
Anderson, Edwin, MD
Provider ID: 238860
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 00 Yrs/21 Yrs
Belshe, Robert, MD "
Provider ID: 234903
St Louis University
1200 S Grand Blvd
Saint Louis, MO 63104
(314) 977-6100
Ages Seen: 00 Yrs/99 Yrs
Mazumder, Shirin, MD
Provider ID: 550135
St Louis University
3691 Rutger Ave
Saint Louis, MO 63110
(314) 977-9050
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
INTERNAL MEDICINE
Ashraf, Yassir, MD !
Provider ID: 463002
St Louis University
915 N Grand Blvd
Saint Louis, MO 63106
(314) 289-6434
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
INTERNAL MEDICINE (cont.)
Flury, Kirk, MD !
Provider ID: 486483
St Louis University
3660 Vista Ave Ste 103
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Ghani, Mohammad, MD !
Provider ID: 419494
Language: Punjabi
SSM Managed Care Organization
3915 Watson Rd Ste 101
Saint Louis, MO 63109
(314) 964-4530
Ages Seen: 12 Yrs/99 Yrs
SSM
St A
St Anthonys Medical Center
Hindin, Rachel, MD
Provider ID: 349595
Grace Hill Neighborhood He
1717 Biddle St
Saint Louis, MO 63106
(314) 241-2200
Inampudi, Umesh, MD
Provider ID: 372837
Grace Hill Neighborhood He
2220 Lemp Ave
Saint Louis, MO 63104
(314) 814-8688
Kinsella, Laurence, MD !
Provider ID: 237744
St Louis University
3660 Vista Ave Ste 303
Saint Louis, MO 63110
(314) 977-6082
Ages Seen: 00 Yrs/99 Yrs
SSM
St Louis University Hospital
Kinsella, Laurence, MD !"
Provider ID: 237744
St Louis University
6150 Oakland Ave Ste 430
Saint Louis, MO 63139
(314) 768-3257
Ages Seen: 00 Yrs/99 Yrs
SSM
St Louis University Hospital
Miller, Douglas, MD "
Provider ID: 233785
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
! BOARD CERTIFIED
JANUARY 2011
MATERNAL FETAL
MEDICINE
Amon, Erol, MD !
Provider ID: 557543
SSM Managed Care Organization
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5600
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
St Louis University Hospital
Artal, Raul, MD !
Provider ID: 567383
SSM Managed Care Organization
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5600
Ages Seen: 00 Yrs/999 Yrs
SSM
St Louis University Hospital
Greenspoon, Jeffrey, MD !
Provider ID: 555001
SSM Managed Care Organization
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5600
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM St Joseph Hospital West
MEDICAL ONCOLOGY
Greenberg, David, MD
Provider ID: 558932
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 268-4065
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St L
Greenberg, David, MD
Provider ID: 558932
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3850
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St L
NEONATAL PERINATAL
MEDICINE
Booth, Gregory, MD !
Provider ID: 431511
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5642
Ages Seen: 00 Yrs/18 Yrs
Booth, Gregory, MD "
Provider ID: 546410
SSM Managed Care Organization
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5360
Ages Seen: 00 Yrs/99 Yrs
Brooker, Robert, MD !
Provider ID: 546419
SSM Managed Care Organization
1465 South Grand Blvd
Saint Louis, MO 63104
(314) 577-5360
Ages Seen: 00 Yrs/99 Yrs
Bruzzini, Daniel, MD !
Provider ID: 462710
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5629
Ages Seen: 00 Yrs/21 Yrs
SSM Cardinal Glennon Child
Cerny, Laura, MD !
Provider ID: 462700
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5642
Ages Seen: 00 Yrs/21 Yrs
SSM Cardinal Glennon Child
Ali, Ayoob, MD
Provider ID: 234928
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5642
Ages Seen: 00 Yrs/21 Yrs
Cooke, Richard, MD !
Provider ID: 544635
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5642
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St L
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
NEONATAL PERINATAL
MEDICINE (cont.)
French, Michael, MD !
Provider ID: 569557
SSM Managed Care Organization
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5642
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
St Anthonys Medical Center
Hall, Heather, MD "
Provider ID: 291862
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(618) 577-5642
Ages Seen: 00 Yrs/99 Yrs
Havranek, Thomas, MD !"
Provider ID: 368118
Language: Czech
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5642
Ages Seen: 00 Yrs/18 Yrs
Havranek, Thomas, MD !
Provider ID: 546336
SSM Managed Care Organization
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5642
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM Cardinal Glennon Child
Keenan, William, MD "
Provider ID: 237459
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 977-6100
Ages Seen: 00 Yrs/21 Yrs
Koenig, Joyce, MD !"
Provider ID: 356456
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5642
Ages Seen: 00 Yrs/18 Yrs
Noguchi, Akihiko, MD "
Provider ID: 236356
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 977-6100
Ages Seen: 00 Yrs/21 Yrs
! BOARD CERTIFIED
JANUARY 2011
NEPHROLOGY
Agha, Irfan, MD !"
Provider ID: 304808
Language: Urdu
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Alvarez, Alejandro, MD "
Provider ID: 344867
St Louis University
3660 Vista Ave Ste 103
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Bastani, Bahar, MD "
Provider ID: 236311
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 00 Yrs/99 Yrs
El-Achkar, Tarek, MD !
Provider ID: 463082
St Louis University
3660 Vista Ave Ste 103
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Otti, Theodore, MD
Provider ID: 437363
St Louis Connectcare
5535 Delmar Blvd
Saint Louis, MO 63112
(314) 879-6363
Ages Seen: 00 Yrs/99 Yrs
Philipneri, Marie, MD "
Provider ID: 236444
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 00 Yrs/99 Yrs
Philipneri, Marie, MD !"
Provider ID: 321498
5535 Delmar
Saint Louis, MO 63112
(314) 879-6363
Ages Seen: 00 Yrs/99 Yrs
Qazi, Rizwan, MD "
Provider ID: 378405
Language: Urdu
St Louis University
3660 Vista Ave Ste 103
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 18 Yrs/99 Yrs
Rauchman, Michael, MD !"
Provider ID: 297801
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 577-8765
Ages Seen: 18 Yrs/99 Yrs
Schmitz, Paul, MD "
Provider ID: 237532
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 00 Yrs/99 Yrs
Voinescu, Alexandra, MD
Provider ID: 429940
Language: German, Romanian
St Louis University
3660 Vista Ave Ste 103
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 18 Yrs/99 Yrs
NEUROLOGY
Acharya, Aninda, MD
Provider ID: 238049
St Louis University
3660 Vista Ave Ste 303
Saint Louis, MO 63110
(314) 977-6082
Ages Seen: 00 Yrs/99 Yrs
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
NEUROLOGY (cont.)
Acharya, Aninda, MD "
Provider ID: 238049
St Louis University
6150 Oakland Ave Ste 430
Saint Louis, MO 63139
(314) 768-3878
Ages Seen: 00 Yrs/99 Yrs
Alshekhlee, Amer, MD !
Provider ID: 530823
St Louis University
3660 Vista Ave Ste 303
Saint Louis, MO 63110
(314) 977-4440
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Andrews, Wegdan, MD !
Provider ID: 325048
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5338
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Andrews, Wegdan, MD !"
Provider ID: 325048
St Louis University
3635 Vista Ave
Saint Louis, MO 63110
(314) 977-4800
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Andrews, Wegdan, MD !
Provider ID: 325048
St Louis University
3660 Vista Ave Ste 303
Saint Louis, MO 63110
(314) 977-6082
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Andrews, Wegdan, MD !"
Provider ID: 325048
St Louis University
6150 Oakland Ave Ste 430
Saint Louis, MO 63139
(314) 768-3257
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Andrews, Wegdan, MD !
Provider ID: 325048
St Louis University
915 N Grand Blvd
Saint Louis, MO 63106
(314) 652-4100
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
! BOARD CERTIFIED
JANUARY 2011
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
NEUROLOGY (cont.)
Hayat, Ghazala, MD !"
Provider ID: 234884
St Louis University
3660 Vista Ave Ste 303
Saint Louis, MO 63110
(314) 977-6082
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Holzemer, Eve "
Provider ID: 248918
St Louis University
6150 Oakland Ave
Saint Louis, MO 63139
(314) 977-6082
Ages Seen: 00 Yrs/99 Yrs
Kale, Sushant, MD !
Provider ID: 529914
St Louis University
3660 Vista Ave Ste 303
Saint Louis, MO 63110
(314) 977-6082
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Kaminski, Henry, MD !"
Provider ID: 376153
St Louis University
3660 Vista Ave Ste 303
Saint Louis, MO 63110
(314) 977-6082
Ages Seen: 00 Yrs/99 Yrs
Karimi, Morvarid, MD !
Provider ID: 450302
Language: German
St Louis Connectcare
5535 Delmar Blvd
Saint Louis, MO 63112
(314) 879-6363
Ages Seen: 18 Yrs/99 Yrs
Kinsella, Laurence, MD !
Provider ID: 237744
St Louis University
3660 Vista Ave Ste 303
Saint Louis, MO 63110
(314) 977-6082
Ages Seen: 00 Yrs/99 Yrs
SSM
St Louis University Hospital
Kinsella, Laurence, MD !"
Provider ID: 237744
St Louis University
6150 Oakland Ave Ste 430
Saint Louis, MO 63139
(314) 768-3257
Ages Seen: 00 Yrs/99 Yrs
SSM
St Louis University Hospital
! BOARD CERTIFIED
JANUARY 2011
Kitchener, Jacob, MD !
Provider ID: 564627
St Louis University
3660 Vista Ave Ste 303
Saint Louis, MO 63110
(314) 977-6082
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Landau, William, MD !"
Provider ID: 386313
St Louis Connectcare
5535 Delmar Blvd
Saint Louis, MO 63112
(314) 879-6369
Ages Seen: 00 Yrs/99 Yrs
Lopate, Glenn, MD !"
Provider ID: 321494
St Louis Connectcare
5535 Delmar
Saint Louis, MO 63112
(314) 879-6363
Ages Seen: 12 Yrs/99 Yrs
Luchanok, Uladzimir, MD !"
Provider ID: 498475
St Louis University
3660 Vista Ave Ste 303
Saint Louis, MO 63110
(314) 977-6082
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Malhotra, Raman, MD !
Provider ID: 463936
St Louis University
3660 Vista Ave Ste 303
Saint Louis, MO 63110
(314) 977-6082
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Oliveira, Gisele, MD !
Provider ID: 571548
St Louis University
3660 Vista Ave Ste 303
Saint Louis, MO 63110
(314) 977-6082
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Pan, Yi, MD "
Provider ID: 237408
St Louis University
3635 Vista Ave @ Grand Blvd
Saint Louis, MO 63110
(314) 977-6082
Ages Seen: 00 Yrs/99 Yrs
Piriyawat, Paisith, MD !"
Provider ID: 298924
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 577-8026
Ages Seen: 18 Yrs/99 Yrs
NEUROSURGERY
Abdulrauf, Saleem, MD "
Provider ID: 236440
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5306
Ages Seen: 00 Yrs/99 Yrs
Abdulrauf, Saleem, MD
Provider ID: 236440
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6131
Ages Seen: 00 Yrs/99 Yrs
Bucholz, Richard, MD "
Provider ID: 234534
St Louis University
3660 Vista Ave Ste 108
Saint Louis, MO 63110
(314) 977-6082
Ages Seen: 00 Yrs/99 Yrs
Coppens, Jeroen, MD "
Provider ID: 464609
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6131
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St L
Crafts, David, MD "
Provider ID: 238706
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6082
Ages Seen: 00 Yrs/99 Yrs
Vora, Nirav, MD !
Provider ID: 463923
St Louis University
3660 Vista Ave Ste 303
Saint Louis, MO 63110
(314) 977-6082
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Darbar, Aneela, MD
Provider ID: 547539
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5306
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Darbar, Aneela, MD
Provider ID: 547539
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6131
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Eichholz, Kurt, MD
Provider ID: 528559
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6131
Ages Seen: 18 Yrs/99 Yrs
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
NEUROSURGERY (cont.)
Elbabaa, Samer, MD "
Provider ID: 556390
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5306
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St L
Eller, Jorge, MD !"
Provider ID: 550136
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5306
Ages Seen: 00 Yrs/99 Yrs
SSM
St Anthonys Medical Center
St L
Eller, Jorge, MD !
Provider ID: 550136
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6131
Ages Seen: 00 Yrs/99 Yrs
SSM
St Anthonys Medical Center
St L
Felton, Jason, MD
Provider ID: 556391
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5306
Ages Seen: 00 Yrs/99 Yrs
SSM
St Anthonys Medical Center
St L
Felton, Jason, MD "
Provider ID: 556391
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6131
Ages Seen: 00 Yrs/99 Yrs
SSM
St Anthonys Medical Center
St L
Flannery, Ann, MD !"
Provider ID: 564670
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5306
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St L
! BOARD CERTIFIED
JANUARY 2011
Lyadurai, Stanley, MD !
Provider ID: 547537
St Louis University
3660 Vista Ave Ste 303
Saint Louis, MO 63110
(314) 977-6082
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Quinn, Tanya, MD "
Provider ID: 550134
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5306
Ages Seen: 00 Yrs/99 Yrs
SSM
St Anthonys Medical Center
St L
Quinn, Tanya, MD "
Provider ID: 550134
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6131
Ages Seen: 00 Yrs/99 Yrs
SSM
St Anthonys Medical Center
St L
Sasaki Adams, Deanna, MD
Provider ID: 556394
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5306
Ages Seen: 00 Yrs/99 Yrs
SSM
St Anthonys Medical Center
St L
Sasaki Adams, Deanna, MD "
Provider ID: 556394
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6131
Ages Seen: 00 Yrs/99 Yrs
SSM
St Anthonys Medical Center
St L
NUCLEAR MEDICINE
Nguyen, Nghi, MD !
Provider ID: 429568
St Louis University
3635 Vista Ave @ Grand Blvd
Saint Louis, MO 63110
(314) 577-8047
Ages Seen: 00 Yrs/99 Yrs
OBSTETRICS/
GYNECOLOGY
Babar, Sangeeta, MD
Provider ID: 443345
Peoples Health Center
5701 Delmar Blvd
Saint Louis, MO 63112
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Baum, Margaret, MD "
Provider ID: 327637
Grace Hill Neighborhood He
2220 Lemp
Saint Louis, MO 63104
(314) 241-2200
Ages Seen: 18 Yrs/99 Yrs
Baum, Margaret, MD "
Provider ID: 327637
Grace Hill Neighborhood He
4308 N Grand
Saint Louis, MO 63107
(314) 340-3222
Ages Seen: 18 Yrs/99 Yrs
Biron-Shental, Tal, MD
Provider ID: 348465
Grace Hill Neighborhood He
216 South Kings Hwy
Saint Louis, MO 63110
(314) 879-6300
Bowers, Jessica, MD "
Provider ID: 321747
Peoples Health Center
5701 Delmar Blvd
Saint Louis, MO 63113
(314) 367-7848
Ages Seen: 18 Yrs/99 Yrs
Central West End Health
Center "
Provider ID: 321465
4251 Forest Park Ave
Saint Louis, MO 63108
(314) 531-7526
Cross, Veronica, MD
Provider ID: 363046
Myrtle Hilliard Davis Comprehe
2425 N Whittier
Saint Louis, MO 63113
(314) 371-3100
Ages Seen: 00 Yrs/99 Yrs
Cross, Veronica, MD
Provider ID: 363046
Myrtle Hilliard Davis Comprehe
4411 N Newstead Ave
Saint Louis, MO 63115
(314) 381-9990
Ages Seen: 00 Yrs/99 Yrs
Cross, Veronica, MD "
Provider ID: 363046
Myrtle Hilliard Davis Comprehe
5471 Dr MLK Dr
Saint Louis, MO 63112
(314) 367-5820
Ages Seen: 00 Yrs/99 Yrs
Cross, Veronica, MD "
Provider ID: 363046
Myrtle Hilliard Davis Comprehe
5541 Riverview Blvd
Saint Louis, MO 63120
(314) 389-4566
Ages Seen: 00 Yrs/99 Yrs
Despotovic, Jessica, MD
Provider ID: 489342
Grace Hill Neighborhood He
1717 Biddle St
Saint Louis, MO 63106
Ages Seen: 00 Yrs/99 Yrs
Despotovic, Jessica, MD
Provider ID: 489342
Grace Hill Neighborhood He
2220 Lemp
Saint Louis, MO 63104
(314) 814-8569
Ages Seen: 00 Yrs/99 Yrs
Despotovic, Jessica, MD
Provider ID: 489342
Grace Hill Neighborhood He
3400 S Jefferson
Saint Louis, MO 63118
Ages Seen: 00 Yrs/99 Yrs
Despotovic, Jessica, MD
Provider ID: 489342
Grace Hill Neighborhood He
4308 N Grand Blvd
Saint Louis, MO 63107
Ages Seen: 00 Yrs/99 Yrs
Despotovic, Jessica, MD
Provider ID: 489342
Grace Hill Neighborhood He
800 N Tucker
Saint Louis, MO 63107
Ages Seen: 00 Yrs/99 Yrs
Dubas, Nicole, MD
Provider ID: 462967
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 977-7455
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
OBSTETRICS/
GYNECOLOGY (cont.)
Eisenberg, David, MD
Provider ID: 544883
Language: Spanish
Reproductive Health Services
4251 Forest Park Ave
Saint Louis, MO 63108
(314) 531-7526
Ages Seen: 00 Yrs/99 Yrs
Gross, Gilad, MD
Provider ID: 254534
Grace Hill Neighborhood He
216 South Kingshighway
Saint Louis, MO 63110
(314) 879-6300
Hoenicke, Nicole, MD !"
Provider ID: 291768
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5347
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Hoenicke, Nicole, MD !"
Provider ID: 291768
3518 Laclede Ave
Saint Louis, MO 63103
(314) 977-2802
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Hoenicke, Nicole, MD !"
Provider ID: 291768
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-2802
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
James, Jade, MD "
Provider ID: 325144
Myrtle Hilliard Davis Comprehe
2425 N Whittier St
Saint Louis, MO 63113
(314) 371-3100
Ages Seen: 12 Yrs/99 Yrs
James, Jade, MD "
Provider ID: 325144
Myrtle Hilliard Davis Comprehe
4411 N Newstead Ave
Saint Louis, MO 63115
(314) 381-9990
Ages Seen: 12 Yrs/99 Yrs
JANUARY 2011
Liftis-Podorozhansky,
Yulia, MD !"
Provider ID: 354343
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6027
Ages Seen: 00 Yrs/18 Yrs
SSM
St Louis University Hospital
McCloskey, Leslie, MD !"
Provider ID: 298224
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6027
Ages Seen: 18 Yrs/99 Yrs
SSM St Marys Health Center
Nwanodi, Oroma, MD "
Provider ID: 369871
Language: French, Spanish
Myrtle Hilliard Davis Comprehe
2425 Whittier St
Saint Louis, MO 63113
(314) 371-3100
Ages Seen: 00 Yrs/99 Yrs
Nwanodi, Oroma, MD "
Provider ID: 369871
Language: French, Spanish
Myrtle Hilliard Davis Comprehe
441 N Newstand Ave
Saint Louis, MO 63115
(314) 381-9990
Ages Seen: 00 Yrs/99 Yrs
Nwanodi, Oroma, MD "
Provider ID: 369871
Language: French, Spanish
Myrtle Hilliard Davis Comprehe
5471 Dr MLK Dr
Saint Louis, MO 63112
(314) 367-5820
Ages Seen: 00 Yrs/99 Yrs
Nwanodi, Oroma, MD "
Provider ID: 369871
Language: French, Spanish
Myrtle Hilliard Davis Comprehe
5541 Riverview Blvd
Saint Louis, MO 63120
(314) 389-4566
Ages Seen: 00 Yrs/99 Yrs
Petersen, Diane, MD !
Provider ID: 365136
3655 Vista Ave
Saint Louis, MO 63110
(314) 977-7455
Ages Seen: 16 Yrs/99 Yrs
St Louis University Hospital
! BOARD CERTIFIED
Powell, Jill, MD !
Provider ID: 235417
St Louis University
1465 S Grand Blvd
First Fl
Saint Louis, MO 63104
(314) 577-5347
Ages Seen: 00 Yrs/16 Yrs
SSM St Marys Health Center
Ravin, Amy, MD !"
Provider ID: 321704
Grace Hill Neighborhood He
2600 Hadley
Saint Louis, MO 63106
(314) 241-2200
Ages Seen: 00 Yrs/99 Yrs
Ravin, Amy, MD !"
Provider ID: 321704
Grace Hill Neighborhood He
4308 N Grand
Saint Louis, MO 63107
(314) 241-2200
Ages Seen: 00 Yrs/99 Yrs
Rivera, Victor, MD "
Provider ID: 321779
Language: Spanish
Victor Rivera MD
3535 S Jefferson Ave Ste 106
Saint Louis, MO 63118
(314) 771-4600
Ages Seen: 14 Yrs/99 Yrs
St A
St Anthonys Medical Center
Sadovsky, Yoel, MD
Provider ID: 253230
Grace Hill Neighborhood He
216 S Kings Hwy
Saint Louis, MO 63110
(314) 879-6300
Sadovsky, Yoel, MD
Provider ID: 253230
Grace Hill Neighborhood He
4949 Barnes Hospital
Saint Louis, MO 63110
(314) 747-0937
Shah, Mitul, MD !"
Provider ID: 321633
Grace Hill Neighborhood He
2220 Lemp
Saint Louis, MO 63104
(314) 814-8514
Ages Seen: 11 Yrs/99 Yrs
Shyken, Jaye, MD
Provider ID: 554755
SSM Managed Care Organization
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5600
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM Depaul Health Center
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
OBSTETRICS/
GYNECOLOGY (cont.)
South Grand Health Center "
Provider ID: 321468
3401 S Grand
Saint Louis, MO 63118
(314) 865-1850
Treece, Yvonne, MD
Provider ID: 479737
Peoples Health Center
5701 Delmar Blvd
Saint Louis, MO 63112
(314) 367-7848
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Walker, Latashia, MD "
Provider ID: 461051
Peoples Health Center
5701 Delmar Blvd
Saint Louis, MO 63112
(314) 367-7848
Ages Seen: 00 Yrs/99 Yrs
Ward, Donald, MD !
Provider ID: 238618
St Louis University
3518 Laclede Ave
Saint Louis, MO 63103
(314) 977-2802
Ages Seen: 18 Yrs/99 Yrs
SSM
St Louis University Hospital
Ward, Donald, MD !
Provider ID: 238618
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6027
Ages Seen: 18 Yrs/99 Yrs
SSM
St Louis University Hospital
Xynos, Francisco, MD "
Provider ID: 291679
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6027
Ages Seen: 13 Yrs/99 Yrs
SSM
SSM
St Louis University Hospital
OPHTHALMOLOGY
Akduman, Levent, MD
Provider ID: 234525
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3220
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
JANUARY 2011
Buchanan, Adam, MD !
Provider ID: 463601
St Louis University
1755 S Grand
Saint Louis, MO 63104
(314) 256-3220
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Chung, Sophia, MD "
Provider ID: 238627
SLU-Dept of Ophthalmology
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 577-6038
Ages Seen: 00 Yrs/99 Yrs
Couch, Steven, MD
Provider ID: 558859
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3232
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St L
Council, Matthew, MD "
Provider ID: 490113
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3232
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St L
Cruz, Oscar, MD !"
Provider ID: 234357
Language: Spanish
SLU-Dept of Pediatrics
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5660
Ages Seen: 00 Yrs/99 Yrs
Davitt, Bradley, MD !"
Provider ID: 238064
SLU-Dept of Ophthalmology
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3200
Ages Seen: 00 Yrs/99 Yrs
Edelstein, Sean, MD
Provider ID: 462328
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3227
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Espinoza, Gabriela, MD "
Provider ID: 280230
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3220
Ages Seen: 00 Yrs/99 Yrs
Olk, Robert, MD !
Provider ID: 470051
Nu-Crown dba Crown Optica
3718 S Kingshighway
Saint Louis, MO 63116
(314) 446-1134
Ages Seen: 00 Yrs/99 Yrs
Gabrawy, Laila, MD !
Provider ID: 360974
Myrtle Hilliard Davis Comprehe
4411 N Newstead Ave
Saint Louis, MO 63115
(314) 381-9990
Ages Seen: 00 Yrs/99 Yrs
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
OPHTHALMOLOGY (cont.)
Tseng, Lili, MD "
Provider ID: 356140
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3200
Ages Seen: 00 Yrs/99 Yrs
JANUARY 2011
Bartosik, Wendy, OD
Provider ID: 473947
3718 S Kingshighway
Saint Louis, MO 63116
(314) 446-1134
Ages Seen: 05 Yrs/99 Yrs
Bartosik, Wendy, OD
Provider ID: 473947
4145 Lindell Blvd
Saint Louis, MO 63108
(314) 533-1898
Ages Seen: 05 Yrs/99 Yrs
Ullrich, Chris, OD !
