Active NPI
Gwynne Heidi Kohn, PA
- Physician Assistant
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2023050454
- Practice address
- 1 Barnes Jewish Hospital PLZ
Dept Emergency Med
Saint Louis, MO 63110-1003 - Phone
- (314) 362-9123
- Fax
- (314) 362-0478
- NPI assigned
- Oct 12, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2023050454 | MO | Primary |
Addresses
Primary practice location
1 Barnes Jewish Hospital PLZ
Dept Emergency Med
Saint Louis, MO 63110-1003
Mailing address
PO Box 60352
Saint Louis, MO 63160-0352
Phone (314) 362-9123
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 FL, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1005 S Big Bend Blvd
Saint Louis, MO 63117-1605
Phone (314) 961-2255
1090 N Hwy 67 St
Florissant, MO 63031-4720
Phone (314) 961-2255
10923 Olive Blvd
Creve Coeur, MO 63141-7740
Phone (314) 961-2255
12409 Saint Charles Rock Rd
Bridgeton, MO 63044-2507
Phone (314) 961-2255
12616 Lamplighter Square Shopping
Saint Louis, MO 63128-2746
Phone (314) 961-2255
13861 Manchester Rd
Ballwin, MO 63011-4503
Phone (314) 961-2255
2060 Hampton Ave
Saint Louis, MO 63139-2903
Phone (314) 961-2255
2501 Clarkson Rd
Chesterfield, MO 63017-7398
Phone (314) 961-2255
2980 Dougherty Ferry Rd
Saint Louis, MO 63122-3366
Phone (314) 961-2255
3114 S Grand Blvd
Saint Louis, MO 63118-1012
Phone (314) 961-2255
6900 Chippewa St
Saint Louis, MO 63109-3038
Phone (314) 961-2255
8961 Page Ave
Overland, MO 63114-6104
Phone (314) 961-2255
915 N Kirkwood Rd
Kirkwood, MO 63122-2665
Phone (314) 961-2255
9556 Manchester Rd
Saint Louis, MO 63119-1313
Phone (314) 961-2255
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.2 of 100
- Quality
- 71.6
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023050454 | MO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Access Urgent Care, PC | Current | Accepting new patients | |
| Total Access Urgent Care, PC | Current | Accepting new patients |
Locations
9556 Manchester Rd
Saint Louis, MO 63119
Phone (314) 373-5740
1717 Madison Ave
Washington, MO 63090
Phone (636) 244-6950
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Saint Louis, MO
- NPI 1962684886
-
- Emergency Medicine Physician
- North Miami Beach, FL
- NPI 1053645465
-
- Urgent Care Clinic/Center
- Saint Louis, MO
- NPI 1952729402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719878400000",
"number": "1669707477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60352",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631600352",
"telephone_number": "314-362-9123",
"fax_number": "314-362-0478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BARNES JEWISH HOSPITAL PLZ",
"address_2": "DEPT EMERGENCY MED",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101003",
"telephone_number": "314-362-9123",
"fax_number": "314-362-0478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOHN",
"first_name": "GWYNNE",
"middle_name": "HEIDI",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-12",
"last_updated": "2024-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MO",
"license": "2023050454",
"primary": true
}
],
"identifiers": [],
"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": "Dept Emergency Med",
"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 Jul 2, 2024; 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.