A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
2084A0401X | 79 | Physician/Addiction Medicine | |
Physician Assistant |
363A00000X | 97 | Physician Assistant | |
Psychiatric/Mental Health |
363LP0808X | 50 | Nurse Practitioner |
| NPI Number | 1194736728 |
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| LBN Legal business name | ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER | ||||||||
| Authorized official | ANN BOND - (SYSTEM DIRECTOR-GOVERNMENT REIMB) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 08/10/2006 | ||||||||
| Last updated | 01/21/2026 - About 4 months ago | ||||||||
| Identifiers |
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| OA ASSOCIATES LLC DBA ORTHOPEDIC AND SPORTS MEDICINE LTD. 4500 MEMORIAL DRIVE BELLEVILLE, IL |
| MOLLY C WADE, PA 4600 MEMORIAL DR STE 120 BELLEVILLE, IL |
| DARAH DODT, FNP-C 14 LUCINDA AVE BELLEVILLE, IL |
| MICHELLE D MCQUILLAN, DNP, FNP-BC 321 REGENCY PARK O'FALLON, IL |
| MARCEL L GUSTIN, PA-C 375 MDG SCOTT AFB, IL |
| VIRGINIA L CLEMONS, RN CPNP 1465 S GRAND BLVD SAINT LOUIS, MO |
| PATRICIA A WILSON, MSN, FNP- BC SAINT LOUIS UNIVERSITY HOSPITAL SSM SAINT LOUIS, MO |
| ROSEMARY M KING, PAC 1755 S GRAND SAINT LOUIS, MO |
| ALAN M MEREDITH, PAC 1551 N IL RT 3 WATERLOO, IL |
| JENNIFER L ROSENER, MSN APRN CNP 4650 CHIPPEWA ST SAINT LOUIS, MO |