Provider ID: 440377
Nu-Crown dba Crown Optica
3718 S Kings Hwy
Saint Louis, MO 63116
(314) 446-1134
Ages Seen: 00 Yrs/99 Yrs
Bartosik, Wendy, OD
Provider ID: 473947
5694 Telegraph Plz
Saint Louis, MO 63139
(314) 846-4222
Ages Seen: 05 Yrs/99 Yrs
Ullrich, Chris, OD !
Provider ID: 440377
Nu-Crown dba Crown Optica
3718 S Kingshighway
Saint Louis, MO 63116
Ages Seen: 00 Yrs/99 Yrs
Brave, Jennifer, OD
Provider ID: 471228
Nu-Crown dba Crown Optica
3718 S Kingshighway
Saint Louis, MO 63116
(314) 446-1134
Ages Seen: 03 Yrs/99 Yrs
Ullrich, Chris, OD !
Provider ID: 440377
Nu-Crown dba Crown Optica
4145 Lindell Blvd
Saint Louis, MO 63108
(314) 533-1898
Ages Seen: 00 Yrs/99 Yrs
Ullrich, Chris, OD !
Provider ID: 440377
Nu-Crown dba Crown Optica
5694 Telegraph Plaza
Saint Louis, MO 63139
(314) 846-4222
Ages Seen: 00 Yrs/99 Yrs
OPTOMETRY
Brave, Jennifer, OD
Provider ID: 471228
Nu-Crown dba Crown Optica
4145 Lindell Blvd
Saint Louis, MO 63108
(314) 533-1898
Ages Seen: 03 Yrs/99 Yrs
Brave, Jennifer, OD
Provider ID: 471228
Nu-Crown dba Crown Optica
5694 Telegraph Plz
Saint Louis, MO 63139
(314) 846-4222
Ages Seen: 03 Yrs/99 Yrs
Andrud, Andrea, OD
Provider ID: 468860
Nu-Crown dba Crown Optica
3718 S Kingshighway
Saint Louis, MO 63116
(314) 446-1134
Ages Seen: 00 Yrs/99 Yrs
Brunig, Brian, OD
Provider ID: 396365
Language: Spanish, Swahili
Family Care Health Centers
401 Holly Hills
Saint Louis, MO 63111
(314) 353-5190
Ages Seen: 00 Yrs/99 Yrs
Andrud, Andrea, OD
Provider ID: 468860
Nu-Crown dba Crown Optica
4145 Lindell Blvd
Saint Louis, MO 63108
(314) 533-1898
Ages Seen: 00 Yrs/99 Yrs
Hafezi, Eneida, OD
Provider ID: 469842
Nu-Crown dba Crown Optica
3718 S Kingshighway
Saint Louis, MO 63116
(314) 446-1134
Ages Seen: 03 Yrs/99 Yrs
Andrud, Andrea, OD
Provider ID: 468860
Nu-Crown dba Crown Optica
5694 Telegraph Plz
Saint Louis, MO 63139
(314) 846-4222
Ages Seen: 00 Yrs/99 Yrs
Hafezi, Eneida, OD
Provider ID: 469842
Nu-Crown dba Crown Optica
4145 Lindell Blvd
Saint Louis, MO 63108
(314) 533-1898
Ages Seen: 03 Yrs/99 Yrs
! BOARD CERTIFIED
Hafezi, Eneida, OD
Provider ID: 469842
Nu-Crown dba Crown Optica
5694 Telegraph Plz
Saint Louis, MO 63139
(314) 846-4222
Ages Seen: 03 Yrs/99 Yrs
Jacques, Chantal, OD
Provider ID: 555309
Nu-Crown dba Crown Optica
4145 Lindell Blvd
Saint Louis, MO 63108
(314) 533-1898
Ages Seen: 02 Yrs/99 Yrs
Jacques, Chantal, OD
Provider ID: 555309
Nu-Crown dba Crown Optica
3718 S Kingshighway Blvd
Saint Louis, MO 63109
(314) 446-1134
Ages Seen: 02 Yrs/99 Yrs
Landgraf, Thomas, OD
Provider ID: 456900
Family Care Health Centers
401 Holly Hills Ave
Saint Louis, MO 63111
(314) 353-5190
Ages Seen: 04 Yrs/99 Yrs
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
OPTOMETRY (cont.)
Levi, Christina, OD "
Provider ID: 321599
Nu-Crown dba Crown Optica
3718 S Kingshighway
Saint Louis, MO 63116
(314) 446-1134
Ages Seen: 00 Yrs/99 Yrs
Levi, Christina, OD "
Provider ID: 321599
Nu-Crown dba Crown Optica
4145 Lindell Blvd
Saint Louis, MO 63108
(314) 533-1893
Ages Seen: 00 Yrs/99 Yrs
Levy, Jules, OD
Provider ID: 508187
Jules R Levy O D
1015 N Grand
Saint Louis, MO 63106
(314) 535-2273
Ages Seen: 00 Yrs/99 Yrs
Lopatin, Brian, OD "
Provider ID: 321604
Nu-Crown dba Crown Optica
3718 S Kingshighway
Saint Louis, MO 63116
(314) 446-1134
Ages Seen: 00 Yrs/99 Yrs
Lopatin, Brian, OD "
Provider ID: 321604
Nu-Crown dba Crown Optica
4145 Lindell Blvd
Saint Louis, MO 63108
(314) 533-1893
Ages Seen: 00 Yrs/99 Yrs
Lopatin, Brian, OD "
Provider ID: 321604
Nu-Crown dba Crown Optica
427 Lafayette Center
Saint Louis, MO 63110
(636) 391-1309
Ages Seen: 00 Yrs/99 Yrs
Lutz, Charles, OD "
Provider ID: 321605
Nu-Crown dba Crown Optica
3718 S Kingshighway
Saint Louis, MO 63116
(314) 446-1134
Ages Seen: 00 Yrs/99 Yrs
Lutz, Charles, OD "
Provider ID: 321605
Nu-Crown dba Crown Optica
4145 Lindell Blvd
Saint Louis, MO 63108
(314) 533-1893
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
JANUARY 2011
McMurry, Kristin, OD
Provider ID: 554329
Nu-Crown dba Crown Optica
3718 South Kings Hwy
Saint Louis, MO 63116
(314) 446-1134
Ages Seen: 04 Yrs/99 Yrs
Wang, Chih-Jen, OD
Provider ID: 366321
Nu-Crown dba Crown Optica
3718 S Kingshighway
Saint Louis, MO 63116
(314) 446-1134
Ages Seen: 00 Yrs/99 Yrs
McMurry, Kristin, OD
Provider ID: 554329
Nu-Crown dba Crown Optica
4145 Lindell Blvd
Saint Louis, MO 63108
(314) 533-1898
Ages Seen: 04 Yrs/99 Yrs
Wang, Chih-Jen, OD
Provider ID: 366321
Nu-Crown dba Crown Optica
4145 Lindell Blvd
Saint Louis, MO 63108
(314) 533-1898
Ages Seen: 00 Yrs/99 Yrs
Myers, Raymond, OD
Provider ID: 368753
Family Care Health Centers
401 Holly Hills Ave
Saint Louis, MO 63111
(314) 353-5190
Ages Seen: 04 Yrs/99 Yrs
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
ORTHOPAEDIC SURGERY
Alander, Dirk, MD !"
Provider ID: 247371
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5646
Ages Seen: 00 Yrs/99 Yrs
Alander, Dirk, MD !
Provider ID: 247371
1755 S Grand
Orthopaedics
Saint Louis, MO 63104
(314) 256-3850
Ages Seen: 00 Yrs/99 Yrs
Boudreau, John, MD
Provider ID: 349695
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5646
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St L
Boudreau, John, MD
Provider ID: 349695
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5646
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St L
Cannada, Lisa, MD !
Provider ID: 308336
1465 S Grand
Saint Louis, MO 63104
(314) 577-5646
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Cannada, Lisa, MD !
Provider ID: 308336
1755 S Grand
Saint Louis, MO 63104
(314) 256-3850
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Cutuk, Adnan, MD "
Provider ID: 561648
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 268-6438
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St L
! BOARD CERTIFIED
JANUARY 2011
Jackman, James, DO
Provider ID: 291617
1755 S Grand
Orthopaedics
Saint Louis, MO 63104
(314) 256-3850
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Kuhn, Kevin, MD
Provider ID: 556384
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3850
Ages Seen: 00 Yrs/21 Yrs
St Louis University Hospital
Kaar, Scott, MD
Provider ID: 456038
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 268-4065
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Kaar, Scott, MD
Provider ID: 456038
St Louis University
1755 S Grand
Saint Louis, MO 63104
(314) 256-3850
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
McMichael, Jessica, MD
Provider ID: 558824
SSM Managed Care Organization
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 266-4065
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St L
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
ORTHOPAEDIC SURGERY
(cont.)
McMichael, Jessica, MD
Provider ID: 558824
SSM Managed Care Organization
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3850
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St L
Medler, Robert, MD "
Provider ID: 242655
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-8850
Ages Seen: 00 Yrs/99 Yrs
Moed, Berton, MD "
Provider ID: 237748
St Louis University
1312 Carr Lane Ave
Fl 2
Saint Louis, MO 63104
(314) 577-8850
Ages Seen: 00 Yrs/99 Yrs
Nott, Erik, MD !
Provider ID: 564640
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 268-4065
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St L
Nott, Erik, MD !
Provider ID: 564640
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3850
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St L
Otto, Thomas, MD !"
Provider ID: 234872
St Louis University
1312 Carr Lane Ave
Saint Louis, MO 63104
(314) 577-8850
Ages Seen: 00 Yrs/99 Yrs
Otto, Thomas, MD !
Provider ID: 234872
St Louis University
1755 S Grand
Orthopaedics
Saint Louis, MO 63104
(314) 256-3850
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
JANUARY 2011
Place, Howard, MD !
Provider ID: 235842
St Louis University
1465 S Grand Blvd
Orthpaedics
Saint Louis, MO 63104
(314) 577-5646
Ages Seen: 00 Yrs/99 Yrs
PAIN MANAGEMENT
Brenner, Steven, MD "
Provider ID: 238833
St Louis University
3635 Vista @ Grand Blvd
Saint Louis, MO 63110
(314) 977-4800
Ages Seen: 00 Yrs/99 Yrs
Holloway Jr, Robert, MD
Provider ID: 524200
SSM Managed Care Organization
5203 Chippewa Ste 301
Saint Louis, MO 63109
(314) 481-5000
Ages Seen: 00 Yrs/99 Yrs
Padda, Gurpreet, MD
Provider ID: 480362
Center For Interventional Pain
5203 Chippewa
Saint Louis, MO 63109
Ages Seen: 00 Yrs/99 Yrs
St Alexius Hospital
Padda, Gurpreet, MD
Provider ID: 480362
Center For Interventional Pain
5203 Chippewa Ste 301
Saint Louis, MO 63109
(314) 481-5000
Ages Seen: 00 Yrs/99 Yrs
St Alexius Hospital
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
PEDIATRIC ALLERGY &
IMMUNOLOGY
Knutsen, Alan, MD "
Provider ID: 252107
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 977-6100
Ages Seen: 00 Yrs/21 Yrs
Warrier, Manoj, MD !"
Provider ID: 485408
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5644
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
PEDIATRIC CARDIOLOGY
Al Jureidini, Saadeh, MD "
Provider ID: 237455
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5633
Ages Seen: 00 Yrs/21 Yrs
Bromberg, Burt, MD !
Provider ID: 428256
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5633
Ages Seen: 00 Yrs/18 Yrs
Chen, Su-Chiung, MD !
Provider ID: 529660
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(573) 331-3000
Ages Seen: 00 Yrs/18 Yrs
Peterson, Renuka, MD !
Provider ID: 515939
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5633
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
Rahimi, Mohammad, MD "
Provider ID: 300663
St Louis University
1465 S Grand Blv
Saint Louis, MO 63104
(314) 577-5633
Ages Seen: 00 Yrs/18 Yrs
! BOARD CERTIFIED
JANUARY 2011
Reddy, Chetana, MD !
Provider ID: 384776
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5633
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
Schowengerdt,
Kenneth, MD !"
Provider ID: 347887
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5633
Ages Seen: 00 Yrs/18 Yrs
St Louis University Hospital
Sutherell, Jamie, DO
Provider ID: 514551
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5633
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
St L
Trivedi, Kalyani, MD !
Provider ID: 497826
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5633
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
St L
PEDIATRIC
ENDOCRINOLOGY
Kanafani, Nadim, DO
Provider ID: 514556
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5648
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
St L
PEDIATRIC
GASTROENTEROLOGY
Barlow, Sarah, MD "
Provider ID: 237163
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5647
Ages Seen: 00 Yrs/21 Yrs
Derdoy, Jose, MD !"
Provider ID: 374854
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5647
Ages Seen: 00 Yrs/18 Yrs
St Louis University Hospital
Foy, Thomas, MD "
Provider ID: 236357
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5647
Ages Seen: 00 Yrs/18 Yrs
St Louis University Hospital
Jain, Ajay, MD !
Provider ID: 526415
Language: Spanish
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5647
Ages Seen: 00 Yrs/18 Yrs
Rosenblum, Jerry, MD !
Provider ID: 550138
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5647
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
PEDIATRIC GENETICS
Braddock, Stephen, MD !"
Provider ID: 556382
SLU-Dept of Internal Medicine
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5641
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
Davenport, Sandra, MD !
Provider ID: 530830
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 557-7563
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
PEDIATRIC HEMATOLOGY/
ONCOLOGY
Bhatla, Deepika, MD !"
Provider ID: 379026
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5368
Ages Seen: 00 Yrs/21 Yrs
Chu, Jen Yih, MD !"
Provider ID: 236796
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5638
Ages Seen: 00 Yrs/21 Yrs
Ferguson, William, MD !"#
Provider ID: 271216
St Louis University
1465 S Grand
Saint Louis, MO 63110
(314) 577-5638
Ages Seen: 00 Yrs/18 Yrs
Gale, Gordon, MD "
Provider ID: 237164
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5638
Ages Seen: 00 Yrs/21 Yrs
Gauvain, Karen, MD "
Provider ID: 397506
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5638
Ages Seen: 00 Yrs/18 Yrs
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
PEDIATRIC HEMATOLOGY/
ONCOLOGY (cont.)
Hugge, Christopher, MD "
Provider ID: 291675
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5638
Ages Seen: 00 Yrs/18 Yrs
St Louis University Hospital
Oconnor, Dennis, MD "
Provider ID: 235913
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5644
Ages Seen: 00 Yrs/21 Yrs
Puetz, John, MD "
Provider ID: 236794
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5332
Ages Seen: 00 Yrs/21 Yrs
Saini, Shermini, MD !
Provider ID: 558838
SLU-Dept of Pediatrics
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5638
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
PEDIATRIC INFECTIOUS
DISEASE
Anderson, Edwin, MD !
Provider ID: 238860
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5600
Ages Seen: 00 Yrs/21 Yrs
Anderson, Edwin, MD !
Provider ID: 238860
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 00 Yrs/21 Yrs
Barenkamp, Stephen, MD "
Provider ID: 235464
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5644
Ages Seen: 00 Yrs/21 Yrs
! BOARD CERTIFIED
JANUARY 2011
PEDIATRIC NEPHROLOGY
Belsha, Craig, MD "
Provider ID: 234926
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5662
Ages Seen: 00 Yrs/21 Yrs
Wood, Ellen, MD "
Provider ID: 239116
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5662
Ages Seen: 00 Yrs/21 Yrs
PEDIATRIC NEUROLOGY
Abraham, Elizabeth, MD !"
Provider ID: 559460
SLU-Dept of Pediatrics
1465 S Grand
Saint Louis, MO 63104
(314) 577-5662
Ages Seen: 00 Yrs/21 Yrs
SSM Cardinal Glennon Child
Arun, Deepa, MD
Provider ID: 514565
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5338
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
St L
Arun, Deepa, MD
Provider ID: 514565
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
St L
Bicknese, Alma, MD !"
Provider ID: 235858
St Louis University
1465 S Grand
Saint Louis, MO 63110
(314) 577-5338
Ages Seen: 00 Yrs/18 Yrs
Goretzke, Sean, MD !
Provider ID: 556392
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5338
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
St L
Paruthi, Shalini, MD !
Provider ID: 462712
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 268-4101
Ages Seen: 00 Yrs/21 Yrs
SSM Cardinal Glennon Child
Portnoy, Shulamit, MD
Provider ID: 422953
Grace Hill Neighborhood He
1717 Biddle St
Saint Louis, MO 63106
(314) 241-2200
Powell, Kevin, MD !
Provider ID: 420986
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 268-6439
Ages Seen: 00 Yrs/18 Yrs
St Louis University Hospital
Vashist, Alpa, MD
Provider ID: 379025
St Louis University
1465 S Grand
Saint Louis, MO 63110
(314) 577-5338
Ages Seen: 00 Yrs/21 Yrs
St Louis University Hospital
PEDIATRIC
OPHTHALMOLOGY
PEDIATRIC
RHEUMATOLOGY
PEDIATRIC PULMONOLOGY
Albers, Gary, MD "
Provider ID: 238093
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 268-6439
Ages Seen: 00 Yrs/21 Yrs
Noyes, Blakeslee, MD !
Provider ID: 236486
St Louis University
Saint Louis, MO 63104
(314) 268-6439
Ages Seen: 00 Yrs/18 Yrs
Noyes, Blakeslee, MD !
Provider ID: 236486
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 268-6439
Ages Seen: 00 Yrs/18 Yrs
Wenkert, Deborah, MD !
Provider ID: 285112
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5572
Ages Seen: 00 Yrs/21 Yrs
SSM Cardinal Glennon Child
St L
PEDIATRIC SURGERY
Bower, Richard, MD !
Provider ID: 237456
SLU-Dept of Pediatrics
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5629
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
St L
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
JANUARY 2011
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
PEDIATRICS
! BOARD CERTIFIED
Portnoy, Shulamit, MD !
Provider ID: 463724
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5641
Ages Seen: 00 Yrs/18 Yrs
St Louis University Hospital
Twyman, Kimberly, MD !
Provider ID: 529911
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5609
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Wenkert, Deborah, MD !
Provider ID: 285112
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5572
Ages Seen: 00 Yrs/21 Yrs
SSM Cardinal Glennon Child
St L
PLASTIC &
RECONSTRUCTIVE
SURGERY
Bernstein, Michael, MD
Provider ID: 526099
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5650
Ages Seen: 00 Yrs/99 Yrs
Bernstein, Michael, MD
Provider ID: 526099
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6027
Ages Seen: 00 Yrs/99 Yrs
Bernstein, Michael, MD
Provider ID: 526099
St Louis University
3660 Vista Ave Ste 108
Saint Louis, MO 63110
(314) 977-6125
Ages Seen: 00 Yrs/99 Yrs
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
PLASTIC &
RECONSTRUCTIVE
SURGERY (cont.)
Plikaitis, Christina, MD
Provider ID: 556257
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6027
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM Cardinal Glennon Child
St L
PODIATRY
Bradford, Henry, DPM "
Provider ID: 343291
Language: French
Myrtle Hilliard Davis Comprehe
2425 N Whittier St
Saint Louis, MO 63113
(314) 371-3100
Ages Seen: 00 Yrs/99 Yrs
Bradford, Henry, DPM "
Provider ID: 343291
Language: French
Myrtle Hilliard Davis Comprehe
4411 N Newstead Ave
Saint Louis, MO 63115
(314) 381-9990
Ages Seen: 00 Yrs/99 Yrs
Bradford, Henry, DPM "
Provider ID: 343291
Language: French
Myrtle Hilliard Davis Comprehe
5471 Dr Martin Luther King Dr
Saint Louis, MO 63112
(314) 367-5820
Ages Seen: 00 Yrs/99 Yrs
Bradford, Henry, DPM "
Provider ID: 343291
Language: French
Myrtle Hilliard Davis Comprehe
5541 Riverview Blvd
Saint Louis, MO 63120
(314) 371-3100
Ages Seen: 00 Yrs/99 Yrs
Drago, Joseph, MD !"
Provider ID: 336793
SSM Managed Care Organization
16 Hampton Village Ste 260
Saint Louis, MO 63109
(314) 291-6202
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
JANUARY 2011
PSYCHIATRY
Farzana, Farida, Mbbc !
Provider ID: T0402590000-05
Language: Urdu
Psych Care Conslnt
3115 Hampton Ave
Saint Louis, MO 63139
(314) 644-3447
Ages Seen: 18 Yrs/64 Yrs
Forest Park Hospital
St Mary Health Center
Farzana, Farida, Mbbc !
Provider ID: T0402590000-01
Language: Urdu
Farida Farzana
3115 Hampton Ave
Saint Louis, MO 63139
(314) 644-3447
Ages Seen: 18 Yrs/64 Yrs
Forest Park Hospital
St Mary Health Center
Kamat, Sanjeev, MD "
Provider ID: T6000151150-02
St Louis Psychy Drs Grp
3535 S Jefferson Ave Ste 9
Saint Louis, MO 63118
(314) 268-6195
Ages Seen: 18 Yrs/99 Yrs
Alexian Brothers Hospital
Krojanker, Rolf, MD !
Provider ID: T0409000000-05
Language: German, Spanish
Hopewell Center
4411 N Newstead Ave
Saint Louis, MO 63115
(314) 531-1770
Ages Seen: 18 Yrs/99 Yrs
St Alexius Hospital
Rao, Radhika, MD
Provider ID: T6005021420-01
Language: Telugu
Radhika Rao
1 Barnes Jewish Hospital Plza
Ste 16428
Saint Louis, MO 63110
(314) 367-4500
Ages Seen: 18 Yrs/64 Yrs
Simpson, Reed, MD !"
Provider ID: T0240220000-05
St Louis Bhvrl Medcn Inst
1129 Macklind Ave
Saint Louis, MO 63110
(314) 534-0200
Ages Seen: 18 Yrs/64 Yrs
PSYCHOLOGY
Borrine, M, PhD
Provider ID: T6006598590-01
M Lee Borrine
2626 Hampton Ave
Saint Louis, MO 63139
(314) 960-6713
Ages Seen: 00 Yrs/99 Yrs
Carusa, Sandra, PhD "
Provider ID: T8251640000-01
St Louis Bhvrl Medcn Inst
1129 Macklind Ave
Saint Louis, MO 63110
(314) 534-0200
Ages Seen: 00 Yrs/99 Yrs
Curran, Mary, PhD "
Provider ID: T2985720000-05
St Louis Bhvrl Medcn Inst
1129 Macklind Ave
Saint Louis, MO 63110
(314) 534-0200
Ages Seen: 00 Yrs/99 Yrs
French, Leslie, PhD "
Provider ID: T6006839260-01
St Louis Bhvrl Medcn Inst
1129 Macklind Ave
Saint Louis, MO 63110
(314) 534-0200
Ages Seen: 00 Yrs/99 Yrs
Knipp, Vivian, PhD "
Provider ID: T5401530000-04
Grace Hill Nghbrhd Health Center
1717 Biddle St
Saint Louis, MO 63106
(314) 814-8606
Ages Seen: 00 Yrs/99 Yrs
PULMONARY DISEASE
Espiritu, Joseph, MD !"
Provider ID: 303836
St Louis University
3545 Lafayette
Saint Louis, MO 63104
(314) 977-5337
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Espiritu, Joseph, MD !"
Provider ID: 303836
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
PULMONARY DISEASE
(cont.)
Flury, Kirk, MD !
Provider ID: 486483
St Louis University
3660 Vista Ave Ste 103
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Kaplan, Carl, MD "
Provider ID: 237766
St Louis University
3635 Vista Ave
Saint Louis, MO 63110
(314) 577-6190
Ages Seen: 00 Yrs/99 Yrs
Lutey, Barbara, MD !"
Provider ID: 321568
Language: Indian
St Louis Connectcare
5535 Delmar
Saint Louis, MO 63112
(314) 879-6363
Ages Seen: 18 Yrs/99 Yrs
Matuschak, George, MD !"
Provider ID: 238356
St Louis University
3660 Vista Ave Ste 301
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Nayak, Ravi, MD !"
Provider ID: 287088
3660 Vista Ave Ste 103
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Sachdeva, Ashutosh, MD !
Provider ID: 463703
St Louis University
3660 Vista Ave Ste 103
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Stoeckel, David, MD !"
Provider ID: 234123
St Louis University
3660 Vista Ave Ste 103
Saint Louis, MO 63110
(314) 977-6150
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
! BOARD CERTIFIED
JANUARY 2011
RHEUMATOLOGY
Ali, Zarmeena, MD !"
Provider ID: 321687
Saint Louis Connectcare
5535 Delmar
Saint Louis, MO 63112
(314) 879-6363
Ages Seen: 18 Yrs/99 Yrs
Bandlamudi, Rama, MD "
Provider ID: 237124
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 577-8799
Ages Seen: 00 Yrs/99 Yrs
SPORTS MEDICINE
Stewart, Janiece, MD
Provider ID: 391171
St Louis University
3518 Laclede Ave
Saint Louis, MO 63103
(314) 977-2323
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Coulson, Kathryn, MD
Provider ID: 385051
St Louis University
3660 Vista Ave Ste 203
Saint Louis, MO 63110
(314) 977-6070
Ages Seen: 00 Yrs/99 Yrs
THORACIC SURGERY
Fiore, Andrew, MD "
Provider ID: 235033
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-8359
Ages Seen: 00 Yrs/99 Yrs
Johnson, Robert, MD "
Provider ID: 235035
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 268-5880
Ages Seen: 00 Yrs/99 Yrs
Naunheim, Keith, MD !
