Provider Demographics
NPI:1679912554
Name:BARMEIER, CEARA M (PHYSICIAN ASSISTANT)
Entity Type:Individual
Prefix:
First Name:CEARA
Middle Name:M
Last Name:BARMEIER
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:CEARA
Other - Middle Name:M
Other - Last Name:MURRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHYSICIAN ASSISTANT
Mailing Address - Street 1:17300 N OUTER 40 RD #101
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63005
Mailing Address - Country:US
Mailing Address - Phone:636-778-9899
Mailing Address - Fax:505-324-1199
Practice Address - Street 1:17300 N OUTER 40 RD #101
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63005
Practice Address - Country:US
Practice Address - Phone:636-778-9899
Practice Address - Fax:505-324-1199
Is Sole Proprietor?:No
Enumeration Date:2013-06-24
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMPA2013--0039363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM58409050Medicaid
NM58409050Medicaid
NM307983YUMBMedicare Oscar/Certification
NM307983YUMBMedicare PIN