Eleatha L Surratt, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

R3K79 Issued in MO

Practice address

1 Brookings Dr
Saint Louis, MO 63130-4862

Phone

(314) 935-6666

Fax

(314) 935-8515

NPI assigned

May 19, 2006

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Sue Gouaux LLC

  • Clinical Social Worker
  • Saint Louis, MO
  • NPI 1093015398
  NPD (past)
• Crossroads Physician Corporation

  • Family Medicine Physician
  • Nashville, IL
  • NPI 1629063698
  NPD (past)
• Crossroads Physicians Corp

  • Family Medicine Physician
  • Mount Vernon, IL
  • NPI 1508850520
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517184000000",
    "number": "1922051887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 BROOKINGS DR",
            "address_2": "CB 1201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63130",
            "telephone_number": "314-935-6666",
            "fax_number": "314-935-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BROOKINGS DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631304862",
            "telephone_number": "314-935-6666",
            "fax_number": "314-935-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURRATT",
        "first_name": "ELEATHA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2018-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "R3K79",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Surgery Specialists of Missouri LLC
• Surgical Care Foundation
• Surgical Diagnostics & Therapy LLC
• Jagdish Suri, M.D.
• Jill Christine Surmeier, DPT
• Sriyanshi Suryadevara, PA
• Susan D Purcell MD Dermatology LLC
• Susan Hansen Psychotherapy LLC
• Susan K Boyer, MD LLC
• Susan K Newman LCSW LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; 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.