Provider ID: 239176
SLU-Dept of Surgery
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6131
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Sasser, William, MD !"
Provider ID: 276264
SLU-Dept of Surgery
2325 Dougherty Ferry Rd Ste 100
Saint Louis, MO 63110
(314) 977-9600
Ages Seen: 00 Yrs/99 Yrs
Sasser, William, MD !"
Provider ID: 276264
SLU-Dept of Surgery
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6131
Ages Seen: 00 Yrs/99 Yrs
UROLOGY
Berni, Kimberly, MD
Provider ID: 242627
St Louis University
3635 Vista Ave @ Grand Blvd
Saint Louis, MO 63110
(314) 977-5050
Chehval, Michael, MD !"
Provider ID: 498487
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5334
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St L
Maloney, Robert, MD "
Provider ID: 238705
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 268-5880
Ages Seen: 00 Yrs/99 Yrs
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
UROLOGY (cont.)
Maloney, Robert, MD "
Provider ID: 321495
St Louis Connectcare
5535 Delmar
Saint Louis, MO 63112
(314) 879-6363
Ages Seen: 18 Yrs/99 Yrs
Newhall, Philip, MD !
Provider ID: 530074
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6131
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
VASCULAR SURGERY
Callison, Richard, MD !
Provider ID: 547536
St Louis University
3660 Vista Ave Ste 303
Saint Louis, MO 63110
(314) 977-6082
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Edgell, Randall, MD
Provider ID: 391149
St Louis University
3660 Vista Ave Ste 303
Saint Louis, MO 63110
(314) 977-6125
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Egan, Robert, MD !
Provider ID: 256653
3535 South Jefferson Ste 101
Saint Louis, MO 63118
(314) 771-7677
Ages Seen: 00 Yrs/99 Yrs
St Alexius Hospital
Jacobs, Donald, MD "
Provider ID: 235570
St Louis University
3635 Vista @ Grand Blvd
Saint Louis, MO 63110
(314) 577-8310
Ages Seen: 00 Yrs/99 Yrs
Peterson, Brian, MD !"
Provider ID: 365193
3660 Vista Ave Ste 108
Saint Louis, MO 63110
(317) 977-6125
Ages Seen: 18 Yrs/99 Yrs
St Anthonys Medical Center
St L
! BOARD CERTIFIED
JANUARY 2011
SAINTE GENEVIEVE
COUNTY
GENERAL SURGERY
Sharlow, Joseph, MD !"
Provider ID: 321797
Surgical Center
802 Ste Genevieve Dr
Sainte Genevieve, MO 63670
(573) 883-5717
Ages Seen: 00 Yrs/99 Yrs
Ste Genevieve County Mem
Hospit
INTERNAL MEDICINE
Krikorian, Raffi, MD !
Provider ID: 409407
Language: Armenian, German,
Russian
Comprehensive Cardiovascular C
800 Ste Genevieve Dr
Sainte Genevieve, MO 63670
(573) 883-5151
Ages Seen: 16 Yrs/99 Yrs
Krikorian, Raffi, MD !
Provider ID: 409407
Language: Armenian, German,
Russian
Comprehensive Cardiovascular C
US Hwy 61-32
Sainte Genevieve, MO 63670
(314) 849-0923
Ages Seen: 16 Yrs/99 Yrs
NEPHROLOGY
Singh, Inderjit, MD !"
Provider ID: 435350
Language: Hindi, Punjabi, Urdu
Inderjit Singh MD
US Hwy 61 & 32 St
O/P Clinic 06
Sainte Genevieve, MO 63670
(573) 883-7737
Ages Seen: 00 Yrs/99 Yrs
OBSTETRICS/
GYNECOLOGY
Lam, Tony, MD !
Provider ID: 457743
Ste Genevieve County Memorial
37 Meyer Ln
Bloomsdale, MO 63627
(573) 483-9492
Ages Seen: 00 Yrs/99 Yrs
Lam, Tony, MD !
Provider ID: 336589
Language: Chinese
Tenet Health System
800 Ste Genevieve Dr
Sainte Genevieve, MO 63670
(573) 883-5715
Ages Seen: 00 Yrs/99 Yrs
Lam, Tony, MD !
Provider ID: 457743
Ste Genevieve County Memorial
800 Ste Genevieve Dr
Sainte Genevieve, MO 63670
(573) 883-5715
Ages Seen: 00 Yrs/99 Yrs
Meyer, Sara, MD
Provider ID: 516225
Ste Genevieve County Memorial
800 St Genevieve Dr
Sainte Genevieve, MO 63670
(573) 883-5715
Ages Seen: 12 Yrs/99 Yrs
Ste Genevieve County Mem
Hospit
ORTHOPAEDIC SURGERY
Vanness, Scott, DO
Provider ID: 520541
Language: Spanish
Midwest Orthopedic Group
800 Genevieve Dr
Sainte Genevieve, MO 63670
(573) 883-7772
Ages Seen: 00 Yrs/99 Yrs
Mineral Area Regional Med
Center
Vanness, Scott, DO
Provider ID: 408636
Ste Genevieve County Memorial
800 Ste Genevieve Dr
Sainte Genevieve, MO 63670
(573) 883-7772
Ages Seen: 18 Yrs/99 Yrs
PODIATRY
Yankowitz, Michael, DPM !"
Provider ID: 508206
SSM Managed Care Organization
9900 Park Dr
Sainte Genevieve, MO 63670
(573) 883-5151
Ages Seen: 00 Yrs/99 Yrs
PSYCHIATRY
Nawaz, Shajitha, MD !"
Provider ID: T7990080000-02
Cmnty Cnslng Center
748 Center Dr
Sainte Genevieve, MO 63670
(573) 883-7407
Ages Seen: 00 Yrs/99 Yrs
Nawaz, Shajitha, MD !
Provider ID: T7990080000-03
Cmnty Cnslng Center
820 Park Dr
Sainte Genevieve, MO 63670
(573) 883-7407
Ages Seen: 00 Yrs/99 Yrs
Nowotny, Thomas, MD !"
Provider ID: T0594190000-06
Cmnty Cnslng Center
748 Center Dr
Sainte Genevieve, MO 63670
(573) 883-7407
Ages Seen: 18 Yrs/99 Yrs
Barnes Jewish Hospital
St Johns Mercy Medcl Center
Rohatgi, Reeta, MD "
Provider ID: T4633250000-06
Cmnty Cnslng Center
748 Center Dr
Sainte Genevieve, MO 63670
(573) 883-7407
Ages Seen: 06 Yrs/99 Yrs
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
WARREN COUNTY
GENERAL DENTISTRY
Bhaiji, Abid F, DDS "
Provider ID: T112727-51
Bhaiji Dental Arts
109 Westwoods Rd
PO Box 516
Wright City, MO 63390
(636) 745-2424
Ages Seen: 00 Yrs/99 Yrs
Bhaiji, Tahira, DDS "
Provider ID: T113074-51
Bhaiji Dental Arts
109 Westwoods Rd
PO Box 516
Wright City, MO 63390
(636) 745-2424
Ages Seen: 00 Yrs/99 Yrs
OPTOMETRY
Ernst, Lawrence, OD
Provider ID: 357294
Lawrence W Ernst dba Ernst Eye
277 W Veterans Memorial Pkwy
Warrenton, MO 63383
(636) 456-2020
Ages Seen: 00 Yrs/99 Yrs
PEDIATRIC HEMATOLOGY/
ONCOLOGY
Puetz, John, MD !
Provider ID: 551551
SSM Managed Care Organization
511 Ashland Ave
Warrenton, MO 63383
(636) 456-0543
Ages Seen: 00 Yrs/21 Yrs
Linc
SSM
SSM Cardinal Glennon Child
! BOARD CERTIFIED
JANUARY 2011
WASHINGTON COUNTY
CARDIOLOGY
Valencia, Dana, MD !
Provider ID: 546243
SSM Managed Care Organization
300 Health Way
Potosi, MO 63664
(314) 995-6839
Ages Seen: 00 Yrs/99 Yrs
SSM St Clare Health Center
CARDIOVASCULAR
SURGERY
Dwyer, Jerome, MD
Provider ID: 554956
SSM Managed Care Organization
300 Health Way Dr
Potosi, MO 63664
(314) 995-6839
Ages Seen: 00 Yrs/99 Yrs
SSM St Clare Health Center
GENERAL DENTISTRY
Lake, Edward W, DDS "
Provider ID: T112726-01
Edward W Lake DDS
313 E High St
Potosi, MO 63664
(573) 438-6277
Ages Seen: 03 Yrs/99 Yrs
Standridge, Matthew, DDS "
Provider ID: T113453-86
Great Mines Health Center
1 Southtowne Dr
Potosi, MO 63664
(573) 438-8401
Ages Seen: 00 Yrs/99 Yrs
Villmer, Paul, DDS
Provider ID: T113378-50
Washington County Health
Department
10523 W State Hwy E
Potosi, MO 63664
(573) 438-2159
Ages Seen: 00 Yrs/99 Yrs
Wilkerson, Marcus, DDS "
Provider ID: T113376-86
Great Mines Health Center
1 Southtowne Dr
Potosi, MO 63664
(573) 438-8401
Ages Seen: 00 Yrs/99 Yrs
NEPHROLOGY
Singh, Inderjit, MD !"
Provider ID: 435350
Language: Hindi, Punjabi, Urdu
Inderjit Singh MD
300 Health Way
O/P Clinic
Potosi, MO 63664
(573) 438-5451
Ages Seen: 00 Yrs/99 Yrs
ILLINOIS
FRANKLIN COUNTY
PEDIATRIC CARDIOLOGY
Chen, Su-Chiung, MD !
Provider ID: 529660
St Louis University
2553 Kengray Blvd
West Frankfort, IL 62896
(618) 932-2155
Ages Seen: 00 Yrs/18 Yrs
MADISON COUNTY
CARDIOLOGY
Azrak, Elie, MD !
Provider ID: 337535
Language: Arabic, French
SSM Managed Care Organization
2 Memorial Dr Ste 201
Alton, IL 62002
(618) 462-6612
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
Bitar, Saad, MD
Provider ID: 242782
SSM Managed Care Organization
2 Memorial Dr Ste 102
Alton, IL 62002
(618) 462-6612
Ages Seen: 16 Yrs/99 Yrs
Chin, Mark, MD "
Provider ID: 336677
SSM Managed Care Organization
15 Professional Park Dr
Maryville, IL 62062
(618) 288-0086
Ages Seen: 00 Yrs/99 Yrs
Chouhan, Lalithkumar, MD !"
Provider ID: 242899
SSM Managed Care Organization
2 Memorial Dr Ste 201
Alton, IL 62002
(618) 462-6612
Ages Seen: 00 Yrs/99 Yrs
Das, Sundeep, MD !"
Provider ID: 247441
1121 University Dr
Edwardsville, IL 62025
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
ILLINOIS (cont.)
MADISON COUNTY (cont.)
CARDIOLOGY (cont.)
Serota, Harvey, MD "
Provider ID: 235566
SSM Managed Care Organization
2118 Washington Ave
Pontoon Beach, IL 62040
(618) 876-8214
Ages Seen: 00 Yrs/99 Yrs
Singh, Toniya, MD !"
Provider ID: 338867
SSM Managed Care Organization
1121 University Dr
Edwardsville, IL 62025
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
Singh, Toniya, MD !
Provider ID: 338867
SSM Managed Care Organization
2118 Washington Ave
Granite City, IL 62040
(618) 876-8214
Ages Seen: 00 Yrs/99 Yrs
Speidel, Christopher, MD !"
Provider ID: 337522
SSM Managed Care Organization
15 Professional Park Dr
Maryville, IL 62062
(800) 303-3250
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Stronach, Linda, MD !"
Provider ID: 337549
SSM Managed Care Organization
15 Professional Park Dr
Maryville, IL 62062
(800) 303-3250
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Tahir, Mohammad, MD !"
Provider ID: 247338
1121 University Dr
Edwardsville, IL 62025
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
Tahir, Mohammad, MD !
Provider ID: 247338
2118 Washington
Granite City, IL 62040
(618) 876-8214
Ages Seen: 00 Yrs/99 Yrs
Vardi, Gil, MD !"
Provider ID: 337669
SSM Managed Care Organization
1121 University Dr
Edwardsville, IL 62025
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
JANUARY 2011
INTERNAL MEDICINE
Bentley, Felicia, MD !
Provider ID: 422329
Bentley Renal Care
4325 Alby St
Alton, IL 62002
(314) 741-1600
Ages Seen: 12 Yrs/99 Yrs
Bentley, Felicia, MD !
Provider ID: 422329
Bentley Renal Care
8 Sunset Hills Prof Center
Edwardsville, IL 62025
(314) 741-1600
Ages Seen: 12 Yrs/99 Yrs
Flury, Kirk, MD !
Provider ID: 486483
St Louis University
2100 Madison Ave
Granite City, IL 62040
(618) 798-3400
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
NEUROLOGY
Dalal, Rashid, MD !"
Provider ID: 242875
Language: Gujarati
Rashid A Dalal MD
2120 Madison Ave Ste 105
Granite City, IL 62040
(314) 367-1083
Ages Seen: 00 Yrs/99 Yrs
Bentley, Felicia, MD !
Provider ID: 422329
Bentley Renal Care
8 Sunset Hills Prof Center
Edwardsville, IL 62025
(314) 741-1600
Ages Seen: 12 Yrs/99 Yrs
Bartosik, Wendy, OD
Provider ID: 473947
6575 N Illinois
Alton, IL 62002
(618) 397-6575
Ages Seen: 05 Yrs/99 Yrs
OPHTHALMOLOGY
Brave, Jennifer, OD
Provider ID: 471228
Nu-Crown dba Crown Optica
11 Junction Dr
Glen Carbon, IL 62034
(618) 656-8888
Ages Seen: 03 Yrs/99 Yrs
Ullrich, Chris, OD !
Provider ID: 440377
Nu-Crown dba Crown Optica
11 Junction Dr
Glen Carbon, IL 62034
(618) 656-8888
Ages Seen: 00 Yrs/99 Yrs
Brave, Jennifer, OD
Provider ID: 471228
Nu-Crown dba Crown Optica
115 Alton Sq
Alton, IL 62002
(618) 462-6330
Ages Seen: 03 Yrs/99 Yrs
Ullrich, Chris, OD !
Provider ID: 440377
Nu-Crown dba Crown Optica
115 Alton Sq
Alton, IL 62002
(618) 462-6330
Ages Seen: 00 Yrs/99 Yrs
Brave, Jennifer, OD
Provider ID: 471228
Nu-Crown dba Crown Optica
406 E Broadway
Alton, IL 62002
(618) 462-7611
Ages Seen: 03 Yrs/99 Yrs
Ullrich, Chris, OD !
Provider ID: 440377
Nu-Crown dba Crown Optica
406 E Broadway
Alton, IL 62002
(618) 462-7611
Ages Seen: 00 Yrs/99 Yrs
Brave, Jennifer, OD
Provider ID: 471228
Nu-Crown dba Crown Optica
6575 N Illinois
Fairview Heights, IL 62002
(618) 397-6575
Ages Seen: 03 Yrs/99 Yrs
NEPHROLOGY
Bentley, Felicia, MD !
Provider ID: 422329
Bentley Renal Care
4325 Alby St
Alton, IL 62002
(314) 741-1600
Ages Seen: 12 Yrs/99 Yrs
Bartosik, Wendy, OD
Provider ID: 473947
406 E Broadway
Alton, IL 62002
(618) 462-7611
Ages Seen: 05 Yrs/99 Yrs
OPTOMETRY
Bartosik, Wendy, OD
Provider ID: 473947
11 Junction Dr
Glen Carbon, IL 62034
(618) 656-8888
Ages Seen: 05 Yrs/99 Yrs
Bartosik, Wendy, OD
Provider ID: 473947
115 Alton Sq
Alton, IL 62002
(618) 462-6330
Ages Seen: 05 Yrs/99 Yrs
Bartosik, Wendy, OD "
Provider ID: 473947
211 E Broadway
Alton, IL 62002
(618) 462-9818
Ages Seen: 05 Yrs/99 Yrs
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
ILLINOIS (cont.)
MADISON COUNTY (cont.)
OPTOMETRY (cont.)
Renner, Debra, OD "
Provider ID: 474248
211 E Broadway
Alton, IL 62002
(618) 462-9818
Ages Seen: 03 Yrs/99 Yrs
Wang, Chih-Jen, OD
Provider ID: 366321
Nu-Crown dba Crown Optica
120 Alton Square Mall Dr
Alton, IL 62002
(314) 993-4399
Ages Seen: 00 Yrs/99 Yrs
ORTHOPAEDIC SURGERY
Nashed, Rafat, MD !
Provider ID: 291427
1515 Main St
Highland, IL 62249
(618) 565-1260
Ages Seen: 00 Yrs/99 Yrs
JANUARY 2011
PERRY COUNTY
PODIATRY
Stewart, Julie, DPM !
Provider ID: 449798
SSM Managed Care Organization
101 N Walnut
Pinckneyville, IL 62274
(618) 357-5907
Ages Seen: 00 Yrs/99 Yrs
Flury, Kirk, MD !
Provider ID: 486483
St Louis University
2100 Madison Ave
Granite City, IL 62040
(618) 798-3400
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Foner, Barbara, MD !
Provider ID: 563049
6810 State Hwy 162 Ste 300
Maryville, IL 62062
(618) 288-6844
Ages Seen: 00 Yrs/99 Yrs
SSM St Clare Health Center
! BOARD CERTIFIED
Flury, Kirk, MD !
Provider ID: 486483
St Louis University
325 Spring St
Red Bud, IL 62278
(618) 282-3831
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
INTERNAL MEDICINE
Flury, Kirk, MD !
Provider ID: 486483
PEDIATRIC PULMONOLOGY
St Louis University
325 Spring St
Albers, Gary, MD
Red Bud, IL 62278
Provider ID: 238093
(618) 282-3831
St Louis University
Ages Seen: 18 Yrs/99 Yrs
6820 State Rte 162
St Louis University Hospital
Maryville, IL 62062
(618) 288-5606
Quader, Zafar, MD !
Ages Seen: 00 Yrs/21 Yrs
Provider ID: 349462
Language: Urdu
Noyes, Blakeslee, MD !
Zafar Quader MD
Provider ID: 236486
325 Spring St
St Louis University
Red Bud, IL 62278
6820 State Rt 162
(618) 443-2177
Maryville, IL 62062
Ages Seen: 18 Yrs/99 Yrs
(618) 288-5606
St Anthonys Medical Center
Ages Seen: 00 Yrs/18 Yrs
PULMONARY DISEASE
PULMONARY DISEASE
ORTHOPAEDIC SURGERY
Bassman, Donald, MD !"#
Provider ID: 236684
Dr Donald R Bassman
1 Broadway Plz
Sparta, IL 62286
(618) 443-2177
Ages Seen: 00 Yrs/99 Yrs
Bassman, Donald, MD !"#
Provider ID: 236684
Dr Donald R Bassman
325 Spring St
Second Fl
Red Bud, IL 62278
(314) 567-9400
Ages Seen: 00 Yrs/99 Yrs
CARDIOLOGY
Abdulnabi, Yousef, MD !
Provider ID: 527941
Language: Arabic
SSM Managed Care Organization
4600 Memorial Dr Ste W3
Belleville, IL 62226
(618) 222-8900
Ages Seen: 00 Yrs/99 Yrs
St Anthonys Medical Center
Noda, Sellchi, MD !"
Provider ID: 337644
SSM Managed Care Organization
12 B Park Place
Belleville, IL 62226
(314) 647-8269
Ages Seen: 19 Yrs/99 Yrs
CARDIOVASCULAR
SURGERY
Theodoro, David, MD !"
Provider ID: 235662
SSM Managed Care Organization
12 B Park Pl
Swansea, IL 62226
(618) 233-5722
Ages Seen: 00 Yrs/99 Yrs
DERMATOLOGY
Journagan, Susan, MD "
Provider ID: 411215
St Louis University
1512 N Greenmount Rd Ste 300
O Fallon, IL 62269
(618) 632-5001
Ages Seen: 00 Yrs/99 Yrs
Journagan, Susan, MD
Provider ID: 411215
St Louis University
510 Fullerton Rd
Swansea, IL 62226
(618) 233-7666
Ages Seen: 00 Yrs/99 Yrs
GENERAL SURGERY
Kim, Sang, MD !"
Provider ID: 360896
SSM Managed Care Organization
12 B Park Pl
Belleville, IL 62226
(618) 233-5722
Ages Seen: 00 Yrs/99 Yrs
NEONATAL PERINATAL
MEDICINE
Ali, Ayoob, MD
Provider ID: 234928
St Louis University
4500 Memorial Dr
Belleville Memorial
Belleville, IL 62226
(618) 233-7750
Ages Seen: 00 Yrs/21 Yrs
NEPHROLOGY
Koch, Matthew, MD !
Provider ID: 484576
SSM Managed Care Organization
4550 Memorial Dr Ste 360
Belleville, IL 62226
(618) 239-9500
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
NEUROLOGY
Callison, Richard, MD
Provider ID: 547536
St Louis University
6000 Bond Ave
East Saint Louis, IL 62207
(618) 332-2740
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Dalal, Rashid, MD !"
Provider ID: 242875
Language: Gujarati
Rashid A Dalal MD
4550 Memorial Dr Ste 480
Belleville, IL 62226
(618) 239-9500
Ages Seen: 00 Yrs/99 Yrs
Dalal, Rashid, MD !"
Provider ID: 242875
Language: Gujarati
Rashid A Dalal MD
5900 Bond Ave Ste 123
East Saint Louis, IL 62207
(618) 239-9500
Ages Seen: 00 Yrs/99 Yrs
Geller, Thomas, MD
Provider ID: 236026
St Louis University
6000 Bond Ave
East Saint Louis, IL 62207
(618) 332-2740
Ages Seen: 00 Yrs/18 Yrs
St Louis University Hospital
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF MISSOURI
ILLINOIS (cont.)
SAINT CLAIR COUNTY (cont.)
OBSTETRICS/
GYNECOLOGY
Fairview Heights Health
Center "
Provider ID: 321470
4529 N Illinois
Belleville, IL 62221
(618) 277-6668
OPHTHALMOLOGY
Peralta, Enrique, MD
Provider ID: 337507
Language: French
SSM Managed Care Organization
6575 N Illinois St
Fairview Heights, IL 62208
(314) 878-2222
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Safi, Malaz, MD !"
Provider ID: 237949
Seton Health System
5900 Bond Ave
East Saint Louis, IL 62207
(314) 664-1158
Ages Seen: 00 Yrs/99 Yrs
OPTOMETRY
Hegyi, Laura, OD "
Provider ID: 321598
Crown Optical
6575 N Illinois
Fairview Heights, IL 62208
(618) 397-6575
Ages Seen: 00 Yrs/99 Yrs
ORTHOPAEDIC SURGERY
Bassman, Donald, MD !"#
Provider ID: 236684
Dr Donald R Bassman
317 Salem Pl
Fairview Heights, IL 62208
(618) 632-3343
Ages Seen: 00 Yrs/99 Yrs
JANUARY 2011
Noyes, Blakeslee, MD !
Provider ID: 236486
St Louis University
6000 Bond Ave
East Saint Louis, IL 62207
(618) 332-2740
Ages Seen: 00 Yrs/18 Yrs
PEDIATRICS
Al-Hosni, Mohamad, MD !
Provider ID: 252023
St Louis University
6000 Bond Ave
East Saint Louis, IL 62207
(618) 332-2740
Ages Seen: 00 Yrs/18 Yrs
St Louis University Hospital
PODIATRY
Boberg, Jeffrey, DPM !"
