Active NPI
Rami-James Kazim Assadi, MD
- Neurology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 0101279022
- Practice address
- 1 Barnes Jewish Hospital PLZ
Div Neurology Stroke
Saint Louis, MO 63110-1003 - Phone
- (314) 362-1408
- Fax
- (314) 747-3342
- NPI assigned
- Apr 27, 2015
- Last updated
- Oct 6, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 75219 | MN | |
| Neurology Physician | 2084N0400X | 036152111 | IL | |
| Neurology Physician | 2084N0400X | MD61392212 | WA | |
| Neurology Physician | 2084N0400X | 2019012538 | MO | |
| Neurology Physician | 2084N0400X | 01089193A | IN | |
| Neurology Physician | 2084N0400X | 0101279022 | VA | Primary |
| Neurology Physician | 2084N0400X | 67462 | TN | |
| Neurology Physician | 2084N0400X | ME159856 | FL | |
| Neurology Physician | 2084N0400X | 334610 | LA | |
| Vascular Neurology Physician | 2084V0102X | 036152111 | IL | |
| Vascular Neurology Physician | 2084V0102X | 01089193A | IN | |
| Vascular Neurology Physician | 2084V0102X | 67462 | TN | |
| Vascular Neurology Physician | 2084V0102X | 0101279022 | VA |
Addresses
Primary practice location
1 Barnes Jewish Hospital PLZ
Div Neurology Stroke
Saint Louis, MO 63110-1003
Mailing address
660 S Euclid Ave
CB 8111
Saint Louis, MO 63110-1010
Phone (314) 362-1408
Other practice location 1
1990 Holton Ave E
Big Stone Gap, VA 24219-3350
Phone (276) 523-3111
Other practice location 2
312 Hospital Dr
Clintwood, VA 24228-6786
Phone (276) 926-0300
Other practice location 3
16000 Johnston Memorial Dr
Abingdon, VA 24211-7664
Phone (276) 258-1000
Other practice location 4
130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 224-3150
Other practice location 5
1901 S Shady St
Mountain City, TN 37683-2021
Phone (423) 727-1100
Other practice location 6
1501 W Elk Ave
Elizabethton, TN 37643-2874
Phone (423) 542-1300
Other practice location 7
851 Locust St
Rogersville, TN 37857-2407
Phone (423) 921-7000
Other practice location 8
2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone (503) 413-2200
Other practice location 9
701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 873-3000
Other practice location 10
12200 Warwick Blvd Ste 110
Newport News, VA 23601-2344
Phone (757) 534-5100
Other practice location 11
2000 Brookside Dr
Kingsport, TN 37660-4627
Phone (423) 857-7000
Other practice location 12
1519 Main St
Sneedville, TN 37869-3657
Phone (423) 733-5000
Other practice location 13
6000 Hospital Dr
Hannibal, MO 63401-6887
Phone (573) 629-3342
Other practice location 14
15790 Paul Vega Md Dr
Hammond, LA 70403-1436
Phone (985) 230-1683
Other practice location 15
245 Medical Park Dr
Marion, VA 24354-1100
Phone (276) 378-1000
Other practice location 16
1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-1121
Other practice location 17
1420 Tusculum Blvd
Greeneville, TN 37745-4279
Phone (423) 787-5000
Other practice location 18
58 Carroll Street
Lebanon, VA 24266-4510
Phone (276) 883-8000
Other practice location 19
2030 Temple Hill Rd
Erwin, TN 37650-8721
Phone (423) 743-3141
Other practice location 20
300 Med Tech Pkwy
Johnson City, TN 37604-2277
Phone (423) 302-1000
Other practice location 21
100 15th St NW
Norton, VA 24273-1616
Phone (423) 630-7001
Other practice location 22
400 N State Of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 323-6900
Other practice location 23
127 Health Care Dr
Pennington Gap, VA 24277-2853
Phone (276) 299-5000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME159856 | Other | FL | FLORIDA LICENSE |
| 200077714 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Washington University |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, FL, IN, MN, LA, IL, GA, CA, WA, VA, TN, MS, ME, NC, NY, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 16
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Freeman-Oak Hill Health SystemWellmont Medical Associates Inc
Practice addresses (Care Compare)
Seattle, WA 98108
Phone (985) 230-1683
Seattle, WA 98116
Phone (612) 702-4555
105 S 1St St
Willmington, IL 60481-8973
Phone (815) 476-5210
1102 W 32 St
Joplin, MO 64804-3503
Phone (417) 347-4570
1102 W 32ND St
Suite 300
Joplin, MO 64804-3503
Phone (417) 347-5000
130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 230-8412
150 Pioneer LN
Bishop, CA 93514-2556
Phone (760) 873-5811
15790 Paul Vega MD Dr
Hammond, LA 70403-1434
Phone (985) 230-1683
16000 Johnson Memorial Dr
Abingdon, VA 24211-7664
Phone (276) 258-8200
2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 847-1757
3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-8000
4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706
