Practice of Rosemary Cannistraro, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PRACTICE OF ROSEMARY CANNISTRARO, LLC

Practice address

12609 Olive Blvd
Saint Louis, MO 63141-6313

Phone

(314) 205-8344

Fax

(314) 205-0217

NPI assigned

Feb 15, 2007

Organization subpart

Yes

Parent organization

ST. LUKE'S MEDICAL GROUPAs reported in NPPES

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

Authorized official

Name

Rick Sonne

Title

Director

Phone

(314) 576-2490

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

St Lukes Medical Group

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• St. Lukes Medical Group

  • Family Medicine Physician
  • Chesterfield, MO
  • NPI 1215308945

  Member Of

  NPD member

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pamela L Kuda, APN-BC

  • Adult Health Nurse Practitioner
  • O Fallon, MO
  • NPI 1295775989
  NPD (past)
• Patrick Joseph McCann, MD

  • Internal Medicine Physician
  • St Louis, MO
  • NPI 1437275963
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1992848212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 S WOODS MILL RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173417",
            "telephone_number": "314-576-2490",
            "fax_number": "314-576-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12609 OLIVE BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416313",
            "telephone_number": "314-205-8344",
            "fax_number": "314-205-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACTICE OF ROSEMARY CANNISTRARO, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. LUKE'S MEDICAL GROUP",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "SONNE",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-576-2490"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DD8725",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prabha Partap MD
• Padmini Prabhu, PA
• Sumanth Damodar Prabhu, MD
• Anagha Prabhune, MD
• Lawrence Prablek, MD
• Angela Prada, OTR
• Lauren Prader, PA-C
• Manju Pradhan, PHD
• Rachana Pradhan, MSW, LCSW
• Magaly Prado

• Internal Medicine Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.