Provider ID: 306390
Ankle & Foot Surgeons of The M
180 S Third St Ste 103
Belleville, IL 62220
(618) 236-7444
Ages Seen: 00 Yrs/99 Yrs
SSM
St Anthonys Medical Center
Claxton, Matthew, DPM
Provider ID: 405022
180 S Third St Ste 103
Belleville, IL 62220
(618) 236-7444
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
CLINICS
HARMONY HEALTH PLAN OF MISSOURI
JANUARY 2011
MISSOURI
LINCOLN COUNTY
CLINIC
Lincoln County Health
Department "
Provider ID: 321473
5 Health Dept Dr
Troy, MO 63379
(636) 528-6117
PIKE COUNTY
CLINIC
Pike County Health Dept
Homecare & Hos
Provider ID: 523555
5 E Church St
Bowling Green, MO 63334
(573) 324-6373
HOSPITALS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI
FRANKLIN COUNTY
BEHAVIORAL HEALTH
FACILITY
Bridgeway Cnslng Svcs Main
Site "
104 S McKinley Ave Ste B
Union Center
Union, MO 63084
(636) 744-0111
Centerpointe Hospital "
205 Elm St Ste 201
Washington, MO 63090
(636) 390-4939
COMMUNITY BEHAVIORAL
HEALTH CENTER
Cath Fmly Svcs "
201 E Springfield
Union, MO 63084
(636) 583-1800
JANUARY 2011
COMMUNITY BEHAVIORAL
HEALTH CENTER
Provident Cnslng "
3675 W Outer Rd Ste 203
Jefferson Cnty Center
Arnold, MO 63010
(314) 898-0102
LINCOLN COUNTY
BEHAVIORAL HEALTH
FACILITY
Bridgeway Cnslng Svcs Main
Site "
1011 E Cherry St
Troy, MO 63379
(636) 462-1437
HOSPITAL
Lincoln County Mem Hospital "
1000 E Cherry St
Troy, MO 63379
(636) 528-8551
GASCONADE COUNTY
MADISON COUNTY
HOSPITAL
HOSPITAL
PIKE COUNTY
GREENE COUNTY
BEHAVIORAL HEALTH
FACILITY
Boys and Girls Town of Mo "
Provides Inpatient Services
1212 W Lombard St
Springfield, MO 65806
(417) 865-1646
Lakeland Regl Hospital "
Provides Inpatient Services
440 S Market Ave
Springfield, MO 65806
(417) 865-5581
IRON COUNTY
HOSPITAL
Iron County Hospital "
301 North Hwy 21
Pilot Knob, MO 63663
(573) 546-1260
JEFFERSON COUNTY
BEHAVIORAL HEALTH
FACILITY
Jefferson Regl Medcl Center "
Provides Inpatient Services
Hwy 61 South
Crystal City, MO 63019
(636) 933-1000
HOSPITAL
Pike County Memorial
Hospital "
2305 W Georgia St
Louisiana, MO 63353
(573) 754-5531
HOSPITAL
SSM St Joseph Health Center "
300 First Capitol Dr
Saint Charles, MO 63301
(636) 947-5000
SSM St Joseph Health Center Wentzville "
500 Medical Dr
Wentzville, MO 63385
(314) 327-1000
SSM St Joseph Hospital West "
100 Medical Plz
Lake Saint Louis, MO 63367
(636) 625-5200
COMMUNITY BEHAVIORAL
HEALTH CENTER
SE Mo Cmnty Trtmnt Center
Admn Site "
Provides Inpatient Services
5536 State Hwy 32
Farmington, MO 63640
(573) 756-5749
HOSPITAL
Mineral Area Regional Med
Center "
1212 Weber Rd
Farmington, MO 63640
(573) 756-4581
HOSPITALS
HARMONY HEALTH PLAN OF MISSOURI
JANUARY 2011
HOSPITAL
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.) Ranken Jordan A Ped Rehab
BEHAVIORAL HEALTH
FACILITY (cont.)
St Johns Mercy Medcl Center
970 Executive Pkwy Dr
Edgewood Program
Saint Louis, MO 63141
(314) 628-6550
St Marys Health Center "
Provides Inpatient Services
6420 Clayton Rd
Richmond Heights, MO 63117
(314) 768-8558
COMMUNITY BEHAVIORAL
HEALTH CENTER
Luth Fmly and Child Svcs of
Mo "
116 Clarkson Rd Ste 116
Clarkson Exec Park
Ballwin, MO 63011
(636) 391-8778
Luth Fmly and Child Svcs of
Mo "
11645 Benham Rd
Saint Louis, MO 63136
(314) 787-5100
Luth Fmly and Child Svcs of Mo
1365 N Sappington Rd
Saint Louis, MO 63122
(314) 787-5100
Luth Fmly and Child Svcs of
Mo "
8631 Delmar Blvd
Saint Louis, MO 63124
(314) 787-5100
Center
11365 Dorsett Rd
Maryland Heights, MO 63043
(314) 872-6400
COMMUNITY BEHAVIORAL
HEALTH CENTER
Provident Cnslng "
2650 Olive St
Saint Louis, MO 63103
(314) 533-8200
Provident Cnslng
6555 Chippewa St Ste 150
Saint Louis, MO 63109
(314) 898-0101
SAINTE GENEVIEVE
COUNTY
HOSPITAL
Ste Genevieve County Mem
Hospital "
802 Ste Genevieve Dr
US Hwy 61 & 32
Sainte Genevieve, MO 63670
(573) 883-2751
WARREN COUNTY
BEHAVIORAL HEALTH
FACILITY
Bridgeway Cnslng Svcs Main
Site "
1206 E Veterans Meml Pkwy Ste A
Truesdale, MO 63383
(636) 456-7423
HOSPITAL
Rehabilitation Institute of St
Louis
4455 Duncan Ave
Saint Louis, MO 63110
(314) 658-3925
SSM Cardinal Glennon Child "
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5600
St Alexius Hospital "
3933 S Broadway
Saint Louis, MO 63118
(314) 865-3333
WASHINGTON COUNTY
COMMUNITY BEHAVIORAL
HEALTH CENTER
SE Mo Cmnty Trtmnt Center
Admn Site "
Provides Inpatient Services
520 Purcell Rd Ste B
Potosi, MO 63664
(573) 438-6706
HOSPITAL
Washington County Memorial
Hospital "
300 Health Way
Potosi, MO 63664
(573) 438-5451
ANCILLARY PROVIDERS
HARMONY HEALTH PLAN OF MISSOURI
ALL STATES
ALL COUNTY
LABORATORY PATHOLOGY
TESTING
Labcorp
For Providers and Locations Please
Call:
(888) 522-2677
Quest Diagnostics
For Providers and Locations Please
Call:
(800) 377-8448
MISSOURI
CAPE GIRARDEAU COUNTY
DURABLE MEDICAL
EQUIPMENT
Encore Home Healthcare Scott
dba Heartla
338 S Silver Springs Rd
Cape Girardeau, MO 63703
(573) 334-0781
Healthcare Equipment &
Supply "
435 N Main St
Jackson, MO 63755
(573) 204-1628
ORTHOTICS &
PROSTHETICS
Hanger Pros & Orth East
3065 William St Ste 205
Cape Girardeau, MO 63703
(573) 334-2000
FRANKLIN COUNTY
DURABLE MEDICAL
EQUIPMENT
Four Rivers Home Care
Equipment "
20 E Springfield
Sullivan, MO 63080
(573) 468-6688
GREENE COUNTY
DURABLE MEDICAL
EQUIPMENT
Aerocare Home Medical
Equipment "
2410 W Vista
Springfield, MO 65807
(417) 889-5550
JANUARY 2011
LINCOLN COUNTY
DURABLE MEDICAL
EQUIPMENT
A & B Medical Supplies
444 Gracie Ln
Moscow Mills, MO 63362
(866) 356-4803
Finklang Eye Health
Associates "
84 Professional Pkwy
Troy, MO 63379
(636) 528-6104
PERRY COUNTY
HOME HEALTH CARE
Premier Home Health Care
4145 S McCann Ct Ste C
Springfield, MO 65804
(417) 864-4622
ORTHOTICS &
PROSTHETICS
Hanger Pros & Orth East
3003 S Kansas Expwy
Springfield, MO 65807
(417) 883-5522
IRON COUNTY
DURABLE MEDICAL
EQUIPMENT
True Care Home Health
Equipment
303 W Maple St
PO Box 507
Pilot Knob, MO 63663
(573) 546-0241
DURABLE MEDICAL
EQUIPMENT
American Homepatient "
817 N Kingshighway
Perryville, MO 63775
(573) 547-2684
DURABLE MEDICAL
EQUIPMENT
American Homepatient
2306 N Truman Blvd
Crystal City, MO 63019
(636) 937-7607
Medical West Respiratory
Services
1447 US Hwy 67 Ste C
Crystal City, MO 63019
(636) 937-7448
HOSPICE
URGENT CARE CENTER
Urgent Care Centers of St
Anthonys Medi
3619 Richardson Sq Dr
Arnold, MO 63010
(636) 717-6700
PIKE COUNTY
JEFFERSON COUNTY
ORTHOTICS &
PROSTHETICS
Hanger Pros & Orth East
150 St Peters Centre Blvd
Saint Peters, MO 63376
(636) 922-3260
REHABILITATION FACILITY
SSM Rehab "
1551 Wall St
Saint Charles, MO 63303
(314) 768-5300
ANCILLARY PROVIDERS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT FRANCOIS COUNTY
DIAGNOSTIC IMAGING
Midwest Imaging Center
604 Maple Valley Dr
Farmington, MO 63640
(573) 756-7779
DURABLE MEDICAL
EQUIPMENT
Daleco dba USA Drug Home
Equipment "
1107 W Liberty
Farmington, MO 63640
(573) 756-2799
Daleco dba USA Drug Home
Equipment "
1142 N Desloge
Park Hills, MO 63601
(573) 431-2242
Daleco dba USA Drug Home
Equipment
120 E Karsch
Farmington, MO 63640
(573) 756-1024
Daleco dba USA Drug Home
Equipment "
126 E Karsch
Farmington, MO 63640
(573) 756-9617
True Care Home Health
Equipment "
218 E Liberty
Farmington, MO 63640
(573) 756-9911
GENERAL DENTISTRY
Cauley, Sherry, Rdh "
Saint Francois County Health
Center
1025 W Main St
1025 West Main St
Park Hills, MO 63601
(573) 431-1947
JANUARY 2011
AUDIOLOGY
Estill, Amy, MD
St Louis University
621 S New Ballas Rd Ste 307A
Saint Louis, MO 63141
(314) 251-6362
Harris, Dave, PhD
St Louis University
621 S New Ballas Rd Ste 307A
Saint Louis, MO 63141
(314) 251-6362
St Louis University Hospital
DIAGNOSTIC IMAGING
Precision Imaging
1028 Old Des Peres Rd
Saint Louis, MO 63131
(314) 909-6535
United Diagnostic Services "
9495 Page Ave Ste 103
Saint Louis, MO 63132
(314) 721-5803
DURABLE MEDICAL
EQUIPMENT
GENERAL DENTISTRY
ANCILLARY PROVIDERS
HARMONY HEALTH PLAN OF MISSOURI
JANUARY 2011
MISSOURI (cont.)
Anthonys Medi
SAINT LOUIS COUNTY (cont.) 10296 Big Bend Rd
LABORATORY PATHOLOGY
TESTING (cont.)
Gamma Healthcare
1301 Partridge Ave
Saint Louis, MO 63130
(314) 416-0142
Rj Technology dba Clinlab "
763 S New Ballas Rd Ste 160
Saint Louis, MO 63141
(314) 647-4327
ORTHOTICS &
PROSTHETICS
Hanger Pros & Orth East
9719 Olive Blvd
Saint Louis, MO 63132
Orthotic & Prosthetic Lab
748 Marshall Ave
Webster Grvs, MO 63119
(314) 968-8555
PHYSICAL THERAPY
Therapy Relief
150 Long Rd Ste 150
Chesterfield, MO 63005
(636) 733-3330
Therapy Relief
16216 Baxter Rd Ste 330
Chesterfield, MO 63017
(636) 733-3330
SLEEP DIAGNOSTIC
STUDIES
Clayton Sleep Institute
2531 S Big Bend Ste 2
Saint Louis, MO 63143
(314) 645-5855
URGENT CARE
Florissant Pediatrics "
4129 N Hwy 67
Florissant, MO 63034
(314) 355-6390
NUTRITION
Shoemaker, James, MD "
St Louis University
1402 S Grand
Saint Louis, MO 63104
(314) 977-9230
ORTHOTICS &
PROSTHETICS
Hanger Pros & Orth East
3533 Dunn Rd Ste 226
Saint Louis, MO 63108
(314) 831-7844
Hanger Pros & Orth East
4483 Forest Park Blvd
Saint Louis, MO 63108
(706) 733-2323
AUDIOLOGY
Estill, Amy, MD
St Louis University
3660 Vista Ave Ste 312
Saint Louis, MO 63110
(314) 977-5110
Harris, Dave, PhD "
St Louis University
3660 Vista Ave Ste 312
Saint Louis, MO 63110
(314) 977-5110
St Louis University Hospital
DIAGNOSTIC IMAGING
Watson Imaging Center
3915 Watson Rd Ste LL2
Saint Louis, MO 63109
(314) 781-9711
DURABLE MEDICAL
EQUIPMENT
AAA Home Medical
Equipment "
4473 Forest Park Ave
Saint Louis, MO 63108
(314) 371-7800
ORTHOTICS &
PROSTHETICS
Hanger Pros & Orth East
2118 Vadalabene Dr
Maryville, IL 62062
(618) 288-8920
WARREN COUNTY
FAMILY PLANNING
URGENT CARE
Warrenton Urgent Care
605 E Booneslick Rd
Warrenton, MO 63383
(636) 456-6103
WASHINGTON COUNTY
DURABLE MEDICAL
EQUIPMENT
American Homepatient
6 Pkwy Center Ste 400
Potosi, MO 63664
(573) 438-2000
WILLIAMSON COUNTY
DURABLE MEDICAL
EQUIPMENT
Convacare Services "
116 North Park Ave
Herrin, IL 62948
(618) 942-5315
Fox Med-Equip Services
1400 W Main St
Marion, IL 62959
(618) 345-0649
Fox Med-Equip Services
1909 Wentzville Pkwy
Marion, IL 62959
(636) 327-0344
ILLINOIS
MADISON COUNTY
ORTHOTICS &
PROSTHETICS
DURABLE MEDICAL
EQUIPMENT
ALLIED PROVIDERS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI
CAPE GIRARDEAU COUNTY
BEHAVIORAL HEALTH
COUNSELING
Anderson, John, MA "
Provider ID: T3465650000-02
Cmnty Cnslng Center
402 S Silver Springs Rd
Cape Girardeau, MO 63703
(573) 334-1100
Ages Seen: 13 Yrs/64 Yrs
Boxdorfer, Shari, MA "
Provider ID: T6004861370-02
Cmnty Cnslng Center
402 S Silver Springs Rd
Cape Girardeau, MO 63703
(573) 334-1100
Ages Seen: 13 Yrs/64 Yrs
Ferrell Jr, Bartley, MA
Provider ID: T0846480000-05
Gibson Recvy Center
1112 Linden St
Cape Girardeau, MO 63703
(573) 334-5513
Ages Seen: 06 Yrs/99 Yrs
Hargis, Tammy, MA "
Provider ID: T6002444690-02
New Vision Yth and Fmly Svcs
619 N Broadview St
Cape Girardeau, MO 63701
(573) 334-3486
Ages Seen: 00 Yrs/99 Yrs
Johnson, Charles, MA "
Provider ID: T6000785710-02
Cmnty Cnslng Center
402 S Silver Springs Rd
Cape Girardeau, MO 63703
(573) 334-1100
Ages Seen: 13 Yrs/64 Yrs
Johnson, Danny, MA "
Provider ID: T4634090000-02
New Vision Yth and Fmly Svcs
619 N Broadview St
Cape Girardeau, MO 63701
(573) 334-3486
Ages Seen: 00 Yrs/64 Yrs
Johnson, Judith, MSW !"
Provider ID: T4573600000-04
Cmnty Cnslng Center
402 S Silver Springs Rd
Cape Girardeau, MO 63703
(573) 334-1100
Ages Seen: 18 Yrs/99 Yrs
Mirgeaux, Beverly, MSW "
Provider ID: T2152430000-04
New Vision Yth and Fmly Svcs
619 N Broadview St
Cape Girardeau, MO 63701
(573) 334-3486
Ages Seen: 13 Yrs/99 Yrs
! BOARD CERTIFIED
JANUARY 2011
GENERAL PRACTICE
Hill, Nina, APRN
Provider ID: 489563
Immediate Healthcare
1702 N Kingshighway
Cape Girardeau, MO 63701
(573) 339-2000
Ages Seen: 00 Yrs/99 Yrs
Huckabee, Nicole, APRN
Provider ID: 489569
Immediate Healthcare
1702 N Kingshighway
Cape Girardeau, MO 63701
(573) 517-7555
Ages Seen: 00 Yrs/99 Yrs
FRANKLIN COUNTY
BEHAVIORAL HEALTH
COUNSELING
Cundiff, Michael, PhD "
Provider ID: T5907400000-02
Cath Fmly Svcs
100 W Main St
Union, MO 63084
(800) 583-8355
Ages Seen: 00 Yrs/99 Yrs
PSYCHOLOGY
Bell, Lisa, MA
Provider ID: T1200700000-02
Lisa Susanne Bell
202 W Third St
Washington, MO 63090
(636) 239-6787
Ages Seen: 00 Yrs/64 Yrs
GASCONADE COUNTY
BEHAVIORAL HEALTH
COUNSELING
Jones, Timothy, MA
Provider ID: T0844300000-03
Timothy G Jones
309 W Fourth St Ste 101
Washington, MO 63090
(636) 239-2054
Ages Seen: 00 Yrs/99 Yrs
MEDICAL ONCOLOGY
Clark, Joan, ARNP "
Provider ID: 518894
509 W 18th St
PO Box 470
Hermann, MO 65041
(636) 496-4640
Ages Seen: 00 Yrs/99 Yrs
GREENE COUNTY
BEHAVIORAL HEALTH
COUNSELING
Smola, Frank, MS
Provider ID: T6004871350-01
Mdwst Cnslng and Consltng
18614 Whiskey Creek Rd
Wildwood, MO 63069
(314) 504-3828
Ages Seen: 06 Yrs/64 Yrs
ALLIED PROVIDERS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
GREENE COUNTY (cont.)
BEHAVIORAL HEALTH
COUNSELING (cont.)
King, Terry, MS
Provider ID: T6005128760-01
Terry W King
1531 E Sunshine St Ste W29
Springfield, MO 65804
(417) 887-9950
Ages Seen: 00 Yrs/99 Yrs
Nichols, Carolyn, MS "
Provider ID: T4867540000-04
Carolyn J Nichols
1736 E Sunshine St Ste 308
Springfield, MO 65804
(417) 766-5432
Ages Seen: 06 Yrs/99 Yrs
Pummill, Robin, MS "
Provider ID: T1478920000-05
Robin L Pummill
1722 S Glenstone Ave Ste H
Springfield, MO 65804
(417) 881-9518
Ages Seen: 00 Yrs/99 Yrs
Thomas, Linda, MSW "
Provider ID: T8359880000-01
Linda K Thomas
2622 N National Ave
Springfield, MO 65803
(417) 838-7007
Ages Seen: 00 Yrs/64 Yrs
Vega, Brian, MA "
Provider ID: T6005686620-01
Brian C Vega
1531 E Sunshine St Ste W29
Springfield, MO 65804
(417) 887-9950
Ages Seen: 13 Yrs/99 Yrs
Wiggs, Kenneth, MA "
Provider ID: T6006678570-02
Kenneth G Wiggs
2032 E Kearney St Ste 204
Springfield, MO 65803
(417) 869-8400
Ages Seen: 06 Yrs/64 Yrs
Windle, Rita, MSW
Provider ID: T6000596450-02
Rita L Windle
1722 S Glenstone Ave Ste H
Springfield, MO 65804
(417) 881-9518
Ages Seen: 00 Yrs/17 Yrs
! BOARD CERTIFIED
JANUARY 2011
PSYCHOLOGY
Murrell, Michael, MS "
Provider ID: T0871820000-03
Michael David Murrell
2200 E Sunshine St Ste 312
Springfield, MO 65804
(417) 881-1580
Ages Seen: 06 Yrs/99 Yrs
IRON COUNTY
FAMILY PRACTICE
Benz, Rosalie, ARNP
Provider ID: 425732
Madison Medical Center
305 W Maple St
PO Box 523
Pilot Knob, MO 63663
(573) 546-7000
Ages Seen: 00 Yrs/99 Yrs
Goodwin Neighbors,
Angela, ARNP
Provider ID: 559800
Farmington Clinic Company
610 N Main St
Ironton, MO 63650
(573) 546-6000
Ages Seen: 00 Yrs/99 Yrs
JEFFERSON COUNTY
BEHAVIORAL HEALTH
COUNSELING
Bahr, Julia, MA "
Provider ID: T3465470000-04
Julia E Bahr
115 Brierton Ln
Festus, MO 63028
(636) 931-0300
Ages Seen: 00 Yrs/99 Yrs
Becherer, Barbara, Med "
Provider ID: T2791060000-01
Barbara J Becherer
10814C Hwy 21
Hillsboro, MO 63050
(314) 623-7575
Ages Seen: 00 Yrs/99 Yrs
Budke, Stacey, MA
Provider ID: T6005743620-02
Stacey Budke
115 Brierton Ln
Festus, MO 63028
(636) 931-0300
Ages Seen: 06 Yrs/99 Yrs
Delbruegge, Tammy, MSW
Provider ID: T6005340840-01
Tammy G Delbruegge
3025 High Ridge Blvd Ste A
High Ridge, MO 63049
(636) 343-7460
Ages Seen: 13 Yrs/99 Yrs
FAMILY PRACTICE
Cummings, Phillip, RN "
Provider ID: 383148
Language: Spanish
Great Mines Health Center
123 W Pratt St
De Soto, MO 63020
(573) 438-9355
Ages Seen: 00 Yrs/99 Yrs
ALLIED PROVIDERS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
LINCOLN COUNTY
BEHAVIORAL HEALTH
COUNSELING
Hawkins, Peggy, MA
Provider ID: T6005315780-02
Peggy Hawkins
315 Weston Dr
Troy, MO 63379
(314) 580-6242
Ages Seen: 06 Yrs/64 Yrs
Kirkpatrick, Jason, MS "
Provider ID: T6006561930-02
Jason H Kirkpatrick
120 East Ave Ste 6
Winfield, MO 63389
(636) 668-6707
Ages Seen: 00 Yrs/99 Yrs
Lakey, Christine, MSW "
Provider ID: T6006760600-01
Christine Marie Lakey
120 East Ave Ste 6
PO Box 150
Winfield, MO 63389
(636) 668-0607
Ages Seen: 06 Yrs/99 Yrs
Ray, Kathy, Msed
Provider ID: T6006564030-02
Kathy M Ray
120 East Ave Ste 6
PO Box 150
Winfield, MO 63389
(636) 668-6707
Ages Seen: 00 Yrs/64 Yrs
Schuito, Lisa, Med "
Provider ID: T6005614190-02
Lisa Schuito
315 Weston Dr
Troy, MO 63379
(314) 707-4364
Ages Seen: 00 Yrs/64 Yrs
Skaggs, Mindy, MA "
Provider ID: T6000172140-01
Starling Cnslng Consltng
102 Mound St
Troy, MO 63379
(636) 288-6095
Ages Seen: 00 Yrs/99 Yrs
Suchland, Carol, Med "
Provider ID: T0928610000-05
Language: Spanish
Carol L Suchland
102 Mound St
Troy, MO 63379
(636) 295-0228
Ages Seen: 00 Yrs/64 Yrs
! BOARD CERTIFIED
JANUARY 2011
FAMILY PRACTICE
Coons, Joann, RN "
Provider ID: 321667
Troy Family Practice
344 S Lincoln
Troy, MO 63379
(636) 528-6755
Ages Seen: 00 Yrs/99 Yrs
PEDIATRICS
Guerrein, Kathleen, CNP
Provider ID: 362138
SSM Managed Care Organization
164 Professional Pkwy
Troy, MO 63379
(636) 462-5437
Ages Seen: 00 Yrs/21 Yrs
MADISON COUNTY
FAMILY PRACTICE
Dulworth, Starla, ARNP "
Provider ID: 430991
Madison Medical Center
611 W Main St Ste E
Fredericktown, MO 63645
(573) 783-1055
Ages Seen: 00 Yrs/99 Yrs
Fischer, Melinda, ARNP "
Provider ID: 430585
Madison Medical Center
611 W Main St Ste E
Fredericktown, MO 63645
(573) 783-4111
Ages Seen: 00 Yrs/99 Yrs
Mohan, Glen, ARNP
Provider ID: 480540
Farmington Clinic Company
309 Garrett St
Fredericktown, MO 63645
(573) 783-4683
Ages Seen: 00 Yrs/99 Yrs
INTERNAL MEDICINE
Defrancesco, Corinna, ARNP "
Provider ID: 430971
611 W Main St Ste E
Fredericktown, MO 63645
(573) 783-4111
Ages Seen: 00 Yrs/99 Yrs
PERRY COUNTY
BEHAVIORAL HEALTH
COUNSELING
Devaney, Catherine, MA "
Provider ID: T4856690000-01
Cmnty Cnslng Center
406 N Spring St Ste 2
Perryville, MO 63775
(573) 547-8305
Ages Seen: 18 Yrs/64 Yrs
Huckabee, Nicole, RN
Provider ID: 472377
Immediate Healthcare
1508 Edgemont Blvd
Perryville, MO 63775
(573) 339-2000
Ages Seen: 00 Yrs/99 Yrs
COMMUNITY HEALTH
CENTER
Perry County Health
Department "
Provider ID: 424877
406 N Spring St Ste 1
Perryville, MO 63775
(573) 547-6564
GENERAL PRACTICE
Arnzen, Kathleen, ARNP "
Provider ID: 432575
Convenient Health Care
624 Old St Marys Rd Ste A
Perryville, MO 63775
(573) 547-3232
Ages Seen: 00 Yrs/99 Yrs
Dace, Gayla, ARNP "
Provider ID: 431465
Convenient Health Care
624 Old St Marys Rd Ste A
Perryville, MO 63775
(573) 547-3232
Ages Seen: 00 Yrs/99 Yrs
PSYCHIATRY
Schmidt, Brenda, MA !
