Provider Demographics
NPI:1710932843
Name:MOHART, ANN E (MD)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:E
Last Name:MOHART
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:901 PATIENTS FIRST DR
Mailing Address - Street 2:ATTN: CREDENTIALING
Mailing Address - City:WASHINGTON
Mailing Address - State:MO
Mailing Address - Zip Code:63090-4700
Mailing Address - Country:US
Mailing Address - Phone:636-239-1400
Mailing Address - Fax:636-390-1451
Practice Address - Street 1:901 PATIENTS FIRST DR
Practice Address - Street 2:ATTN: CREDENTIALING
Practice Address - City:WASHINGTON
Practice Address - State:MO
Practice Address - Zip Code:63090-4700
Practice Address - Country:US
Practice Address - Phone:636-239-1400
Practice Address - Fax:636-390-1451
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2012-01-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2004001500207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO921110091Medicare ID - Type UnspecifiedSJH-MO
MO921110238Medicare ID - Type UnspecifiedSJHW-MO