701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 873-6963
PO Box
Suite 1257
Hannibal, MO 63401-1257
Phone (573) 248-5460
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME159856 | FL | MD | Neurology Physician |
| 334610 | LA | MD | Neurology Physician |
| 75219 | MN | MD | Neurology Physician |
| 2019012538 | MO | MD | Neurology Physician |
| 67462 | TN | MD | Neurology Physician |
| 0101279022 | VA | MD | Neurology Physician |
| MD61392212 | WA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hannibal Regional Healthcare System Inc | Current | Accepting new patients | |
| Hennepin Healthcare System, Inc | Current | Accepting new patients | |
| Central Maine Medical Center | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Riverside Physician Services Inc | Current | Accepting new patients | |
| Singing River Health System | Current | Accepting new patients | |
| Bridgton Hospital | Current | Accepting new patients | |
| Wellmont Medical Associates Inc | Current | Accepting new patients | |
| Wyoming County | Current | Accepting new patients | |
| Wakemed | Current | Accepting new patients | |
| Riverside Physician Services Inc | Current | Accepting new patients | |
| Rumford Hospital | Current | Accepting new patients | |
| Halifax Healthcare Systems Inc | Current | Accepting new patients | |
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| Hendricks County Hospital | Neurology | Current | Accepting new patients |
| Wyoming County | Current | Accepting new patients | |
| Riverside Health System | Current | Accepting new patients | |
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| Washington University | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Wyoming County | Current | Accepting new patients | |
| Riverside Health System | Current | Accepting new patients | |
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Bridgton Hospital | Current | Accepting new patients | |
| Hendricks County Hospital | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Silverton Health | Current | Accepting new patients | |
| Hendricks County Hospital | Current | Accepting new patients | |
| Central Maine Medical Center | Current | Accepting new patients | |
| Hennepin Healthcare System Inc | Current | Accepting new patients | |
| Centra Medical Group, LLC | Current | Accepting new patients | |
| Silverton Health | Current | Accepting new patients | |
| Northern Inyo Healthcare District | Current | Accepting new patients | |
| Freeman-Oak Hill Health System | Neurology | Current | Accepting new patients |
| Central Maine Medical Center | Current | Accepting new patients | |
| Adventist Health System Georgia Inc | Current | Accepting new patients | |
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| Riverside Physician Services, Inc. | Neurology | Current | Accepting new patients |
| Hennepin Healthcare System, Inc | Current | Accepting new patients | |
| Wellmont Health System | Current | Accepting new patients | |
| Wakemed | Current | Accepting new patients | |
| Wellmont Medical Associates Inc | Current | Accepting new patients | |
| Wyoming County | Current | Accepting new patients | |
| Silverton Health | Current | Accepting new patients | |
| Freeman-Oak Hill Health System | Current | Accepting new patients | |
| Legacy Clinics LLC | Current | Accepting new patients | |
| Northern Inyo Healthcare District | Current | Accepting new patients | |
| Washington University | Current | Accepting new patients | |
| North Oaks Medical Center, LLC | Current | Accepting new patients | |
| Rumford Hospital | Current | Accepting new patients |
Locations (25 of 61)
150 Pioneer Ln
Bishop, CA 93514
Phone (760) 873-2136
303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285
1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800
707 Old Dalton Ellijay Rd
Chatsworth, GA 30705
Phone (706) 517-2050
105 S First St
Wilmington, IL 60481
Phone (815) 476-5210
301 Satori Pkwy
Ste 150
Avon, IN 46123
Phone (317) 272-3662
8244 E US Highway 36
Ste 1340
Avon, IN 46123
Phone (317) 520-5510
15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682
10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000
300 Main St
Lewiston, ME 04240
Phone (207) 795-2400
300 Main St
Slp Lab
Lewiston, ME 04240
Phone (207) 795-7522
420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581
701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005
6000 Hospital Dr
Hannibal, MO 63401
Phone (573) 248-5460
6000 Hospital Dr
#1257
Hannibal, MO 63401
Phone (573) 248-5460
1102 W 32nd St
Joplin, MO 64804
Phone (417) 347-1078
1102 W 32nd St
Ste 300
Joplin, MO 64804