Provider ID: T2963400000-02
Brenda K Schmidt
407 Tanglewood Dr
Perryville, MO 63775
(573) 547-9963
Ages Seen: 00 Yrs/99 Yrs
PIKE COUNTY
BEHAVIORAL HEALTH
COUNSELING
Barton, Angela, MA "
Provider ID: T6000539930-04
Fmly Circle Therapeutic Svcs
818 W Champ Clark Dr
Bowling Green, MO 63334
(573) 324-5655
Ages Seen: 00 Yrs/99 Yrs
Jennings, Robyn, Msed
Provider ID: T6005350620-02
Robyn L Jennings
818 W Champ Clark Dr
Bowling Green, MO 63334
(573) 470-0478
Ages Seen: 00 Yrs/17 Yrs
Summers, Wendy, MC
Provider ID: T6005320560-03
Wendy M Summers
818 W Champ Clark Dr
Bowling Green, MO 63334
(573) 324-5655
Ages Seen: 00 Yrs/64 Yrs
FAMILY PRACTICE
Haycraft, Kathleen, ARNP "
Provider ID: 440259
Pike Medical Clinic
211 S Third St
Louisiana, MO 63353
(573) 754-5555
Ages Seen: 00 Yrs/99 Yrs
ALLIED PROVIDERS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
PIKE COUNTY (cont.)
FAMILY PRACTICE (cont.)
Haycraft, Kathleen, ARNP "
Provider ID: 440262
Pike Medical Clinic
905 Business Hwy 161 S
Bowling Green, MO 63334
(573) 324-2241
Ages Seen: 00 Yrs/99 Yrs
Voss, Susan, ARNP "
Provider ID: 441115
Pike Medical Clinic
211 S Third St
Louisiana, MO 63353
(573) 754-5555
Ages Seen: 00 Yrs/99 Yrs
Voss, Susan, ARNP "
Provider ID: 441119
905 Business Hwy 161 S
Bowling Green, MO 63334
(573) 324-2241
Ages Seen: 00 Yrs/99 Yrs
GENERAL PRACTICE
Beckman, Debra, ARNP "
Provider ID: 423180
Pike County Memorial Hospital
1015 W Adams St
Bowling Green, MO 63334
(573) 324-5300
Ages Seen: 00 Yrs/99 Yrs
Brothers, Beth, ARNP "
Provider ID: 426244
Pike County Memorial Hospital
2305 W Georgia
Louisiana, MO 63353
(573) 754-4584
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
JANUARY 2011
Luecke, Linda, MA
Provider ID: T7226580000-04
Families IN Focus
1272 Jungermann Rd Ste C
Saint Peters, MO 63376
(636) 928-5800
Ages Seen: 00 Yrs/99 Yrs
Hammond, Jennifer, MA
Provider ID: T6002457150-03
Psych Care Conslnt
4905 Mexico Rd Ste 300
Saint Peters, MO 63376
(636) 928-5109
Ages Seen: 06 Yrs/99 Yrs
Hawkins, Peggy, MA
Provider ID: T6005315780-03
Peggy Hawkins
1101 St Peters Howell Rd
Saint Peters, MO 63376
(314) 580-6242
Ages Seen: 06 Yrs/64 Yrs
Messmer Wilberg,
Jacqueline, MSW "
Provider ID: T4602590000-08
Jacqueline Messmer Wilberg
255 Spencer Rd Ste 201
Saint Peters, MO 63376
(636) 939-2550
Ages Seen: 13 Yrs/99 Yrs
ALLIED PROVIDERS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT CHARLES COUNTY
(cont.)
BEHAVIORAL HEALTH
COUNSELING (cont.)
Miller, Robert, MA
Provider ID: T2749430000-05
Robert M Miller
255 Spencer Rd Ste 201
Saint Peters, MO 63376
(636) 939-2550
Ages Seen: 06 Yrs/64 Yrs
Murray, Deanna, Med "
Provider ID: T5746990000-03
Collaborative Cnslng
1600 Heritage Lndg Ste 116
Saint Peters, MO 63303
(636) 345-1400
Ages Seen: 00 Yrs/64 Yrs
Niedbalski, Cynthia, MA "
Provider ID: T2774180000-01
Cynthia A Niedbalski
214 Church St
O Fallon, MO 63366
(314) 706-9493
Ages Seen: 00 Yrs/99 Yrs
Pearl, Rick, Med "
Provider ID: T0748810000-03
Cnslng and Assocd Conslnt
330 First Capitol Dr Ste 390
Saint Charles, MO 63301
(636) 230-6064
Ages Seen: 13 Yrs/99 Yrs
Richardson, Linda, MSW "
Provider ID: T1849300000-06
Linda Lee Richardson
1000 Lk St Louis Blvd Ste 206
Lake Saint Louis, MO 63367
(314) 968-8585
Ages Seen: 00 Yrs/99 Yrs
Sarno Jr, Albert, MS
Provider ID: T4560970000-06
Albert James Sarno Jr
631 Scotti Ct
Wentzville, MO 63385
(800) 431-2517
Ages Seen: 00 Yrs/99 Yrs
Schuito, Lisa, Med "
Provider ID: T6005614190-01
Lisa Schuito
1101 St Peters Howell Rd
Saint Peters, MO 63376
(314) 707-4364
Ages Seen: 00 Yrs/64 Yrs
JANUARY 2011
FAMILY PRACTICE
Dupuis, Liane, ARNP
Provider ID: 549611
Crider Health Center
1032 Crosswinds Ct
Wentzville, MO 63385
(636) 332-6000
Ages Seen: 00 Yrs/99 Yrs
INTERNAL MEDICINE
Lutes, Cassandra, ARNP
Provider ID: 431052
Crider Health Center
1032 Crosswinds
Wentzville, MO 63385
(636) 332-2125
Ages Seen: 12 Yrs/99 Yrs
! BOARD CERTIFIED
ORTHOPAEDIC SURGERY
Henson-Luu, Kimberly, PA "
Provider ID: 469429
113 Church St
O Fallon, MO 63366
(636) 379-4535
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
Henson-Luu, Kimberly, PA "
Provider ID: 469429
1475 Kisker Rd Ste 100
Saint Charles, MO 63304
(636) 498-5810
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
PEDIATRICS
Moore, Tracy, CNP
Provider ID: 457562
SSM Managed Care Organization
200 Medical Plaza Dr
Glennon Care For Kid
Lake Saint Louis, MO 63367
(636) 625-5200
Ages Seen: 00 Yrs/21 Yrs
Moore, Tracy, CNP
Provider ID: 457562
SSM Managed Care Organization
300 First Capitol Dr
Glennon Care For Kid
Saint Charles, MO 63301
(636) 947-5000
Ages Seen: 00 Yrs/21 Yrs
Tindall, Sharon, APRN
Provider ID: 537039
Practice Management Affiliates
1600 Heritage Lndg Ste 215
Saint Charles, MO 63303
(636) 939-4200
Ages Seen: 00 Yrs/21 Yrs
PSYCHOLOGY
Florian, Zsombor, MA "
Provider ID: T0748990000-09
Language: Hungarian, Russian
Zsombor Peter Florian
1000 Lk St Louis Blvd Ste 252
Lake Saint Louis, MO 63367
(636) 625-2409
Ages Seen: 00 Yrs/99 Yrs
PULMONARY DISEASE
Bryant, Natalie, CNP
Provider ID: 413506
SSM Managed Care Organization
600 Medical Dr Ste 209
Wentzville, MO 63385
(636) 332-8482
Ages Seen: 00 Yrs/99 Yrs
FAMILY PRACTICE
Cummings, Phillip, RN "
Provider ID: 383164
Language: Spanish
Great Mines Health Center
1101 Weber Rd
Farmington, MO 63640
(573) 438-9355
Ages Seen: 00 Yrs/99 Yrs
ALLIED PROVIDERS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT FRANCOIS COUNTY
(cont.)
! BOARD CERTIFIED
JANUARY 2011
Berkowitz, Rebekah, MSW "
Provider ID: T0836690000-03
Rebekah L Berkowitz
4177 Crescent Dr Ste D
Saint Louis, MO 63129
(314) 845-0673
Ages Seen: 13 Yrs/64 Yrs
ALLIED PROVIDERS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
BEHAVIORAL HEALTH
COUNSELING (cont.)
Davis, Jessica, MA "
Provider ID: T6006618900-01
Jessica M Davis
10820 Sunset Office Dr Ste 108
Saint Louis, MO 63127
(314) 223-4306
Ages Seen: 00 Yrs/99 Yrs
Dicker, Dale, Med "
Provider ID: T5947790000-02
Dale A Dicker
2388 Schuetz Rd Ste A60
Saint Louis, MO 63146
(314) 793-8123
Ages Seen: 06 Yrs/99 Yrs
Dineen, Patricia, Med "
Provider ID: T3465160000-01
Patricia A Dineen
443 N New Ballas Rd Ste 249
Saint Louis, MO 63141
(314) 872-7069
Ages Seen: 06 Yrs/64 Yrs
Dressel, Kim, Med "
Provider ID: T0845560000-06
Psych Care Conslnt
5000 Cedar Plaza Pkwy Ste 350
Saint Louis, MO 63128
(314) 843-4333
Ages Seen: 13 Yrs/99 Yrs
Dressel, Kim, Med "
Provider ID: T0845560000-07
Psych Care Conslnt
763 S New Ballas Rd Ste 110
Saint Louis, MO 63141
(314) 569-1717
Ages Seen: 13 Yrs/99 Yrs
Durban, Penny, MA "
Provider ID: T0079810000-08
Penny K Durban
14323 S Outer 40 Ste 607 S
Chesterfield, MO 63017
(314) 275-2500
Ages Seen: 06 Yrs/99 Yrs
Edelman, Barbara, MSW "
Provider ID: T2911710000-04
Barbara J Edelman
111 Prospect Ave Ste 201E
Saint Louis, MO 63122
(314) 780-4906
Ages Seen: 06 Yrs/64 Yrs
Farwell, Victor, MSW "
Provider ID: T0929980000-02
Victor H Farwell
7750 Clayton Rd Ste 300
Saint Louis, MO 63117
(314) 647-2800
Ages Seen: 13 Yrs/99 Yrs
! BOARD CERTIFIED
JANUARY 2011
Harmon, Jean, MA
Provider ID: T6006431290-01
Care and Cnslng
12141 Ladue Rd
Saint Louis, MO 63141
(314) 878-4340
Ages Seen: 00 Yrs/99 Yrs
Hawkins, Huey, MSW
Provider ID: T5431920000-02
Huey L Hawkins
9191 W Florissant Ave Ste 200
Saint Louis, MO 63136
(314) 882-6840
Ages Seen: 00 Yrs/17 Yrs
ALLIED PROVIDERS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
BEHAVIORAL HEALTH
COUNSELING (cont.)
Hayden, Debora, MSW "
Provider ID: T5401600000-03
Debora J Hayden
655 Craig Rd Ste 128
Saint Louis, MO 63141
(314) 989-9449
Ages Seen: 00 Yrs/64 Yrs
Hebert, Judith, MA "
Provider ID: T3466290000-03
Cath Fmly Svcs
1385 Harkee Dr
Florissant, MO 63031
(314) 831-1533
Ages Seen: 06 Yrs/64 Yrs
Heller, Hope, PhD "
Provider ID: T0957270000-06
Hope N Heller
11330 Olive Blvd Ste 225
Saint Louis, MO 63141
(314) 567-7500
Ages Seen: 06 Yrs/64 Yrs
Herzog, Marley, MSW "
Provider ID: T0639310000-03
Marley Ann Herzog
6220 S Lindbergh Blvd Ste 300
Saint Louis, MO 63123
(314) 602-6650
Ages Seen: 00 Yrs/99 Yrs
Iorio, Mary, MSW "
Provider ID: T2275760000-01
Cath Fmly Svcs
498 Woods Mill Rd
Manchester, MO 63011
(636) 391-9966
Ages Seen: 13 Yrs/99 Yrs
Isbell, Janet, MSW "
Provider ID: T8366310000-02
Altrntv Options Cnslng and
Wellness
4585 Washington St Ste A4
Florissant, MO 63033
(314) 837-0000
Ages Seen: 00 Yrs/64 Yrs
Jobst, Amy, MA "
Provider ID: T8096370000-01
Language: Spanish
Preferred Resource Ntwk
9735 Landmark Pkwy Dr Ste 17
Saint Louis, MO 63127
(314) 842-6223
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
JANUARY 2011
Kontz, Janet, MA
Provider ID: T6006679900-01
Janet M Kontz
3249 Bristol Hall Dr
Bridgeton, MO 63044
(314) 344-8527
Ages Seen: 00 Yrs/99 Yrs
Lacey, Delores, MSW "
Provider ID: T6005873210-01
Delores L Lacey
7396 Pershing Ave
Saint Louis, MO 63130
(314) 216-1895
Ages Seen: 13 Yrs/64 Yrs
Lacey, Delores, MSW "
Provider ID: T6005873210-02
Delores L Lacey
737 Dunn Rd
Hazelwood, MO 63042
(314) 216-1895
Ages Seen: 13 Yrs/64 Yrs
ALLIED PROVIDERS
HARMONY HEALTH PLAN OF MISSOURI
JANUARY 2011
Robertson, Cathy, MA
Provider ID: T8218430000-01
Cathy Renee Robertson
9378 Olive Blvd Ste 316
Olivette, MO 63132
(314) 603-0149
Ages Seen: 06 Yrs/99 Yrs
Russina, Erika, MA
Provider ID: T7240050000-01
Erika Russina
2632 S Kingshighway Blvd
Saint Louis, MO 63143
(314) 604-3527
Ages Seen: 06 Yrs/64 Yrs
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
BEHAVIORAL HEALTH
COUNSELING (cont.)
Meinert, Steve, PhD "
Provider ID: T2905440000-03
Steve A Meinert
745 Craig Rd Ste 102-C
Saint Louis, MO 63141
(314) 640-7211
Ages Seen: 00 Yrs/99 Yrs
Miller, Arlene, MSW "
Provider ID: T0272480000-03
Language: American Sign
Language
Arlene C Miller
10820 Sunset Office Dr Ste 204
Saint Louis, MO 63127
(314) 822-2800
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
ALLIED PROVIDERS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
BEHAVIORAL HEALTH
COUNSELING (cont.)
Savage, Catherine, MSW "
Provider ID: T2731810000-08
Catherine Savage
9717 Landmark Pkwy Dr
Saint Louis, MO 63127
(314) 849-2120
Ages Seen: 00 Yrs/99 Yrs
Scarlett Lloyd,
Thialiaann, Med "
Provider ID: T8095110000-03
Intentional Altrntvs
11650 New Halls Ferry Rd
Florissant, MO 63033
(314) 837-2022
Ages Seen: 06 Yrs/64 Yrs
Schaper, Shirley, MSW "
Provider ID: T0582800000-02
Shirley M Schaper
14323 S Outer 40
Woodsmill Twrs Ste 607 S
Chesterfield, MO 63017
(314) 275-2500
Ages Seen: 00 Yrs/99 Yrs
Schechtman, Judith, MSW "
Provider ID: T0079860000-02
Judith L Schechtman
255 S Meramec Ave Ste 504
Saint Louis, MO 63105
(314) 725-8889
Ages Seen: 00 Yrs/64 Yrs
Schmidt, Bruce, MA "
Provider ID: T1750900000-09
Bruce A Schmidt
2369 Schuetz Rd
Saint Louis, MO 63146
(314) 994-1515
Ages Seen: 06 Yrs/99 Yrs
Schnurbusch, Lesa, MSW "
Provider ID: T6006128470-03
Cath Fmly Svcs
498 Woods Mill Rd
Manchester, MO 63011
(636) 391-9966
Ages Seen: 00 Yrs/64 Yrs
Sensakovic, Marti, Med "
Provider ID: T2154200000-03
Psych Care Conslnt
5000 Cedar Plaza Pkwy Ste 350
Saint Louis, MO 63128
(314) 843-4333
Ages Seen: 06 Yrs/99 Yrs
! BOARD CERTIFIED
JANUARY 2011
Wasserman, Cheryl, MA !
Provider ID: T0877150000-17
Cheryl L Wasserman
2388 Schuetz Rd Ste A60
Saint Louis, MO 63146
(314) 991-6730
Ages Seen: 13 Yrs/99 Yrs
Underhill, Susan, MA
Provider ID: T6006444740-01
Susan M Underhill
4177 Crescent Dr Ste D
Saint Louis, MO 63129
(314) 329-5729
Ages Seen: 00 Yrs/99 Yrs
Underhill, Susan, MA
Provider ID: T6006444740-02
Susan M Underhill
9 Hilltop Village Center
Eureka, MO 63025
(314) 329-5729
Ages Seen: 00 Yrs/99 Yrs
Vaccaro, Elizabeth, MA
Provider ID: T6006431320-01
Care and Cnslng
12141 Ladue Rd
Saint Louis, MO 63141
(314) 878-4340
Ages Seen: 13 Yrs/99 Yrs
ALLIED PROVIDERS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
BEHAVIORAL HEALTH
COUNSELING (cont.)
Wojak, Theresa, MSW "
Provider ID: T1340070000-02
Psych Care Conslnt
5000 Cedar Plaza Pkwy Ste 350
Saint Louis, MO 63128
(314) 843-4333
Ages Seen: 00 Yrs/99 Yrs
Woods Eaglin, Adrienne, MSW
Provider ID: T5692700000-02
Adrienne L Woods Eaglin
3466 Bridgeland Dr
Bridgeton, MO 63044
(314) 302-0418
Ages Seen: 00 Yrs/64 Yrs
Wylie, Judy, Med "
Provider ID: T2375890000-02
Judy M Wylie
16917 Manchester Rd
Grover, MO 63040
(314) 517-5410
Ages Seen: 06 Yrs/64 Yrs
Wylie, Judy, Med "
Provider ID: T2375890000-04
Judy M Wylie
602 W Kirkham Ave
Webster Groves, MO 63119
(314) 517-5410
Ages Seen: 06 Yrs/64 Yrs
Wymer, Richard, Med "
Provider ID: T6006480610-01
Richard L Wymer
11140 S Towne Sq Ste 205
Saint Louis, MO 63123
(314) 210-3454
Ages Seen: 00 Yrs/99 Yrs
CARDIOLOGY
Beck, Bryon, PA
Provider ID: 570963
SSM Managed Care Organization
3009 N Ballas Rd Ste 202B
Saint Louis, MO 63131
(314) 995-6839
Ages Seen: 00 Yrs/99 Yrs
Burns, Jennifer, ARNP
Provider ID: 567349
SSM Managed Care Organization
12277 De Paul Dr Ste 503
Bridgeton, MO 63044
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
JANUARY 2011
COMMUNITY HEALTH
CENTER
John C Murphy Health Center "
Provider ID: 369639
6065 Helen
Saint Louis, MO 63134
(314) 522-6410
Ages Seen: 00 Yrs/99 Yrs
South County Health Center "
Provider ID: 364962
4580 S Lindbergh Blvd
Saint Louis, MO 63127
(314) 842-1300
Ages Seen: 00 Yrs/99 Yrs
FAMILY PRACTICE
Bitzer, Maria, APRN "
Provider ID: 321645
Institute For Family Medicine
4590 S Lindbergh Blvd
Saint Louis, MO 63127
(314) 849-7669
Ages Seen: 00 Yrs/99 Yrs
Watts-Marquard,
Samantha, ARNP
Provider ID: 512796
St Louis Cty Department of Health
4580 S Lindbergh Blvd
Saint Louis, MO 63127
(314) 615-0400
Ages Seen: 00 Yrs/99 Yrs
Watts-Marquard,
Samantha, ARNP
Provider ID: 514801
St Louis Cty Department of Health
6065 Helen Ave
Saint Louis, MO 63134
(314) 522-6410
Ages Seen: 00 Yrs/99 Yrs
Watts-Marquard,
Samantha, ARNP
Provider ID: 514805
St Louis Cty Department of Health
4000 Jennings Station Rd
Saint Louis, MO 63121
(314) 679-7800
Ages Seen: 00 Yrs/99 Yrs
ALLIED PROVIDERS
HARMONY HEALTH PLAN OF MISSOURI
JANUARY 2011
INTERNAL MEDICINE
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.) Brethauer, Cathleen, ARNP "
FAMILY PRACTICE (cont.)
Willer (Buchanan),
Renee, APRN "
Provider ID: 321823
St Louis County Dept of Health
4580 S Lindbergh Blvd
Saint Louis, MO 63127
(314) 842-1300
Ages Seen: 00 Yrs/99 Yrs
Willer (Buchanan),
Renee, APRN "
Provider ID: 321824
St Louis County Dept of Health
4000 Jennings Station Rd
Saint Louis, MO 63127
(314) 679-7800
Ages Seen: 00 Yrs/99 Yrs
INFECTIOUS DISEASE
Woolsey, Cheryl, PA "
Provider ID: 504059
SSM Managed Care Organization
10004 Kennerly Rd Ste 368B
Saint Louis, MO 63128
(314) 729-1570
Ages Seen: 00 Yrs/99 Yrs
Woolsey, Cheryl, PA "
Provider ID: 504059
SSM Managed Care Organization
2325 Dougherty Ferry Rd Ste 206
Saint Louis, MO 63122
(314) 821-0900
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
MEDICAL ONCOLOGY
Clark, Joan, ARNP "
Provider ID: 518894
10777 Sunset Office Dr Ste 210
Saint Louis, MO 63127
(314) 822-5900
Ages Seen: 00 Yrs/99 Yrs
NEPHROLOGY
Lommel, Sylvia, ARNP
Provider ID: 571461
SSM Managed Care Organization
3009 N Ballas Rd Ste 142
Saint Louis, MO 63136
(314) 993-4949
Ages Seen: 00 Yrs/99 Yrs
SSM
SSM
SSM St Joseph Hospital West
NEUROLOGY
Holman, Victoria, CNP
Provider ID: 441379
SSM Managed Care Organization
3009 N Ballas Rd
Ste 102B Bldg B
Saint Louis, MO 63131
(314) 725-2010
Ages Seen: 18 Yrs/99 Yrs
OBSTETRICS/
GYNECOLOGY
Hoffstetter, Susan, ARNP "
Provider ID: 356910
St Louis University
12266 Depaul Dr Ste 65
Bridgeton, MO 63044
(314) 781-7455
Ages Seen: 18 Yrs/99 Yrs
Hoffstetter, Susan, ARNP "
Provider ID: 356910
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 18 Yrs/99 Yrs
Taylor, Julie, APRN
Provider ID: 432035
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
ORTHOPAEDIC SURGERY
Henslee, Katherine, ARNP
Provider ID: 532420
SSM Managed Care Organization
2325 Dougherty Ferry Rd Ste 202
Saint Louis, MO 63122
(314) 996-6480
Ages Seen: 00 Yrs/99 Yrs
Henson-Luu, Kimberly, PA
Provider ID: 469429
12303 Depaul Dr
Bridgeton, MO 63044
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
PEDIATRICS
Fishering, Renee, RN "
Provider ID: 321657
Brownridge Pediatrics
637 Dunn Rd Ste 144
Hazelwood, MO 63042
(314) 731-1299
Ages Seen: 00 Yrs/21 Yrs
Fitzgerald, Mary, RN
Provider ID: 325106
St Louis Cty Department of Health
4580 S Lindbergh Blvd
Saint Louis, MO 63127
(314) 842-1300
Ages Seen: 00 Yrs/21 Yrs
Guerrein, Kathleen, CNP "
Provider ID: 362138
SSM Managed Care Organization
12303 Depaul Dr
Bridgeton, MO 63044
(314) 344-6000
Ages Seen: 00 Yrs/21 Yrs
Guerrein, Kathleen, CNP
Provider ID: 362138
SSM Managed Care Organization
12255 Depaul Dr
Bridgeton, MO 63044
(314) 256-3850
Ages Seen: 00 Yrs/21 Yrs
McGowan, Stephanie, RN "
Provider ID: 321659
Brownridge Pediatrics
637 Dunn Rd Ste 144
Hazelwood, MO 63042
(314) 731-1299
Ages Seen: 00 Yrs/21 Yrs
ALLIED PROVIDERS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
PEDIATRICS (cont.)
Moore, Tracy, CNP
Provider ID: 457562
SSM Managed Care Organization
12303 Depaul Dr
Glennon Care For Kid
Bridgeton, MO 63044
(314) 344-6000
Ages Seen: 00 Yrs/21 Yrs
Moore, Tracy, CNP "
Provider ID: 457562
SSM Managed Care Organization
1015 Bowles Ave
Glennon Care For Kid
Fenton, MO 63026
(636) 496-2000
Ages Seen: 00 Yrs/21 Yrs
PHYSICAL THERAPY
Brown, Gene, PT
Provider ID: 388228
Physical Therapy Consultants I
2865 Netherton
Saint Louis, MO 63136
(314) 653-0911
Ages Seen: 00 Yrs/99 Yrs
Pevnick, Gary, PT
Provider ID: 386757
Physical Therapy Consultants I
2865 Netherton Dr
Saint Louis, MO 63136
(314) 653-0918
Ages Seen: 00 Yrs/99 Yrs
PSYCHIATRY
Arshad, Carol, MA "
Provider ID: T2379760000-03
Psych Care Conslnt
12255 De Paul Dr Ste 250
Bridgeton, MO 63044
(314) 344-7770
Ages Seen: 06 Yrs/99 Yrs
Arshad, Carol, MA "
Provider ID: T2379760000-04
Psych Care Conslnt
5000 Cedar Plaza Pkwy Ste 350
Saint Louis, MO 63128
(314) 843-4333
Ages Seen: 06 Yrs/99 Yrs
Boatman, Jeffrey, RN !
