Daniel Hugh Wachsstock

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

106487 Issued in MO

Practice address

8007 Saint Charles Rock Rd
Saint Louis, MO 63114-5363

Phone

(314) 423-8195

Fax

(314) 423-2158

NPI assigned

Jul 11, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• SSM Health Care St Louis

  dba SSM Health St Clare Fenton

  • Emergency Medicine Physician
  • Fenton, MO
  • NPI 1275586174
  Medicare reassignment NPD
• SSM Health Care St. Louis

  dba SSM Health DePaul Hospital

  • Cardiovascular Disease Physician
  • Bridgeton, MO
  • NPI 1376598599
  NPD
• St. Lukes Episcopal-Presbyterian Hospital

  dba St. Luke's Hospital

  • General Acute Care Hospital
  • Chesterfield, MO
  • NPI 1346251543
  NPD (past)
• St. Lukes Medical Group

  • Family Medicine Physician
  • Chesterfield, MO
  • NPI 1215308945

  Pediatrics

  NPD (past)
• St. Lukes Pediatric Care

  • Pediatrics Physician
  • Saint Louis, MO
  • NPI 1396981726
  NPD (past)

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1720086150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8007 SAINT CHARLES ROCK RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631145363",
            "telephone_number": "314-423-8195",
            "fax_number": "314-423-2158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8007 SAINT CHARLES ROCK RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631145363",
            "telephone_number": "314-423-8195",
            "fax_number": "314-423-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACHSSTOCK",
        "first_name": "DANIEL",
        "middle_name": "HUGH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "106487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203842323",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pooja Parth Vyas, D.O.
• Amy Dannemiller Vyn
• W David Kistler Jr MD LLC
• W2W 2, LLC
• W2Wllc (Women to Women Health Care)
• John Wachtel, PHARM.D.
• Daniel Joseph Wachter, ACNP
• David Alan Wachter, RPH
• Nathaniel Wachter, MD
• Raymond J Wacker, CRNA

• Pediatrics Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.