Phone (417) 347-5000
307 W 11th St
Lamar, MO 64759
Phone (417) 682-3300
1 Barnes Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-9170
1 Barnes Jewish Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-1700
4455 Duncan Ave
Saint Louis, MO 63110
Phone (314) 658-3800
660 S Euclid Ave
#8111
Saint Louis, MO 63110
Phone (314) 362-3281
2101 Highway 90
Gautier, MS 39553
Phone (228) 497-7576
3603 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 762-3000
120 Healthplex Way
Apex, NC 27502
Phone (919) 235-6525
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
- rassadi430806@balladhealth.medalliesdirect.net
Organizations & group practices 50
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Hannibal, MO
- NPI 1003956095
-
dba Hennepin County Medical Center
- Rehabilitation Hospital Unit
- Minneapolis, MN
- NPI 1033138136
-
dba Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
dba North Oaks Med Ctr Professional Billing
- General Acute Care Hospital
- Hammond, LA
- NPI 1972630705
WA
-
dba Northern Inyo Hospital
- Critical Access Hospital
- Bishop, CA
- NPI 1922198712
-
- General Practice Physician
- Kankakee, IL
- NPI 1417061193
-
dba WakeMed Professional Physicians Staff
- Internal Medicine Physician
- Raleigh, NC
- NPI 1194907717
-
dba Freeman Physician Group
- Multi-Specialty Clinic/Center
- Joplin, MO
- NPI 1679517023
Neurology
-
dba Freeman Health System
- General Acute Care Hospital
- Joplin, MO
- NPI 1891809679
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1356382527
-
dba AdventHealth Medical Group
- Multi-Specialty Clinic/Center
- Calhoun, GA
- NPI 1699791343
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Freeman Health System
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Webb City, MO
- NPI 1114394228
Hospital
-
dba Freeman Health System
- General Acute Care Hospital
- Joplin, MO
- NPI 1265546048
-
dba Hennepin County Medical Center
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1407897309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791244800000",
"number": "1265819478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 S EUCLID AVE",
"address_2": "CB 8111",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101010",
"telephone_number": "314-362-1408",
"fax_number": "314-747-3342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BARNES JEWISH HOSPITAL PLZ",
"address_2": "DIV NEUROLOGY STROKE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101003",
"telephone_number": "314-362-1408",
"fax_number": "314-747-3342"
}
],
"practiceLocations": [
{
"address_1": "1990 Holton Ave E",
"address_purpose": "LOCATION",
"city": "Big Stone Gap",
"state": "VA",
"postal_code": "242193350",
"country_code": "US",
"telephone_number": "276-523-3111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "312 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Clintwood",
"state": "VA",
"postal_code": "242286786",
"country_code": "US",
"telephone_number": "276-926-0300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16000 Johnston Memorial Dr",
"address_purpose": "LOCATION",
"city": "Abingdon",
"state": "VA",
"postal_code": "242117664",
"country_code": "US",
"telephone_number": "276-258-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "130 W Ravine Rd",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "376603837",
"country_code": "US",
"telephone_number": "423-224-3150",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1901 S Shady St",
"address_purpose": "LOCATION",
"city": "Mountain City",
"state": "TN",
"postal_code": "376832021",
"country_code": "US",
"telephone_number": "423-727-1100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1501 W Elk Ave",
"address_purpose": "LOCATION",
"city": "Elizabethton",
"state": "TN",
"postal_code": "376432874",
"country_code": "US",
"telephone_number": "423-542-1300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "851 Locust St",
"address_purpose": "LOCATION",
"city": "Rogersville",
"state": "TN",
"postal_code": "378572407",
"country_code": "US",
"telephone_number": "423-921-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2801 N Gantenbein Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972271623",
"country_code": "US",
"telephone_number": "503-413-2200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "701 Park Ave",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554151623",
"country_code": "US",
"telephone_number": "612-873-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12200 Warwick Blvd Ste 110",
"address_purpose": "LOCATION",
"city": "Newport News",
"state": "VA",
"postal_code": "236012344",
"country_code": "US",
"telephone_number": "757-534-5100",