Provider ID: T6005156760-01
Psych Care Conslnt
1201 Bellevue Ave
Saint Louis, MO 63117
(314) 647-4488
Ages Seen: 18 Yrs/99 Yrs
! BOARD CERTIFIED
JANUARY 2011
PSYCHOLOGY
Bailey Cox, Augusta, MA "
Provider ID: T1968650000-08
Augusta Lee Bailey Cox
11125 Dunn Rd Ste 213
Saint Louis, MO 63136
(314) 837-4900
Ages Seen: 06 Yrs/99 Yrs
Florian, Zsombor, MA "
Provider ID: T0748990000-08
Language: Hungarian, Russian
Zsombor Peter Florian
3466 Bridgeland Dr Ste 150
Bridgeton, MO 63044
(314) 291-2500
Ages Seen: 00 Yrs/99 Yrs
Kiel, Karol, MA "
Provider ID: T4728330000-01
Creative Change
8772 Big Bend Blvd
Saint Louis, MO 63119
(314) 962-7788
Ages Seen: 13 Yrs/64 Yrs
Meltzer, Theodore, MA
Provider ID: T3526760000-02
Theodore A Meltzer
777 Craig Rd Ste 120
Saint Louis, MO 63141
(314) 997-6463
Ages Seen: 18 Yrs/64 Yrs
PULMONARY DISEASE
Dettenmeier, Patricia, ARNP "
Provider ID: 249944
St Louis University
2325 Dougherty Ferry Rd Ste 100
Kirkwood, MO 63122
(314) 977-9600
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Tyree, Aaron, PA
Provider ID: 532399
SSM Managed Care Organization
1015 Bowles Ave
Fenton, MO 63026
(636) 496-2000
Ages Seen: 00 Yrs/99 Yrs
Tyree, Aaron, PA
Provider ID: 532399
SSM Managed Care Organization
12303 De Paul Dr
Bridgeton, MO 63044
(314) 344-6000
Ages Seen: 00 Yrs/99 Yrs
SPEECH THERAPY
Bonds, Lakita, SLP
Provider ID: 570077
Lakita R Bonds
14220 Old Halls Ferry Rd Ste 201
Florissant, MO 63034
(314) 805-9708
Ages Seen: 00 Yrs/99 Yrs
VASCULAR SURGERY
Dorsey, Mary, ARNP "
Provider ID: 249945
St Louis University
2325 Dougherty Ferry Rd Ste 100
Kirkwood, MO 63122
(314) 977-9600
Ages Seen: 00 Yrs/99 Yrs
ALLIED PROVIDERS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
BEHAVIORAL HEALTH
COUNSELING (cont.)
Franklin, Steve, MSW "
Provider ID: T3466110000-03
Steve A Franklin
6829 Gravois Ave
Saint Louis, MO 63116
(314) 517-8383
Ages Seen: 06 Yrs/99 Yrs
Gourdine, I, MSW "
Provider ID: T1221870000-04
I Regina Gourdine
4144 Lindell Blvd Ste 218
Saint Louis, MO 63108
(314) 882-6525
Ages Seen: 06 Yrs/99 Yrs
Green, Tonia, MSW
Provider ID: T4856650000-01
Tonia T Green
5800 Natural Bridge Ave
Saint Louis, MO 63120
(314) 606-8908
Ages Seen: 00 Yrs/64 Yrs
Grey, Starlett, MSW "
Provider ID: T6006680340-01
Grace Hill Nghbrhd Health Center
1717 Biddle St
Saint Louis, MO 63106
(314) 814-8606
Ages Seen: 00 Yrs/99 Yrs
Hart Jr, David, MA "
Provider ID: T2621690000-01
David L Hart Jr
4561 S Compton Ave
Saint Louis, MO 63111
(314) 352-1770
Ages Seen: 06 Yrs/64 Yrs
Hobson, Trisha, MA "
Provider ID: T6006649420-01
Fmly Resource Center
3309 S Kingshighway Blvd
Saint Louis, MO 63139
(314) 534-9350
Ages Seen: 00 Yrs/99 Yrs
Hughes, Mary, Maed "
Provider ID: T7977310000-03
Mary C Hughes
275 Union Blvd Ste 110
Saint Louis, MO 63108
(314) 401-4738
Ages Seen: 06 Yrs/99 Yrs
Jansen, Trina, MA
Provider ID: T6006563170-01
Trina Marie Jansen
4561 S Compton Ave
Saint Louis, MO 63111
(314) 369-8721
Ages Seen: 00 Yrs/64 Yrs
! BOARD CERTIFIED
JANUARY 2011
CARDIOVASCULAR
SURGERY
Hohenberg, Mary, PA
Provider ID: 247273
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 268-4180
COMMUNITY HEALTH
CENTER
Family Care Health Centers "
Provider ID: 321440
401 Holly Hills
Saint Louis, MO 63111
(314) 353-5190
Ages Seen: 00 Yrs/99 Yrs
DERMATOLOGY
King, Rosemary, PA
Provider ID: 247275
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 577-6064
ALLIED PROVIDERS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
EAR NOSE & THROAT
McGlaughlin, Alicia, RN !
Provider ID: 464084
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5650
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
FAMILY PRACTICE
Barron, Mary, APRN
Provider ID: 547722
St Louis University
3660 Vista Ave Ste 108
Saint Louis, MO 63110
(314) 977-4700
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Baudendistel, Donna, APRN "
Provider ID: 558856
St Louis University
3660 Vista Ave Ste 303
Saint Louis, MO 63110
(314) 977-6082
Ages Seen: 18 Yrs/99 Yrs
Benz, Margaret, ARNP "
Provider ID: 321644
Institute For Family Medicine
4451 Forest Park
Saint Louis, MO 63108
(314) 849-7669
Ages Seen: 18 Yrs/99 Yrs
JANUARY 2011
! BOARD CERTIFIED
GASTROENTEROLOGY
Campbell, Shirley, ARNP "
Provider ID: 321574
Saint Louis Connectcare
5535 Delmar Blvd
Saint Louis, MO 63112
(314) 879-6363
Ages Seen: 18 Yrs/99 Yrs
Hosto, Courtney, PA
Provider ID: 530216
St Louis University
3660 Vista Ave Ste 302
Saint Louis, MO 63110
(314) 977-6150
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Wilkins, Rebecca, PA
Provider ID: 530528
St Louis University
3660 Vista Ave Ste 302
Saint Louis, MO 63110
(314) 977-6150
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
GENERAL SURGERY
Mertensmeyer,
Michelle, ARNP !
Provider ID: 415506
St Louis University
3635 Vista Ave @ Grand Blvd
Saint Louis, MO 63110
(314) 977-6125
Ages Seen: 18 Yrs/99 Yrs
Miller, Regan, PA
Provider ID: 544707
St Louis University
3660 Vista Ave Ste 108
Saint Louis, MO 63110
(314) 977-6125
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
GERIATRIC MEDICINE
Traber, Christina, APRN "
Provider ID: 429697
St Louis University
3660 Vista Ave Ste 204
Saint Louis, MO 63110
(314) 977-8462
Ages Seen: 65 Yrs/99 Yrs
St Louis University Hospital
GYNECOLOGY
Blake, Mary, ARNP "
Provider ID: 321582
Saint Louis Connectcare
5535 Delmar Blvd
Saint Louis, MO 63112
(314) 879-6363
Ages Seen: 18 Yrs/99 Yrs
Higginbotham, Valerie, ARNP "
Provider ID: 321629
Grace Hill Neighborhood He
4308 N Grand
Saint Louis, MO 63107
(314) 340-3222
Ages Seen: 00 Yrs/99 Yrs
INFECTIOUS DISEASE
Duane, Carol, ARNP "
Provider ID: 250547
St Louis University
1100 S Grand
Saint Louis, MO 63104
(314) 977-6333
Ages Seen: 00 Yrs/99 Yrs
INTERNAL MEDICINE
Keegan, Mary, ARNP "
Provider ID: 250549
St Louis University
5411 S Grand Blvd
Saint Louis, MO 63111
(314) 351-5600
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Keegan, Mary, ARNP !
Provider ID: 391182
St Louis University
3660 Vista Ave Ste 207
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
ALLIED PROVIDERS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
INTERNAL MEDICINE (cont.)
Mahon, Suzanne, ARNP "
Provider ID: 249870
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-8854
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Petzchen, Marcella, ARNP
Provider ID: 250551
St Louis University
3518 Laciede Ave
Saint Louis, MO 63103
(314) 977-2323
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Petzchen, Marcella, ARNP "
Provider ID: 250551
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 577-6100
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Philpot, Carolyn, ARNP "
Provider ID: 250552
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 577-6055
Ages Seen: 00 Yrs/99 Yrs
OBSTETRICS/
GYNECOLOGY
Crowder, Annie, RN
Provider ID: 380320
Grace Hill Neighborhood He
2220 Lemp Ave
Saint Louis, MO 63104
(314) 814-8688
Dickerson, Frances, APRN "
Provider ID: 372730
Myrtle Hilliard Davis Comprehe
5471 Dr Martin Luther King Dr
Saint Louis, MO 63112
(314) 367-5820
Ages Seen: 12 Yrs/99 Yrs
Dickerson, Frances, APRN "
Provider ID: 372730
Myrtle Hilliard Davis Comprehe
5541 Riverview Blvd
Saint Louis, MO 63120
(314) 389-4566
Ages Seen: 12 Yrs/99 Yrs
! BOARD CERTIFIED
JANUARY 2011
ORTHOPAEDIC SURGERY
Hietpas, Shay, PA !"
Provider ID: 374772
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5646
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Schumert, Emily, PA
Provider ID: 483197
St Louis University
1465 S Grand
Saint Louis, MO 63110
(314) 577-5646
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
PEDIATRIC
ENDOCRINOLOGY
Simpkins, Marsha, ARNP
Provider ID: 519372
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5648
Ages Seen: 00 Yrs/18 Yrs
PEDIATRIC
GASTROENTEROLOGY
Hotle, Laura, ARNP
Provider ID: 571787
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5647
Ages Seen: 00 Yrs/18 Yrs
PEDIATRIC HEMATOLOGY/
ONCOLOGY
Harvey, Jeanne, ARNP "
Provider ID: 543784
SSM Managed Care Organization
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 268-4079
Ages Seen: 00 Yrs/99 Yrs
PEDIATRICS
Christanell, Cara, ARNP "
Provider ID: 571547
SSM Managed Care Organization
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-6406
Ages Seen: 00 Yrs/21 Yrs
Christanell, Cara, RN "
Provider ID: 292048
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 268-6406
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
Esses, Stephanie, ARNP
Provider ID: 561936
SSM Managed Care Organization
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5666
Ages Seen: 00 Yrs/21 Yrs
French, Brooke, APRN "
Provider ID: 364436
Myrtle Hilliard Davis Comprehe
5471 Dr MLK Dr
Saint Louis, MO 63112
(314) 367-5820
Ages Seen: 00 Yrs/17 Yrs
French, Brooke, APRN "
Provider ID: 365099
Myrtle Hilliard Davis Comprehe
4411 N Newstead Ave
Saint Louis, MO 63115
(314) 381-9990
Ages Seen: 00 Yrs/17 Yrs
French, Brooke, APRN "
Provider ID: 365119
Myrtle Hilliard Davis Comprehe
2425 Whittier St
Saint Louis, MO 63113
(314) 371-3100
Ages Seen: 00 Yrs/17 Yrs
French, Brooke, APRN "
Provider ID: 365121
Myrtle Hilliard Davis Comprehe
5541 Riverview Blvd
Saint Louis, MO 63120
(314) 389-4566
Ages Seen: 00 Yrs/17 Yrs
Furtak, Jenny, CNP
Provider ID: 437371
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-6406
Ages Seen: 00 Yrs/21 Yrs
St Louis University Hospital
ALLIED PROVIDERS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
PEDIATRICS (cont.)
Gross, Cathy, APRN "
Provider ID: 376159
SSM Managed Care Organization
1750 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3850
Ages Seen: 00 Yrs/21 Yrs
Gross, Cathy, APRN "
Provider ID: 376159
SSM Managed Care Organization
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5306
Ages Seen: 00 Yrs/21 Yrs
Hermann, Jeanne, ARNP
Provider ID: 371384
SSM - Specialists
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5600
Ages Seen: 00 Yrs/99 Yrs
Huber, Barbara, CNP !
Provider ID: 437384
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5643
Ages Seen: 00 Yrs/21 Yrs
Jones, Yvonne, ARNP "
Provider ID: 321619
Grace Hill Neighborhood He
1717 Biddle St
Saint Louis, MO 63106
(314) 241-2200
Ages Seen: 00 Yrs/17 Yrs
Loman, Deborah, RN "
Provider ID: 321710
Myrtle Hilliard Davis Comprehe
5471 Dr Martin Luther King Dr
Saint Louis, MO 63112
(314) 367-5820
Ages Seen: 00 Yrs/20 Yrs
Schmidt, Diane, APRN "
Provider ID: 321774
St Louis Pediatric Practitione
3737 N Kingshighway
Saint Louis, MO 63115
(314) 261-5250
Ages Seen: 00 Yrs/18 Yrs
Spranaitis, Kathleen, ARNP "
Provider ID: 250556
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5647
Ages Seen: 00 Yrs/21 Yrs
SSM Cardinal Glennon Child
! BOARD CERTIFIED
JANUARY 2011
PHYSICAL THERAPY
Pevnick, Gary, PT "
Provider ID: 386757
Physical Therapy Consultants I
6543 Chippewa Ste 216
Saint Louis, MO 63109
(314) 653-0918
Ages Seen: 00 Yrs/99 Yrs
PSYCHIATRY
Salois, Michelle, MSW !"
Provider ID: T0365180000-05
Mercy Pro Svcs
3510 Giles Ave
Saint Louis, MO 63116
(314) 993-8818
Ages Seen: 00 Yrs/99 Yrs
Talley, Pamela, Msn !"
Provider ID: T7896240000-02
Pamela Talley
5261 Delmar Blvd Ste 206
Saint Louis, MO 63108
(314) 652-7542
Ages Seen: 13 Yrs/99 Yrs
PULMONARY DISEASE
Dettenmeier, Patricia, ARNP "
Provider ID: 249944
St Louis University
3660 Vista Ave Ste 103
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
VASCULAR SURGERY
Gregory, Karen, APRN "
Provider ID: 356957
St Louis University
3635 Vista Ave Ste 108
Saint Louis, MO 63110
(314) 577-8310
Ages Seen: 18 Yrs/99 Yrs
Lebbing, Rhonda, APRN !
Provider ID: 510996
St Louis University
3660 Vista Ave Ste 108
Saint Louis, MO 63110
(314) 577-8310
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
SAINTE GENEVIEVE
COUNTY
BEHAVIORAL HEALTH
COUNSELING
COMMUNITY HEALTH
CENTER
Ste Genevieve County Health
Dept "
Provider ID: 374787
115 Basler Dr
Sainte Genevieve, MO 63670
(573) 883-7411
Ages Seen: 00 Yrs/99 Yrs
FAMILY PRACTICE
Grass, Sharon, ARNP "
Provider ID: 321788
Ste Genevieve County Memorial
753 Pointe Basse Dr
Sainte Genevieve, MO 63670
(573) 883-2782
Ages Seen: 12 Yrs/99 Yrs
ALLIED PROVIDERS
HARMONY HEALTH PLAN OF MISSOURI
MISSOURI (cont.)
SAINTE GENEVIEVE
COUNTY (cont.)
FAMILY PRACTICE (cont.)
Miller, Luann, ARNP
Provider ID: 559820
Ste Genevieve County Memorial
37 Meyer Rd
Bloomsdale, MO 63627
(573) 483-9492
Ages Seen: 00 Yrs/99 Yrs
GENERAL PRACTICE
McCullough, Mary, APRN
Provider ID: 557524
Ste Genevieve County Memorial
753 Pointe Basse Dr
Sainte Genevieve, MO 63670
(573) 883-2782
Ages Seen: 18 Yrs/99 Yrs
INTERNAL MEDICINE
Kraenzle, Dale, ARNP
Provider ID: 321791
Ste Genevieve County Memorial
930 Park Dr
Sainte Genevieve, MO 63670
(573) 883-7424
Ages Seen: 12 Yrs/99 Yrs
Uding, Joann, ARNP
Provider ID: 560956
Family Health Center - Pointe
753 Pointe Basse Dr
Sainte Genevieve, MO 63670
(573) 883-4455
Ages Seen: 12 Yrs/99 Yrs
WARREN COUNTY
BEHAVIORAL HEALTH
COUNSELING
Wessler, Bonnie, MSW
Provider ID: T1192020000-03
Bonnie Jean Wessler
404 E Booneslick Rd Ste B
Warrenton, MO 63383
(636) 456-7715
Ages Seen: 06 Yrs/99 Yrs
COMMUNITY HEALTH
CENTER
Warren County Health
Department "
Provider ID: 406508
104 W Boonslick Ste H
Warrenton, MO 63383
(636) 456-7474
Ages Seen: 00 Yrs/18 Yrs
! BOARD CERTIFIED
JANUARY 2011
INTERNAL MEDICINE
Duffy, Abbey, ARNP
Provider ID: 552013
Crider Health Center
1428 N Hwy 47 Ste B
Warrenton, MO 63383
(636) 456-1500
Ages Seen: 18 Yrs/99 Yrs
Lutes, Cassandra, ARNP
Provider ID: 430931
Crider Health Center
1428 N Hwy 47 Ste B
Warrenton, MO 63383
(636) 456-1500
Ages Seen: 12 Yrs/99 Yrs
PEDIATRICS
Guerrein, Kathleen, CNP
Provider ID: 362138
SSM Managed Care Organization
511 Ashland Ave
Warrenton, MO 63383
(636) 456-0543
Ages Seen: 00 Yrs/21 Yrs
Koenegstein, Martha, CNP "
Provider ID: 424957
SSM Managed Care Organization
511 Ashland
Warrenton, MO 63383
(636) 456-0543
Ages Seen: 00 Yrs/18 Yrs
WASHINGTON COUNTY
CARDIOLOGY
Beck, Bryon, PA
Provider ID: 570963
SSM Managed Care Organization
300 Health Way Dr
Potosi, MO 63664
(573) 438-5451
Ages Seen: 00 Yrs/99 Yrs
FAMILY PRACTICE
Cummings, Phillip, RN "
Provider ID: 321486
Language: Spanish
Great Mines Health Center
1 Southtowne Dr
Potosi, MO 63664
(573) 438-9355
Ages Seen: 00 Yrs/99 Yrs
Declue, Angela, APRN "
Provider ID: 327635
Washington Cnty Mem Hospital
Phys
200 Health Way
Potosi, MO 63664
(519) 483-2977
Ages Seen: 00 Yrs/99 Yrs
ILLINOIS
MADISON COUNTY
CARDIOLOGY
Burns, Jennifer, ARNP
Provider ID: 567349
SSM Managed Care Organization
2118 Washington Ave
Granite City, IL 62040
(618) 876-8214
Ages Seen: 00 Yrs/99 Yrs
Daniels, Lacretia, ARNP
Provider ID: 567353
2118 Washington Ave
Granite City, IL 62040
(618) 876-8214
Ages Seen: 00 Yrs/99 Yrs
Reagan, Anna, APRN "
Provider ID: 504058
SSM Managed Care Organization
2118 Washington
Granite City, IL 62040
(618) 876-8214
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
INDEX OF PROVIDERS
HARMONY HEALTH PLAN OF MISSOURI
A
A & B Medical Supplies ...........................115
AAA Home Medical Equipment ...............117
Abdul Khader, Syed, MD ......................34, 73
Abdulnabi, Yousef, MD .......................38, 110
Abdulrauf, Saleem, MD ...............................94
Abele, Frederick A, MD ..............................116
Abraham, Elizabeth, MD ...........................103
Abrams, Marc, DDS ....................................44
Abramson, Ruth, MSW .............................123
Acharya, Aninda, MD ............................92, 93
Adult and Pediatric Medicine of St Charl
....................................................................112
Adult and Pediatric Medicine of St Louis
....................................................................112
Aerocare Home Medical Equipment .......115
Agarwal, Banke, MD ..............................44, 85
Agha, Irfan, MD ............................................92
Aguilar, Robin, MD ......................................48
Ahmad, Aqeeb, MD .....................................75
Ahmad, Musaddeque, MD .......................5, 20
Ahmad, Shahnaz, MD .................................17
Ahmed, Nawal M, DMD ...............................86
Aim Laboratories ......................................116
Aitken, Ramona, MD ...................................47
Akduman, Levent, MD ...........................57, 97
Akhtar, Aamina, MD ..............................47, 48
Al Gebory, Faris, MD ...................................46
Al Jureidini, Saadeh, MD ....................22, 102
Alander, Dirk, MD ......................................100
Albers, Gary, MD .......................103, 110, 111
Albert, Stewart, MD .....................................85
Albert, Tara, ARNP ....................................133
Albus, Thomas, MD ...............................26, 33
Al-Hosni, Mohamad, MD ...................104, 111
Ali, Ahmed, MD ......................................34, 73
Ali, Ayoob, MD .....................................91, 110
Ali, Zarmeena, MD .....................................106
Alkaade, Samer, MD .............................44, 85
Allen, Edward, MSW ..........................123, 130
Allhoff, Henry, OD .......................................60
Alshekhlee, Amer, MD ..........................52, 93
Alt, Suzanne, DO ...........................................5
Alvarez, Alejandra, MD ................................53
Alvarez, Alejandro, MD ..........................51, 92
Amato, Jason, MD .......................................83
American Homepatient ....................115, 117
American Homepatient- Hannibal ...115, 116
American Homepatient St Louis .............116
Amon, Erol, MD .........................28, 49, 53, 91
Anderson, Blake, MD ....................................6
Anderson, Connie, MD ................................91
Anderson, Edwin, MD .........................90, 103
Anderson, John, MA .................................118
Anderson, Peter, MD ..................................71
Anderson, Richard, MD ...............................35
Anderson, Susan, MA ...............................118
Andreone, Teresa, MD ..............................104
Andrews, Wegdan, MD .........................52, 93
Andrud, Andrea, OD ........................30, 60, 98
Andrus, Charles, MD ...................................88
Angelin, Peter, MD ......................................10
Aningo, Lashauna, Msed ..........................123
Anthony, Michele, MSW ............................121
Anthony, Robert, MSW .............................123
Antisdel, Jastin, MD ..............................42, 84
Antoun, Amal, MD .......................................17
JANUARY 2011
B
Babar, Sangeeta, MD ........................... 53, 95
Backer, Matthias, MD ................................. 47
Bacon, Bruce, MD ....................................... 85
Baetz Davis, Cherie, PhD ........................... 77
Bagwasi, Thebe, OD .................................. 60
Bahar, Bastani, MD ..................................... 15
Bahr, Julia, MA .......................................... 119
Bailey Cox, Augusta, MA .......................... 130
Bailey, Jeffrey, MD ...................................... 88
Bailey, Sean, MD ........................................ 25
Bajt, Theresa, PhD ...................................... 77
Bakanas, Erin, MD ...................................... 15
Baker, Tim, MD ............................................. 4
Balacuit, Donald, MD .................................. 19
Balasubramanian, Greetha, MD ................ 28
Balter, Jordan, DO ................................ 24, 37
Bandlamudi, Rama, MD ........................... 106
Banks, William, MD ............................... 89, 90
Banton, Michael, MD .................................. 75
Bardakcioglu, Ovunc, MD .......................... 83
Barenkamp, Stephen, MD ........................ 103
Barkoviak, Michael, MD ............................. 79
Barlow, Sarah, MD ................................... 102
Barner, Hendrick, MD ................................. 88
Barnes Jewish Hospital .......................... 114
Barnett, Andrew, MD ................................ 116
Barni, Marlene, MSW ................................ 123
Barr, Susan, MD ......................................... 53
Barron, Lori, MSW .................................... 134
Barron, Mary, APRN ................................. 132
Barton, Albert, MSW ................................. 123
Barton, Angela, MA .................................. 120
Bartosik, Wendy, OD ........ 30, 60, 61, 98, 109
Baskir, Bruce, MD ....................................... 48
Bassman, Donald, MD ................ 71, 110, 111
Bastani, Bahar, MD .................................... 92
Battula, Srinivas, MD .................................. 35
Baudendistel, Donna, APRN ................... 132
Bauer, Nancy, MD ................................. 34, 72
Baum, Margaret, MD ................................... 95
Baumer, Susan, MD ................................... 18
Beaman, Dorothy, MSW ........................... 123
Beane, Diana, Med ................................... 121
Beardslee, Michael, MD ............................. 42
Beauboeuf, Alphonse, MD ......................... 15
Becherer, Barbara, Med ........................... 119
Beck, Bryon, PA ................................ 128, 135
Beck, Robert, DMD ..................................... 44
Becker, Bradley, MD ................................... 81
136
INDEX OF PROVIDERS
HARMONY HEALTH PLAN OF MISSOURI
Bostic, Nicole, MD .......................................18
Boudreau, John, MD .................................100
Bouneva, Iliana, MD ....................................85
Bower, Richard, MD ..................................103
Bowers, James, MD ....................................18
Bowers, Jessica, MD .............................53, 95
Boxdorfer, Shari, MA ................................118
Boykin Wright, Carmel, MD ........................15
Boys and Girls Town of Mo .............113, 114
Braddock, Stephen, MD ....................102, 104
Bradford, Henry, DPM ...............................105
Bradford, Marsha, MA ...............................123
Brautigam, Jan, Med .................................121
Brave, Jennifer, OD .................30, 61, 98, 109
Brawner, Ernest, MA .................................123
Breer, Wayne, MD .......................................83
Breite, Warren, MD ................................25, 37
Brennan Jr, Robert, MD ..............................53
Brennan, James, MD ...................................53
Brennan, Richard, MD .................................53
Brenner, Lisa, PhD ......................................77
Brenner, Steven, MD ...........................93, 101
Brethauer, Cathleen, ARNP ......................129
Brickman, Todd, MD .............................42, 84
Bridgeway Cnslng Svcs Main Site ..113, 114
Brody, Arnold, MD .......................................85
Bromberg, Burt, MD ..................................102
Brondz, Igor, MD .........................................28
Brook, Alan, MD ....................................36, 79
Brooker, Robert, MD .....................51, 91, 104
Brooks, Jeffrey, DPM ......................23, 35, 73
Broom, Matthew, MD .................................104
Brost, Kyle, OD ................................22, 25, 26
Brothers, Beth, ARNP ...............................121
Brothers, Whitney, MD ..........................29, 57
Brown, Bruce, MD .......................................46
Brown, Gene, PT .......................................130
Brown, Victor, DO ........................................37
Brown, William, MA ...................................121
Brown, Yolette, MD .....................................18
Brownridge Pediatrics After Hours ........117
Brownridge, Earline, MD .............................12
Brownridge, Seth, MD ................................12
Bruner, Iyonna, MA ...................................123
Brunig, Brian, OD ........................................98
Brunworth, David, MD ..................................4
Bruzzini, Daniel, MD ............................91, 104
Bryant, Natalie, CNP .................................122
Bryant, Stacie, MSW .................................130
Buchanan, Adam, MD .................................97
Buchanan, Pamela, MD ..............................13
Buchek, Jamie, MA ...................................134
Bucholz, Richard, MD .................................94
Buchowski, Katherine, MD .........................75
Buck, Denise, MD ..........................................8
Buckhold, Fred, MD ..............................10, 15
Buckles, Richard, DO ..................................20
Buckley, Brenda, MD ....................................8
Budetti, Tara, MD ........................................18
Budke, Stacey, MA ....................................119
Buekers, Thomas, MD ...........................47, 89
Burgdorf Jr, Max, MD .......................7, 12, 20
Burgdorf, Max, MD ........................................6
Burger, Audrey, MSW ...............................134
Burkemper, Nicole, MD ...............................83
Burmeister, R William, MD ....................48, 90
Burns, Jennifer, ARNP ......................128, 135
Burns, Katherine, MD ............................33, 71
JANUARY 2011
C
Cadiz, Briccio, MD ....................................... 20
Calandrino, Frank, MD ............................... 36
Caldwell, Reynal, DO ................................. 10
Callison, Richard, MD ... 52, 93, 107, 110, 111
Calvert, George, MD ............................. 33, 71
Campbell, David, MD .................................... 8
Campbell, Shirley, ARNP ......................... 132
Canale, John, MD ....................................... 35
Cangelosi, Joseph, DDS ............................ 37
Cannada, Lisa, MD ................................... 100
Cantando, John, DO ................................... 93
Caraffa, Ralph, PhD .................................... 35
Carafiol, Robert, PhD ................................. 77
Care Medical Supplies dba Rotech Oxy 116
Carstens, Michael, MD ............................. 104
Carusa, Sandra, PhD .......................... 77, 105
Casey, Brenda, MSW ................................ 123
Cass, Kyra, MD ............................................. 8
Castillo, Roque, MD ................................... 15
Cath Fmly Svcs ........................................ 113
Cauley, Sherry, Rdh .................................. 116
Cavanagh, Elizabeth, MD ......................... 116
Cavanaugh, Jeffrey T, DDS ........................ 44
Center For Hearing and Speech ..... 116, 117
Centerpointe Hospital ............................. 113
Central West End Health Center .............. 95
Cerny, Laura, MD .......................... 72, 91, 104
Chaar, Bassem, MD .................................... 90
Chacko, Sonia, MD ............................... 10, 15
Chadaga, Rajagopal, MD ............................ 15
Chahoud, Georges, MD ........................ 26, 38
Chaitman, Bernard, MD .............................. 82
Chand, Nilima, MD ........................................ 8
Chand, Pratap, MD ..................................... 93
Chand, Sunil, MD .......................................... 8
