Provider Demographics
NPI:1184796815
Name:KARRE, JOSEPH F (DO)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:F
Last Name:KARRE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 TIMBER MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63368-6345
Mailing Address - Country:US
Mailing Address - Phone:515-778-4435
Mailing Address - Fax:
Practice Address - Street 1:9556 MANCHESTER RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63119-1313
Practice Address - Country:US
Practice Address - Phone:314-961-2255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2014-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008018548207P00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA930086956OtherRAILROAD MEDICARE
MO1184796815Medicaid
IA0197715Medicaid
IA1197715Medicaid
MO1184796815Medicaid
MO151980002Medicare PIN
IA930086956OtherRAILROAD MEDICARE
IA1197715Medicaid