"fax_number": "757-534-5395",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2000 Brookside Dr",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "376604627",
"country_code": "US",
"telephone_number": "423-857-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1519 Main St",
"address_purpose": "LOCATION",
"city": "Sneedville",
"state": "TN",
"postal_code": "378693657",
"country_code": "US",
"telephone_number": "423-733-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6000 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Hannibal",
"state": "MO",
"postal_code": "634016887",
"country_code": "US",
"telephone_number": "573-629-3342",
"fax_number": "573-629-3432",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15790 Paul Vega Md Dr",
"address_purpose": "LOCATION",
"city": "Hammond",
"state": "LA",
"postal_code": "704031436",
"country_code": "US",
"telephone_number": "985-230-1683",
"fax_number": "985-230-6652",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "245 Medical Park Dr",
"address_purpose": "LOCATION",
"city": "Marion",
"state": "VA",
"postal_code": "243541100",
"country_code": "US",
"telephone_number": "276-378-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Medical Park Blvd",
"address_purpose": "LOCATION",
"city": "Bristol",
"state": "TN",
"postal_code": "376207430",
"country_code": "US",
"telephone_number": "423-844-1121",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1420 Tusculum Blvd",
"address_purpose": "LOCATION",
"city": "Greeneville",
"state": "TN",
"postal_code": "377454279",
"country_code": "US",
"telephone_number": "423-787-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "58 Carroll Street",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "VA",
"postal_code": "242664510",
"country_code": "US",
"telephone_number": "276-883-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2030 Temple Hill Rd",
"address_purpose": "LOCATION",
"city": "Erwin",
"state": "TN",
"postal_code": "376508721",
"country_code": "US",
"telephone_number": "423-743-3141",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 Med Tech Pkwy",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376042277",
"country_code": "US",
"telephone_number": "423-302-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 15th St NW",
"address_purpose": "LOCATION",
"city": "Norton",
"state": "VA",
"postal_code": "242731616",
"country_code": "US",
"telephone_number": "423-630-7001",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 N State Of Franklin Rd",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376046035",
"country_code": "US",
"telephone_number": "423-323-6900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "127 Health Care Dr",
"address_purpose": "LOCATION",
"city": "Pennington Gap",
"state": "VA",
"postal_code": "242772853",
"country_code": "US",
"telephone_number": "276-299-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ASSADI",
"first_name": "RAMI-JAMES",
"middle_name": "KAZIM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-27",
"last_updated": "2026-10-06",
"certification_date": "2026-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MN",
"license": "75219",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": "036152111",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WA",
"license": "MD61392212",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MO",
"license": "2019012538",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IN",
"license": "01089193A",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "VA",
"license": "0101279022",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TN",
"license": "67462",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME159856",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "LA",
"license": "334610",
"primary": false
},
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "IL",
"license": "036152111",
"primary": false
},
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "IN",
"license": "01089193A",
"primary": false
},
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "TN",
"license": "67462",
"primary": false
},
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "VA",
"license": "0101279022",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA LICENSE",
"identifier": "ME159856",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200077714",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Washington University",
"address_1": "1 Barnes Jewish Hospital Plz",
"address_2": "Div Neurology Stroke",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631101003",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.