Chandra, Pradeep, MD ............................... 15
Chandrika, Tattamangal, MD ..................... 18
Channaveeraiah, Naganna, MD ................... 5
Charles, Francois, MD .......................... 10, 15
Chassels, Melissa, DO ............................... 48
Chehval, Michael, MD ............................... 106
Chen, Qing, MD .......................................... 51
Chen, Su-Chiung, MD ........... 22, 34, 102, 108
Chen, Xi, MD ............................................... 93
Cheng, Amy, MD ................................... 42, 83
Chesnut, Michelle, MD ............................... 48
Chien, Tony, DO ......................................... 71
Chilakamarri, Srinivas, MD .................. 35, 75
Child Center Marygrove .......................... 113
Chin, Mark, MD ............................. 23, 38, 108
Choudhary, Bhavana, MD ...................... 7, 20
Choudhary, Navin, MD ................................. 7
Chouhan, Lalithkumar, MD ........... 26, 38, 108
Christanell, Cara, ARNP .......................... 133
Christanell, Cara, RN ............................... 133
Chrstn Hospital NE .................................. 113
Chu, Jen Yih, MD ...................................... 102
Chung, Sophia, MD .................................... 97
Cibulka, Michael, PT ................................. 119
Clark, Joan, ARNP ............................ 118, 129
Clarkson Eyecare ...................................... 61
Claxton, Matthew, DPM ...................... 73, 111
137
D
Da Silva, Marta, MD .................................... 75
Dace, Gayla, ARNP ................................... 120
Dalal, Rashid, MD ....................... 93, 109, 110
Dale, Corrine, MA ...................................... 123
Dale, Tina, MSW ....................................... 123
Daleco dba USA Drug Home Equipment 116
Dalton, Jeanine, OD ............................. 30, 61
Damba, Victoria, DO ..................................... 7
Dang, Phung, MD ........................................ 73
Daniel, William, CNP ................................. 132
Daniels, Lacretia, ARNP ................... 128, 135
Danielyan, Anahit, MD ................................ 10
INDEX OF PROVIDERS
HARMONY HEALTH PLAN OF MISSOURI
Dara, Bhajanlal, MD .....................................51
Darbar, Aneela, MD .....................................94
Das, Sundeep, MD .........................38, 39, 108
Datta, Kapal, MD ..........................................75
Daugherty, Carla, DDS ...............................86
Daugherty, Nancy, Med ............................122
Daus III, Joseph, PhD ..................................77
Davenport, Sandra, MD ............................102
Davids, Stacy, MD .......................................75
Davis, Eric, DO ..............................................6
Davis, Jessica, MA ....................................124
Davis, Karen, MS .......................................118
Davitt, Bradley, MD ................................58, 97
Day, Caroline, MD ........................................13
Day, Sara, OD ..............................................61
De Castro-Hartweger, Anna Marie, MD ......12
Declue, Angela, APRN ..............................135
Decota, Adam, DDS ....................................44
Decota, Jennifer, DDS .................................44
Defrancesco, Corinna, ARNP ...................120
Del Tergo, Margaret, OD .............................62
Delaney, Nancy, MD ....................................15
Delbruegge, Tammy, MSW .......................119
Delsoin-Pierre, Nicole, MD .........................15
Dempsey, Maureen, MD ..............................18
Dempsher, David, MD .................................18
Denison, Linda, MA ...................................121
Depaul Health Center ...............................113
Derdoy, Jose, MD ......................................102
Desai, Shilipa, MD .......................................20
Desai, Shilpa, MD ..........................................6
Despotovic, Jessica, MD ............................95
Detrick Jr, Paul, PhD ...................................78
Dettenmeier, Patricia, ARNP .............130, 134
Devaney, Catherine, MA ............................120
Devineni, Venkata, MD ................................80
Devitre, David, DO .............................7, 12, 21
Devkota, Bishnu, MD .............................10, 15
Dewan, Rajeev, MD .....................................48
Diamond, Alan, DO .....................................93
Dibisceglie, Adrian, MD ..............................85
Dicker, Dale, Med ......................................124
Dickerson, Frances, APRN .......................133
Dilworth, Duane, DDS .................................45
Dineen, Patricia, Med ................................124
Dipretore, Joan, MA ..................................130
Diwakaran, Anu, MD ...................................12
Doan, T Kathleen, OD ..................................30
Dobmeyer, Susan, MD ................................52
Doerhoff, Faye, MD .....................................18
Doig, Mark ...................................................83
Dolan, Melda, MD ........................................82
Dommaraju, Chandra, MD ....................24, 48
Donepudi, Ravi, MD ................................7, 20
Dorazio, Stephen, MD ...........................36, 81
Dorey, Tamara, PhD ..................................121
Dorsey, Mary, ARNP .................................130
Doty, Catherine, MD ....................................73
Drago, Joseph, MD ..............................73, 105
Drake, James, MD .......................................90
Dressel, Kim, Med .....................................124
Driver, Jerrell, PhD ......................................22
Duane, Carol, ARNP ..................................132
Dubas, Nicole, MD .................................54, 95
Duberstein, Karen, DO ................................23
Duddy, Robert, MD ................................37, 74
Duffy, Abbey, ARNP ..................................135
Dulworth, Starla, ARNP ............................120
JANUARY 2011
E
Easterday, David, DO ................................... 5
Eastern Missouri Health Services .............. 6
Eaton, Robert, MD ...................................... 79
Eaton, Royal, MD .................................. 36, 79
Eberhart, Lori, MD ...................................... 21
Eddy, Mark, MD .......................................... 18
Edelman, Barbara, MSW .......................... 124
Edelstein, Sean, MD ............................. 90, 97
Edgell, Randall, MD ............................ 93, 107
Egan, Robert, MD ............................... 88, 107
Eichholz, Kurt, MD ...................................... 94
Eisenbeis, John, MD .................................. 84
Eisenberg, David, MD ................................ 96
Ekunno, Josiah, MD ................................... 47
El-Achkar, Tarek, MD ................................. 92
Elbabaa, Samer, MD ................................... 95
Elfenbein, Dianne, MD ............................... 81
Eller, Jorge, MD .................................... 53, 95
Elles-Borrson, Lisa, APRN ...................... 122
Elliott, Sean, DO ....................................... 116
Encore Home Healthcare Scott dba Heartla
................................................................... 115
Engel, Elizabeth, MD .......................... 71, 100
Erickson, Quenby, DO ............................... 83
Erkmann, Christopher R, MD ................... 116
Ernst, Lawrence, OD .......................... 23, 108
Espana, Christopher, MD .............................. 8
Espinoza, Gabriela, MD .............................. 97
Espiritu, Joseph, MD .......................... 79, 105
Esses, Stephanie, ARNP .......................... 133
Esswein, John, DDS ................................... 25
Estill, Amy, MD ................................. 116, 117
Eugenio, Romeo, MD ................................... 6
Evans, Terese, MA ................................... 121
F
Faber, Cheryl, MD ....................................... 52
Fada Jr, Raymond, OD ............................... 30
Fairview Heights Health Center .............. 111
Family Care Health Centers .................... 131
Family Care Health Centers (Forest Park)
..................................................................... 14
Family Health Center - Pointe Basse ....... 20
Farkas, Emily, MD ....................................... 83
Farwell, Victor, MSW ................................ 124
Farzana, Farida, Mbbc .............................. 105
Fatoki, Akinrinola, MD ................................... 8
Favors Jr, Adolphus, MD ...................... 10, 15
Fawcett, Nancy, PhD ................................ 124
Feely, John, PhD ........................................ 78
Feen, Eliahu, MD ......................................... 93
Feldenberg, Louis, MD ............................... 92
Feldner, William, DO ..................................... 8
Felton, Jason, MD ................................. 53, 95
Felton, Paul, MSW .................................... 124
Feman, Stephen, MD .................................. 97
138
INDEX OF PROVIDERS
HARMONY HEALTH PLAN OF MISSOURI
Green, Jonathan, MD .................................. 16
G
Gabliani, Gregory, MD .....................25, 26, 39
Gabrawy, Laila, MD .....................................97
Gafford, Frank, MD ......................................39
Gahn, Richard, MD ......................................72
Gala, Vaishali, MD .......................................11
Gale, Gordon, MD ......................................102
Gallagher, Judith, ARNP ...........................132
Gambino, Frances, Med ............................124
Gamma Healthcare ...................................117
Gammack, Julie, MD .............................14, 16
Gandhi, Snehal, MD ....................................16
Garcia Ferrer, Eduardo, MD ........................75
Garcia, John, MD .....................................4, 11
Garcia, Sergio, MD ......................................36
Garrett, Andrea, MD ....................................83
Garvin, Paul, MD .........................................46
Gauvain, Karen, MD ..................................102
Gegg, Stephanie, MSW .....................120, 134
Geller, Thomas, MD .............................93, 110
Gentry, Clare, MD ........................................48
George, P, MD ...............................................6
George, Sarah, MD ......................................90
Gerlach, William, MD ...........................74, 105
Ghani, Mohammad, MD ...................11, 16, 91
Gheith, Ramis, MD ................................34, 72
Ghosh, Nillima, DO ......................................16
Ghosh, Nillima, MD ......................................11
Ghoshal, Nupur, MD ....................................93
Giacaman, Mike, MD ...................................85
Gibbons, Vincent, MD .................................93
Gillian, Stephan, MD ...................................13
Glascock, Dennis, DO .................................26
Glaser, Dee, MD ....................................42, 83
Glass, Robert, MD .......................................26
Glick, David, MD ..........................................13
Goel, Anoj, MD .......................................43, 85
Goldberg, Howard, MD ...............................36
Golding, Devon, MD ....................................13
Goldmeier, David, MD .................................75
Goldstein, Gary, MD ...................................79
Goltzman, Rachel, MSW ...........................124
Gondi, Rama, MD ................................39, 108
Gondim, Francisco, MD ...............................93
Gonzalez, Esther .........................................92
Goodwin Neighbors, Angela, ARNP 119, 123
Gordon, Glenn, MD .....................................85
Gordon, Susan, Med .................................124
Goretzke, Sean, MD ............................34, 103
Gorse, Geoffrey, MD ....................................90
Gosser, Brian, MD .......................................54
Gottesman, Gary, MD .................................89
Gould, James, MD .......................................24
Gourdine, I, MSW ..............................124, 131
Gourtzelis, Nicholas, MD ............................51
Grace Hill Neighborhood Health Centers .14
Grace Hill NHC dba Hadley Health Center
......................................................................14
Grace Hill NHC dba Murphy Ofallon Health
......................................................................14
Grace Hill South Neighborhood Health Cen
......................................................................14
Grady, Jane, PhD ........................................78
Grady, Monica, MA ....................................124
Graff, Ralph, MD ..........................................46
Graham, Irene, MD ......................................90
Grass, Sharon, ARNP ................................134
H
Haacke, Linda, MD ..................................... 79
Hachem, Christine, MD ............................... 86
Haferkamp, Shawn, OD .............................. 37
Hafezi, Eneida, OD ......................... 30, 62, 98
Hahn, Eran, MD .................................... 28, 54
Haines, Cynthia, MD ..................................... 8
Hajji, Randa, MD ......................................... 11
Hall, Heather, MD .................................. 51, 92
Haller, Kenneth, MD ................................... 18
Halloran, Donna, MD .................................. 18
Hammond, Jennifer, MA ........................... 121
Hammons, Phyllis, MA ............................. 118
Hamvas, Paula, MA .................................. 124
Handler, Michael, MD ........................... 29, 54
Handoyo, Frans, MD .................................. 86
Hanger Pros & Orth East ................ 115, 117
Hanna, Laila, MD ........................................ 16
Hanna, Nadia, MD ....................................... 20
Hanne, Sharon, DMD .................................. 86
Hansen, Susan, MSW ............................... 124
Hantush, Hudda, MD .................................. 13
Hargis, Tammy, MA .................................. 118
Harmon, Jean, MA .................................... 124
Harris, Dave, PhD ............................. 116, 117
Hart Jr, David, MA .................................... 131
Hartman, Diane, MSW .............................. 118
Hartman, John, DO ..................................... 37
Hartstein, Jack, MD .................................... 58
Harvey, Alan, DMD ..................................... 45
Harvey, Denise, OD .................................... 25
Harvey, Felicia, MD ............................... 12, 16
Harvey, Jacqueline, MD .................. 12, 13, 18
Harvey, Jeanne, ARNP ............................. 133
Hasak, Jennifer, PhD .................................. 78
Hasak, Paul, PhD ........................................ 78
Hassan, Khaled, MD ................................... 11
Hassan, Tariq, MD ...................................... 44
Hassler, Rebekah, ARNP ......................... 132
Hastings, Mary, MD .................................... 13
Hatlelid, J Michael, MD ............................... 52
Hauptman, Paul, MD .................................. 39
Havranek, Thomas, MD .................. 28, 51, 92
Hawk, James, MD ....................................... 20
Hawkins, Huey, MSW ............................... 124
Hawkins, Peggy, MA ........................ 120, 121
139
JANUARY 2011
Hawthorn Child Psych Hospital ............. 113
Hayat, Ghazala, MD .............................. 93, 94
Haycraft, Kathleen, ARNP ................ 120, 121
Hayden, Debora, MSW ............................. 125
Hayes, Curtis, DDS ..................................... 99
Hays, Damon, DPM .................................... 35
Healthcare Equipment & Supply ............ 115
Heaney, Mary, MD ...................................... 18
Heaney, Robert, MD ................................... 16
Heaps, Laurie, ARNP ................ 119, 123, 135
Heavy, Michael, MD .................................... 44
Hebert, Judith, MA .................................... 125
Hedgpath, Elizabeth, OD .......... 30, 31, 62, 98
Hegyi, Joseph, OD ...................................... 31
Hegyi, Laura, OD ...... 31, 62, 63, 98, 109, 111
Helfrey, Richard, DO ................................... 33
Heller, Hope, PhD ..................................... 125
Helton, Jesse, DO ................................... 5, 20
Henderson Jr, J, PhD ................................. 78
Hendricks, Laurain, MD .............................. 13
Henley, Carol D, DDS ........................... 86, 87
Henslee, Katherine, ARNP ....................... 129
Henson, Robert, MD ..................................... 4
Henson-Luu, Kimberly, PA ............... 122, 129
Hentzelman, Joshua, MD ..................... 43, 84
Herbers, Mark, MD ...................................... 13
Hermann Area Dist Hospital dba SW Med
Assoc ............................................................ 4
Hermann Area District Hospital .............. 113
Hermann Medical Arts ................................. 4
Hermann, Elizabeth, PA ........................... 128
Hermann, Jeanne, ARNP ......................... 134
Hertel, Anna, PsyD ..................................... 23
Herzog Borowiak, Lee, MA ...................... 134
Herzog, Marley, MSW ............................... 125
Hicks IV, Robb, MD .................................. 4, 6
Hietpas, Shay, PA ..................................... 133
Higginbotham, Valerie, ARNP ................. 132
Hill, Nina, APRN ................................ 118, 120
Hindin, Rachel, MD ..................................... 91
Hines, William, MD ........................................ 8
Hinke, Lucas, DMD ..................................... 87
Hinrichs, James, MD .................................. 27
Hinton, Jennifer, MD ..................................... 7
Hinton, Paul, MD ........................................... 7
Hobson, Trisha, MA .................................. 131
Hodge, Bryan, DO ....................................... 13
Hoelting, Carl, MD ...................................... 63
Hoenicke, Nicole, MD ........................... 54, 96
Hoffman, Patricia, PhD ............................... 78
Hoffman-Forget, Nickole, MD .................... 16
Hoffstetter, Susan, ARNP ........................ 129
Hoft, Daniel, MD .......................................... 90
Hohenberg, Mary, PA ............................... 131
Hohenberger, Mary, OD ......... 31, 63, 98, 109
Holcomb, Shawn, DO ................................... 6
Holczer, Ginger, PsyD ................................ 23
Holloran-Schwartz, Mary, MD .................... 54
Holloway Jr, Robert, MD .......................... 101
Holman, Victoria, CNP .............................. 129
Holt, Brian, MD ............................................ 88
Holzemer, Eve ............................................ 94
Homer G Phillips Health Center ............... 14
Hooks-Anderson, Denise, MD ............... 8, 21
Hossfeld, Mollie, DO ............................... 8, 18
Hosto, Courtney, PA ................................. 132
Hotle, Laura, ARNP .................................. 133
Houttuin, Monica, MSW ............................ 118
INDEX OF PROVIDERS
HARMONY HEALTH PLAN OF MISSOURI
Howell, David, MD .........................................8
Hruza, George, MD ......................................83
Hsu, Hugo, MD ............................................97
Hsueh, Eddy, MD .........................................89
Hua, David, MD ............................................54
Huber, Barbara, CNP .................................134
Huber, Dawn, PhD .......................................23
Huckabee, Nicole, APRN ..........................118
Huckabee, Nicole, RN ...............................120
Hugge, Christopher, MD ............................103
Hughes, Mary, Maed .................................131
Hunt, Mai, MD ..............................................16
Hunt, Steven, MD ........................................89
Hurley, Yadira, MD ......................................83
Hutchison, Joseph, DDS .............................25
Hwang, James, DMD ...................................87
I
Ibe, Ibe, Mbbc ..............................................75
Ideal Home Health Care ...........................116
Ihnat, Richard, MD .......................................11
Ilivicky, Howard, MD ...................................35
Imbeah, William, MD ....................................16
Immediate Healthcare ..............................4, 6
Inampudi, Umesh, MD ................................91
Iorio, Mary, MSW .......................................125
Iqbal, Nadia, MD ..........................................92
Iron County Hospital ................................113
Isbell, Janet, MSW .....................................125
J
Jachna, Jody, MD ......................33, 36, 71, 80
Jackman, James, DO ................................100
Jackson, Ernest, DMD ................................45
Jacobs, Christine, MD .......................9, 10, 14
Jacobs, Donald, MD ..................................107
Jacobs, Myron, MD .....................................79
Jacques, Chantal, OD ...............31, 63, 64, 98
Jain, Ajay, MD ............................................102
Jake Pachero, Knieeka, DMD .....................87
James, Jade, MD ...................................54, 96
James, Lynn, MA .......................................122
Jamshidi, Parisa, MD ................................104
Janosik, Denise, MD ...................................82
Jansen, Trina, MA .....................................131
Java, Anuja, MD .............................................7
Jawaid, Qaiser, MD .....................................27
Jefferson Regl Medcl Center ...................113
Jeffreys, Florence, MD ................................82
Jennings, Casey, MD ....................................6
Jennings, Robyn, Msed ............................120
Jennings, Shannon, MD ..............................75
Jensen, Sarah, MD ................................42, 83
Jeyakumar, Anita, MD .............43, 72, 84, 102
Jobst, Amy, MA .........................................125
John C Murphy Health Center .................128
John, Rajeev, MSW ...................................131
Johnson Day, Johnnie, MSW ...................125
Johnson Strachan, Jean, MD .......................9
Johnson, Charles, MA ...............................118
Johnson, Danny, MA .................................118
Johnson, Denise, MD ..................................13
Johnson, Frank, MD ....................................89
Johnson, Homer, MD ....................................9
Johnson, Joyce, MD ...................................13
Johnson, Judith, MSW ..............................118
Johnson, Keri, MD ........................................7
JANUARY 2011
K
Kaar, Scott, MD ......................................... 100
Kale, Sushant, MD ...................................... 94
Kamat, Sanjeev, MD ................................. 105
Kamat, Sona, MD ...................................... 106
Kaminski, Donald, MD ................................ 89
Kaminski, Henry, MD ................................. 94
Kanafani, Nadim, DO .......................... 72, 102
Kanani, Bhargav, MD .............................. 6, 20
Kao, Ming Shian, MD ............................ 47, 54
Kaplan, Carl, MD ...................................... 106
Karges, David, MD .................................... 100
Karimi, Morvarid, MD .................................. 94
Karpel, Amber, OD ..................................... 64
Kassel, Jerry, OD ........................................ 24
Kathuria, Pranay, MD ................................. 92
Katich, Michael, OD ........................ 31, 64, 98
Katsantonis, George, MD .......................... 84
Katyal, Alok, MD ....................... 26, 27, 39, 82
Katyal, Tulika, MD ......................................... 5
Kaufman Yavitz, Louise, MS .................... 125
Kawasaki, Aya, MSW ............................... 131
Kayembe, Tshiswaka, MD .............. 25, 39, 82
Kazi-Junejo, Farheen, MD ......................... 58
Keegan, Mary, ARNP ........................ 129, 132
Keenan, William, MD .................................. 92
Keiffer, David, MD .................................... 100
Keilholz, Peggy, MSW .............................. 125
Keisler, Lydia, MD ...................................... 29
Keith, James, DO .......................................... 4
Keller, Sarah, MD ................................. 54, 96
Keller, Scott, MD ......................................... 18
Kennedy, Donald, MD ................................ 90
Kenney, Michael, PhD ................................ 78
Kerber, Deborah, MD .................................. 64
Kerr, James, DO ......................................... 25
Kevorkian, Rafl, MD ................................... 16
Khan, Mahrakh, MD .................................... 21
Khan, Mahrukh, MD ...................................... 9
Khan, Saad, MD .......................................... 76
Khan, Shah-Naz, MD .................................. 53
Khanna, Sangeeta, MD ........................ 58, 97
Khattak, Hafiz, MD .............................. 73, 111
Khot, Kishore, MD ....................................... 22
Khoukaz, Ghassan, MD .............................. 16
Khouri, Suhail A, DDS ................................ 45
Kiefer, Lori, MA ......................................... 125
Kieffer, David, MD .................................... 100
140
L
Labarge, Gene, MD .................................... 18
Labcorp .................................................... 115
Labonte, Christopher, MD ..................... 11, 16
Labundy, Jennifer, MD ............................... 86
Lacey, Delores, MSW ............................... 125
Lackey, Timothy, MD .................................. 13
Ladage, Jennifer, MD .................................. 18
Laddu, Abhay, MD ................................ 39, 82
Laduke, Mary, MSW ................................. 125
Laffey, Steven, MD ..................................... 18
Lake, Edward W, DDS .............................. 108
Lakeland Regl Hospital ........................... 113
Lakey, Christine, MSW .............................. 120
INDEX OF PROVIDERS
HARMONY HEALTH PLAN OF MISSOURI
Laks, Natarajan, MD ..............................24, 76
Lam, Tony, MD ..............................29, 96, 107
Lamb, Jeannine, Med ................................125
Landau, William, MD ...................................94
Landgraf, Thomas, OD ................................98
Langford, Cinnamon, MD ............................65
Lantsberger, Thomas, PhD .........................78
Larice, Rolando, MD ....................................76
