Wisam Hassan Ali Al Badr, M.D.

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

License

2007008384 Issued in MO

Practice address

3635 Grand Blvd
Saint Louis, MO 63110-2539

Phone

(314) 577-8765

Fax

(314) 771-0784

NPI assigned

Jul 30, 2007

Last updated

Jul 30, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185753600000",
    "number": "1710177480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9625 CHANCELORSVILLE DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631263312",
            "telephone_number": "314-577-8765",
            "fax_number": "314-771-0784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 GRAND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631102539",
            "telephone_number": "314-577-8765",
            "fax_number": "314-771-0784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL BADR",
        "first_name": "WISAM",
        "middle_name": "HASSAN ALI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MO",
            "license": "2007008384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olaronke A. Akintola-Ogunremi, M.D.
• Olaguoke K Akinwande, MD
• Tammara Akpore
• Siddique Tanzeem Akram, MD
• Harsha Venkata Akula Mogalapalli, MD
• Ali Al Balushi, M.D.
• Maha Mohammed Al Gilani, MD
• Karim Al Hasanieh, MD
• Muneera Hamad Al Hussaini
• Sara Al Hussein Al Awamlh, MD

• Critical Access Hospital in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Critical Access Hospital in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.