Larnell, Denise, Med .................................125
Lash, Jennifer, MD .................................39, 82
Lash, Ray, MD .............................................16
Lautenschlager, John, MD ...........................9
Lebbing, Rhonda, APRN ...........................134
Ledesma, Tawna, Med ..............................121
Lefevre, Cherie, MD ....................................55
Leipholtz, Jeffrey, OD .....................24, 25, 65
Leipholtz, Josia, OD ....................................65
Lele, Manisha, MD .......................................25
Lemp, Thomas, MSW ................................125
Lentine, Krista, MD ......................................92
Leonardi, Craig, MD ....................................83
Leong, Fah Che, MD ...................................55
Lesko, Carol, APRN ..................................133
Lessor, Clayton, MA ..................................125
Leston, Alison, MD ......................................52
Letterman, William, MSW ..................120, 134
Levi, Christina, OD ...................31, 65, 99, 109
Levine, Laurence, MD .................................43
Levinson, Martin, MSW .............................125
Levitz, Ellen, PhD ........................................78
Levy, Jules, OD ...........................................99
Lewis, Mechelle, MD .....................................8
Lewis, Robert, MD .......................................58
Liftis-Podorozhansky, Yulia, MD .........55, 96
Lim, Michael, MD .........................................82
Lin, Alexander, MD ..............................73, 104
Lincoln County Health Department ........112
Lincoln County Mem Hospital .................113
Lind, John, MD ............................................97
Lindhorst, Eric, MSW ................................125
Lindsey, Petina, MSW ...............................121
Lipede, Adeluola, MD ..................................10
Lipsitz, David, PhD ......................................35
Little, Milta, DO ..........................10, 11, 14, 16
Lobonc, Robert, MD ....................................13
Logan, Quaneedria, DDS ......................45, 87
Lojka, Brian, OD ....................................23, 66
Loman, Deborah, RN .................................134
Lommel, Sylvia, ARNP ..............................129
Long, Joseph, PhD ......................................23
Long, Tonya, DMD ......................................37
Longnecker, Christopher, MD ...............39, 82
Lopate, Glenn, MD ......................................94
Lopatin, Brian, OD .....................31, 32, 66, 99
Lopez Concagh, Lissa, MD .........................51
Lorenz, Michele, MSW ..............................121
Lowe, Melissa, CRNA ........................129, 132
Luchanok, Uladzimir, MD ............................94
Luecke, Linda, MA .....................................121
Lum, Laurence, DO .......................................8
Lundin, Nathan, MA ..................................121
Lusk, Rodney, MD .......................................90
Lutan, Robert, MD .........................27, 39, 108
Lutes, Cassandra, ARNP ..................122, 135
Lutey, Barbara, MD ...................................106
Luth Fmly and Child Svcs of Mo .............114
Lutz, Charles, OD ............................32, 66, 99
Lutz, Mary, MSW .......................................125
JANUARY 2011
141
INDEX OF PROVIDERS
HARMONY HEALTH PLAN OF MISSOURI
Morga, Sabina, MD ......................................12
Morley, John, MD ........................................16
Morris, James, MSW .................................120
Morris, Marvin, MD ......................................47
Morrow Chisese, Tiffany, MA ...................126
Morrow, Lavert, MD .......................................9
Morse, Gary, PhD ................................78, 105
Morse, Susan, PhD ......................................78
Mortensen, Marta, MD ..................................9
Mosley Jr, Julian, MD ............................14, 89
Mostello, Dorothea, MD ............28, 50, 55, 91
Mullick, Suparna, MD ..................................19
Mumtaz, Syed, MD ......................................76
Munimuddappa, Manohara, MD .................19
Munoz, Cesar, MD .......................................80
Murphy, Amy, Maed ..................................126
Murray, Deanna, Med ................................122
Murray, Melissa, MD ......................................9
Murrell, Michael, MS ..................................119
Musgrave, Jay, PhD ..................................118
Musselman, Robin, APRN ........................132
Mwintshi, Kabeya, MD ..........................52, 92
Myers, Raymond, OD ..................................99
Myers, Susan, MD .....................................102
Myles, Thomas, MD .............28, 50, 55, 56, 91
Myre, Carole, Med .....................................126
Myrtle Hilliard Davis Comprehensive Health
......................................................................14
N
Nagaldine, Govind, MD ...............................16
Nagaldinne, Govind, MD .............................16
Naidu, Gonugunta, MD ................................86
Naji, Monzer, MD ...........................................5
Najib, Aaliya, MD .........................................17
Nalagan, Eric, MD ..........................................9
Narayanan, Suresh, MD ........................27, 40
Naseer, Shahida, MD ...................................19
Nash, Alison, MD .........................................19
Nash, Homer, MD ........................................19
Nashed, Rafat, MD ..............................71, 110
Nash-Goelitz, Alyssa, MD ...........................83
Natani, Kirmach, PhD ..................................78
Naughton, Daniel, MD .................................89
Naunheim, Keith, MD ..........................81, 106
Nawaz, Shajitha, MD ............................26, 107
Nayak, Ravi, MD ..................................80, 106
Naydenov, Dinko, MD .................................48
Nazareth, Dhruti Tika, DMD .........................87
Neblock, Michele, MD ...................................5
Nellore, Suresh, MD ....................................48
Neumayr, Robert, MD ..................................40
Newcome, Kent, MSW ......................126, 131
Newhall, Philip, MD ...................................107
Newland, Zachary, DPM ..............................74
Nguyen, Nghi, MD .......................................95
Nguyen, Phuong, MD ........23, 24, 34, 73, 108
Nguyen, Thinh, MD ......................................56
Nichols, Carolyn, MS .................................119
Nichols, Karen, ARNP ...............................128
Niedbalski, Cynthia, MA ............................122
Niehoff, Erin, OD .........................................25
Niemczyk, Michele, DO ...........................4, 20
Nietfeldt, Cheryl, PhD ..................................78
Nile, David, MD ............................7, 13, 19, 21
Niles, Brian, MD ...........................................38
Ninichuck, Andrew, MD ................................8
Noda, Sellchi, MD ..........................27, 40, 110
JANUARY 2011
O
O Brien, Daniel, DDS .................................. 24
OConnor, Michael, MD ........................ 13, 19
ODonnell, Susan, MD ................................ 20
Obadiah, Joseph, MD ................................. 84
Obrien, Elizabeth, MD ................................. 13
Oconnor, Dennis, MD ............................... 103
Ogle, Abna, MD .......... 23, 24, 34, 35, 73, 108
Ohlms, Terri, MSW ................................... 126
Oldani, Timothy, DPM ........................... 35, 74
Oliveira, Gisele, MD .................................... 94
Oliver, Robert, DO .................................. 7, 27
Olk, Robert, MD ........................ 22, 29, 58, 97
Olsen, Thomas, MD .............................. 12, 17
Omran, Mohhamed, MD ....................... 15, 17
Onan, Kyle, DO ........................................... 17
Onik, Jan, DO ............................................... 6
Orthotic & Prosthetic Lab ....................... 117
Osborn, Mark, DDS .................................... 87
Osborne, Beverly, MA .............................. 119
Osdyke, Robert, DPM ................................. 74
Osman, Medhat, MD ................................... 95
Osmon, Stephen, MD ................................. 48
Otti, Theodore, MD ..................................... 92
Otto, Thomas, MD ..................................... 101
Owen, Jeannine, PhD ................................. 78
Ozark Prosthetics & Orthotics ............... 115
Ozyurt, Tulin, DMD ..................................... 87
P
Pachalla, Vani, MD ..................................... 14
Padda, Gurpreet, MD ................................ 101
Palagiri, Anand, MD ................................. 104
Paletta, Christian, MD ............................... 104
Palmer, Theresa, MA ................................ 119
Pan, Yi, MD ................................................. 94
Pande, Sangeeta, MD ................................. 52
Pandurangan, Gopalakrish, MD ................. 52
Paniagua, Miguel, MD ................................ 17
Pankowski, Hillary, MSW ......................... 126
Parham, Walter, MD ................. 40, 48, 83, 91
Parker, Christine, MA ................................ 118
Parker, Rene, MA ..................................... 126
Partap, Mohinder, MD ................................. 76
Partin, Julia, DPM ................................. 25, 74
Paruthi, Shalini, MD .................................. 103
Patel, Parimal, MD ...................................... 76
Patel, Renuka, MD ...................................... 76
Pathak, Amee, DMD ................................... 87
Patil, Pooja, MD .......................................... 48
Patil, Shiv, MD ........................................ 7, 20
Patri, Manokiran, MD ............................ 27, 48
142
INDEX OF PROVIDERS
HARMONY HEALTH PLAN OF MISSOURI
Precision Imaging ....................................116
Premier Home Health Care ......................115
Premier Prosthetics and Orthotics .........116
Premiere Home Health .............................115
Prince Bolivar, Carla, MD ...........................37
Pritz, Todd, MD ............................................49
Professional Home Health Agency .........115
Provident Cnslng ..............................113, 114
Pryor- Luster, Carolyn, MD .........................56
Pryor, Linda, Med ......................................131
Puetz, John, MD ..........5, 13, 20, 25, 103, 108
Pummill, Robin, MS ...................................119
Purcell, Henry, MD ......................................12
Puryear, Aki, MD .................................72, 101
Putzel, Jenna, MD .......................................19
Q
Qalbani, Khalida, MD ...................................14
Qasim, M, MD ..............................................76
Qayyum, Usman, MD ..........................40, 108
Qazi, Rizwan, MD ........................................92
Quader, Zafar, MD ...................22, 44, 49, 110
Quadir, Humayun, MD .................................52
Quest Diagnostics ....................................115
Quinn, Tanya, MD .................................53, 95
Quiroga, Carmina, DPM ........................37, 74
R
Rafati, Shokooh, Med ........................119, 126
Rahimi, Mohammad, MD ...........................102
Railey, Michael, MD .......................................9
Raju, Niranjana, MD .....................................20
Ramadan, Rafiq, MD ...........................40, 108
Raman, Kathleen, MD ..................................89
Ramisetty, Roja, MD ...................................44
Ranken Jordan A Ped Rehab Center ......114
Rao, Radhika, MD ................................76, 105
Rao, Shankararao, MD ................................76
Rashid, Mary Elizab, MD .....................72, 101
Rauchman, Michael, MD .............................92
Rauchway, Amy, DO ...................................94
Ravin, Amy, MD ...........................................96
Ray, Kathy, Msed .......................................120
Raza, Syed, MD ...........................................76
Reagan, Anna, APRN ........................128, 135
Reddy, Chetana, MD .................................102
Rediger, Douglas H, DDS ............................24
Reed, Melinda, MD ..............................91, 106
Reed, Tracy, DPM ..........................74, 75, 105
Rehabilitation Institute of St Louis .........114
Reimers, Hans-Joachi, MD ..........................90
Reinker, Dale, DO .........................................5
Reis, Lisa, MD ..............................................40
Rejent, Anthony, MD ..................................103
Renner, Debra, OD ............32, 68, 69, 99, 110
Resler-Kerber Optometry ........................116
Reynolds, Jeanmarie, Med .......................126
Reynolds, Kathryn, OD ...............................69
Rice, Timothy, MD .......................................17
Richardson, Karen J, DDS ....................46, 87
Richardson, Linda, MSW ..................122, 126
Richart, John, MD ........................................90
Riehn, Michelle, MA ...................................120
Riley, Joel, MD .......................................44, 49
Riordan, Anne, MD ......................................84
Rivera, Victor, MD ........................................96
Rivkin, Galina, MD .................................43, 85
JANUARY 2011
S
Saak, Thomas E, MD ................................ 116
Sachdeva, Ashutosh, MD ................... 80, 106
Sadiq, Hamid, MD ....................................... 92
Sadovsky, Yoel, MD ................................... 96
Safi, Malaz, MD ............................. 59, 97, 111
Saini, Shermini, MD .................................. 103
Salamat, Nikhat, MD ................................... 80
Salamone, Charles, PhD ............................ 78
Salazar, Berette, MD ................................... 77
Sallee, Heidi, MD ........................................ 19
Salois, Michelle, MSW ...................... 130, 134
Sample, Andrea, MD ................................... 56
Sanders, Jim, DO ..................................... 4, 5
Sanderson, Susan, PhD ............................. 36
Sandiford, Patrick, MD ......................... 36, 80
Sanford, Thomas, MD ...... 25, 43, 84, 85, 109
Santinanavat, Maggie, MSW .................... 126
Santos Flores, Byron, MD .......................... 59
Sarama, Robert, MD ................................... 80
Sarno Jr, Albert, MS ................................. 122
Sartini, Patricia, MS .................................. 126
Sasaki Adams, Deanna, MD ................ 53, 95
Sasser, William, MD .................................. 106
Satterfield-King, Gabrielle, APRN ........... 132
Savage, Catherine, MSW .......... 122, 127, 131
Sayegh, Samir, MD ............................... 22, 59
Sayre, Blaine, MD ................................... 7, 19
Scaduto, Andrew, MD ................................... 9
Scaife, Tamara, ARNP .............................. 128
Scarlett Lloyd, Thialiaann, Med ............... 127
Schaeffer, Scott, PhD ................................. 78
Schamp, Richard, MD ................................... 9
Schaper, Shirley, MSW ............................. 127
Scharf, Harry R, DDS ................................. 87
143
INDEX OF PROVIDERS
HARMONY HEALTH PLAN OF MISSOURI
Singh, Binwant, MD .....................................12
Singh, Inderjit, MD ...24, 26, 52, 107, 108, 109
Singh, Toniya, MD ...............................41, 109
Sippo, William, MD ......................................37
Skaggs, Mindy, MA ....................................120
Sky, Adam, DO ............................................77
Slavin, Raymond, MD ..................................82
Sloane, Donald, MSW ...............................127
Slom, Trevor, MD .........................................48
Slotky, Will, MSW ..............................122, 131
Smith, Amy, PA .........................................129
Smith, David, MD ...........................................5
Smith, Janet, OD ...................................33, 69
Smith, Jodi, DO ...........................................29
Smith, Kenneth, MD ....................................89
Smith, Kinim, MD .........................................25
Smith, Michael, MD .....................................47
Smith, Sarah, MD ..................................42, 84
Smith, Stephen R, MD ...............................116
Smith, Stephen, MD ....................................72
Smith, Steven, DO .........................................6
Smola, Frank, MS ......................................118
Snyder, Adam, DMD ....................................87
Sokol Anderson, Marcia, MD .....................90
Solomon, Harvey, MD .................................89
Soulard Benton Health Center ..................14
South County Health Center ...................128
South Grand Health Center .......................97
Spear, Denise, ARNP ................................129
Spearman, Michael, MD ........................12, 17
Speidel, Christopher, MD ..............24, 41, 109
Spence, Kimberly, MD ...........................51, 92
Spezia, Michael, DO ......................................9
Spoljaric, Angela, DDS .........................87, 88
Sprague, Randy, MD ...................................17
Spranaitis, Kathleen, ARNP ......................134
Srisuro, Chotchai, MD .................................47
SSM Cardinal Glennon Child ...................114
SSM Depaul Health Center ......................114
SSM Rehab ................................................115
SSM St Clare Health Center .....................114
SSM St Clare Surgical Center .................116
SSM St Joseph Health Center .................113
SSM St Joseph Health Center - Wentzville
....................................................................113
SSM St Joseph Hospital West .................113
SSM St Marys Health Center ...................114
St Alexius Hospital ...................................114
St Anthonys Medcl Center .......................113
St Anthonys Medical Center ....................114
St Francois County Health Department .112
St Johns Mercy Child Psychy .................113
St Johns Mercy Fmly Thrpy Center ........113
St Johns Mercy Medcl Center .........113, 114
St Joseph Health Center St Charles .......113
St Josephs Health Center Wentzville .....113
St Leger, Danielle, MD ................................19
St Louis Connectcare ..............................117
St Louis University Hospital ....................114
St Marys Health Center ............................114
St Peters Health Center .............................29
Stahl, Deborah, PhD ....................................79
Standridge, Matthew, DDS .......................108
State Medical Supply Provider ................116
Ste Genevieve County Health Dept ........134
Ste Genevieve County Mem Hospital .....114
Steele III, Henry, DO ......................................8
Steele, Andrew, MD ...............................56, 81
JANUARY 2011
T
Tahir, Mohammad, MD ....................... 41, 109
Tahmasebimoshiri, Fariba, DMD .............. 46
Talley, Jeremy, DO ....................................... 4
Talley, Pamela, Msn ................................. 134
Tan, Raymund, MD ..................................... 22
Taniuchi, Megumi, MD ............................... 83
Tankersley, Patrick, MA ........................... 134
Tann, Melvin, MSW ................................... 127
Tarbox, Michelle, MD .................................. 42
Tauk, Nabil, MD .......................................... 52
Taylor, Brian, MD ........................................ 80
Taylor, Julie, APRN .................................. 129
Taylor, Katrina, Med ................................. 127
Taylor, Maureen, EdD ............................... 127
Taylor, Peggy, DO ...................................... 10
Taylor, William, DDS ................................... 88
Tayob, Anver, MD ..................................... 101
Taysi, Engin, MD ........................................ 77
Teckman, Jeffrey, MD ............................... 102
Temprano, James, MD ............................... 82
Temprano, Katherine, MD ........................ 106
Tenquist, Jane, MD .................................... 89
Tetri, Brent, MD ........................................... 86
Thackrey, Donna, MD ................................. 19
Thaiheimer, Gerda, DDS ............................ 46
Thanavaro, Samer, MD ........................ 27, 41
Thanigaraj, Srihari, MD ........................ 41, 83
Thayer, Elaine, MSW ................................ 127
Theodoro, David, MD ................... 27, 42, 110
144
U
Uding, Joann, ARNP ................................. 135
Uhlemann, John, MD .................................. 84
Ullrich, Chris, OD .............. 22, 30, 60, 98, 109
Ultmann, Monica, MD ................................. 19
Umar, Ibrahim, MD ........................................ 7
Underhill, Susan, MA ............................... 127
United Diagnostic Services .................... 116
United Seating and Mobility .................... 116
Uppal, Jaya, MD ........................................... 4
Uppal, Praveena, MD ............................ 36, 80
Urban, Deborah, Med ............................... 119
Urgent Care Centers of St Anthonys Medi
............................................................ 115, 117
V
Vaccaro, Elizabeth, MA ............................ 127
Valencia, Dana, MD .......... 22, 24, 41, 42, 108
Van Cleave, Nancy, RN ............................ 134
Vane, Dennis, MD ............................... 89, 104
Vangoidsenhoven, Guy, MD ...................... 86
Vanness, Scott, DO .................................. 107
Varanasi, Balavittal, MD ............................. 14
Vardi, Gil, MD ...................................... 42, 109
Varvares, Mark, MD .............................. 43, 85
Vashist, Alpa, MD ..................................... 103
INDEX OF PROVIDERS
HARMONY HEALTH PLAN OF MISSOURI
Vasko, Truman, MD .....................................25
Vega, Brian, MA .........................................119
Veraldi, Thomas, DMD ................................88
Vickar, Garry, MD ........................................77
Vidal, Claudia, MD .......................................84
Villaflores, Herbert, MD .........................35, 73
Villmer, Paul, DDS .....................................108
Viloria, Alberto, MD .....................................14
Vintimilla, Maria, MD ...................................37
Visser, Harry, DPM ..........................23, 37, 75
Vitoux, Dina, MSW ....................................118
Vlastos, Emanuel, MD ...........................50, 57
Vo, Thanh, MD .........................................4, 19
Vogel, Thomas, PsyD ................................105
Voinescu, Alexandra, MD ............................92
Voorhees, Craig, PhD .................................79
Vora, Nirav, MD .....................................53, 94
Voss, Susan, ARNP ...................................121
Vyas, Kamlesh, MD .....................................12
W
Wachter, James, OD ...................................69
Wade, Mark, OD ........................33, 69, 70, 99
Wadsworth, Larkin, MD ...............................80
Wagner, Jean, MD .......................................21
Wahba, M, MD .......................................35, 77
Wakeman, Derek, MD .................................89
Walden, Henry, MD .....................................17
Walentik, Corinne, MD ................................92
Walker McGill, Lajuana, Med ....................127
Walker, Damion, DO ..................................101
Walker, Latashia, MD ..................................97
Walker, Ronald, MD ...............................43, 85
Walker, Valerie, MD .....................................10
Walsh, David, MD ........................................94
Walters, Richard, MD ..................................84
Wang, Chih-Jen, OD ................33, 70, 99, 110
Wang, Paul, PhD .............................25, 36, 79
Wang, William, MD ......................................35
Wang, Xiao-Dong, MD .................................84
Wangard, Christopher, MD ..........................21
Ward, Donald, MD ...........................29, 57, 97
Warner, David, MD ......................................12
Warren County Health Department .........135
Warren, Timothy, MD ...................................19
Warrenton Urgent Care ............................117
Warrier, Manoj, MD ...................................102
Washington County Memorial Hospital .114
Washington, Kirk, DDS .........................46, 88
Washko, Todd, MD ................................34, 73
Wasserman, Cheryl, MA ...........................127
Wathen, David, DO ......................................19
Watkins-Brown, Felicia, MD .......................10
Watson Imaging Center ...........................117
Watson, John, MD .....................................101
Watson, Yasmira, MD ..................................28
Watts-Marquard, Samantha, ARNP ..........128
Waxler, Robert M, DDS ...............................46
Weber, James, DO ......................................37
Wehmeier, Kent, MD ...................................85
Weintraub, Frances, MSW ........................127
Weintraub, Steven, MD ...............................49
Weis, Terry, DO .....................................34, 72
Weiss, Edward, MD ...............................27, 42
Wells, Lawrence, MD ...................................17
Weltmer, John, MD ....................................101
Weltscheff, William, DDS ............................37
Wenkert, Deborah, MD ......................103, 104
JANUARY 2011
X
Xynos, Francisco, MD ............... 47, 57, 89, 97
Xynos, Pericles, MD ................................... 57
Y
Yang, Edmund, MD ................................... 104
Yankowitz, Michael, DPM ....... 24, 37, 75, 107
Yap, Frederick, MD ..................................... 89
Yasin, Fazle, MD ......................................... 77
Yates, Donna, RN ..................................... 135
Yoon, Jaeyoung, MD .................................. 84
Young, Constance, APRN ........................ 135
Your Choice IN Home Service ................ 116
Z
Zakhary, Emad, MD ............................ 81, 107
Zakroff, Sandra, MD ................................... 14
Zenker, Steven, MD .................................... 73
Zereik, Jamal, MD ......................................... 8
Zia, Rashid, MD ........................................... 77
Zia, Shaheen, MD ....................................... 77
Ziaee, Ali, MD .............................................. 83
145
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