Robert Jerome Fleming , PA-C
Physician Assistant โข Hazelwood, MO
637 Dunn Rd Ste 102a
Hazelwood, MO 630421755
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Robert Fleming is listed in NPPES under Physician Assistant.
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NPI assigned on January 6, 2022; this date does not establish years in practice.
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Published CMS data list 73 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 โ Established patient outpatient office visit: 45 service units.
- G0439 โ Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit: 16 service units.
- 99213 โ Established patient outpatient office visit: 12 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See the full table ยท Guide: How to read Medicare Part B data
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Published CMS data list 397 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) โ 40 prescription fills, including refills.
- Prednisone โ 38 prescription fills, including refills.
- Diazepam โ 34 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 18 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 75% of clinicians listed under Physician Assistant in Missouri (2024, 944 clinicians with data). Median for this group: 229. Middle half: 96 to 567.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part D prescriptions went from 90 in 2023 to 397 in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2023โ2024.
Practice Location & Contact Primary Location
637 Dunn Rd Ste 102a
Hazelwood, MO 630421755
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Saint Louis, MO. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Mercy Clinic East Communities. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Saint Louis University School Of Medicine
2022
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
64 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $7,203 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $5,911 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
461 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$2,634 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $532.46 across 28 records.
By nature of payment
- Food and Beverage: $532.46 across 28 records.
Reporting-company totals (3 largest of 18)
- ABBVIE INC.: $77.67 across 4 records.
- Xeris Pharmaceuticals, Inc.: $63.20 across 3 records.
- Novo Nordisk Inc: $51.69 across 3 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
4 years (graduated 2022)
CMS Doctors and Clinicians data list 2022 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2022
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Robert Fleming has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Robert Fleming as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Hazelwood and Missouri
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 75% of clinicians listed under Physician Assistant in Missouri (2024, 944 clinicians with data). Median for this group: 229. Middle half: 96 to 567.
Too few clinicians listed under Physician Assistant in Hazelwood have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A lower Medicare-allowed amount than 75% of clinicians listed under Physician Assistant in Missouri (2024, 944 clinicians with data). Median for this group: $16,486. Middle half: $7,632 to $33,529.
Too few clinicians listed under Physician Assistant in Hazelwood have Medicare Part B data for 2024 to compare.
Paid by Medicare
A lower Medicare payment amount than 70% of clinicians listed under Physician Assistant in Missouri (2024, 944 clinicians with data). Median for this group: $12,171. Middle half: $5,565 to $25,556.
Too few clinicians listed under Physician Assistant in Hazelwood have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 60% of clinicians listed under Physician Assistant in Missouri (2024, 900 clinicians with data). Median for this group: 219. Middle half: 73 to 682.
Too few clinicians listed under Physician Assistant in Hazelwood have Medicare Part D data for 2024 to compare.
Part D drug cost
Close to the middle for clinicians listed under Physician Assistant in Missouri (2024, 900 clinicians with data). Median for this group: $2,647. Middle half: $562 to $57,833.
Too few clinicians listed under Physician Assistant in Hazelwood have Medicare Part D data for 2024 to compare.
2 active clinicians are listed under Physician Assistant with a practice address in Hazelwood, MO (1,791 in Missouri).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
CMS data for Medicare Part B services are available for 2024 only.
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Medicare-allowed amount
CMS data for Medicare-allowed amount are available for 2024 only.
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Paid by Medicare
CMS data for Medicare payment amount are available for 2024 only.
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 341% from 90 in 2023 to 397 in 2024.
- 2023: 90
- 2024: 397
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30-day fills
30-day fills increased 412% from 90 in 2023 to 461 in 2024.
- 2023: 90
- 2024: 461
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Part D drug cost
Part D drug cost went from $203 in 2023 to $2,634 in 2024.
- 2023: $203
- 2024: $2,634
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $195.63 in 2024 to $532.46 in 2025.
- 2024: $195.63
- 2025: $532.46
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): 28 records totaling $532.46.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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Intracept | General | $34.26 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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MINIMED 780G | General | $32.35 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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UBRELVY | General | $24.82 |
| Xeris Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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GVOKE HYPOPEN | General | $24.72 |
| BETA BIONICS, INC. |
Food and Beverage
In-kind items and services
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iLet Bionic Pancreas | General | $24.09 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
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MOUNJARO | General | $21.53 |
| Xeris Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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GVOKE HYPOPEN | General | $20.64 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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QULIPTA | General | $20.35 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Ozempic | General | $18.32 |
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
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SHINGRIX | General | $18.32 |
| Valinor Pharma, LLC |
Food and Beverage
In-kind items and services
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MOVANTIK | General | $18.31 |
| Xeris Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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GVOKE HYPOPEN | General | $17.84 |
| Bristol Myers Squibb Company |
Food and Beverage
Cash or cash equivalent
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ELIQUIS | General | $17.67 |
| Dexcom, Inc. |
Food and Beverage
In-kind items and services
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Dexcom G6 Transmitter | General | $17.46 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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UBRELVY | General | $17.24 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
Wegovy | General | $17.17 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) |
Food and Beverage
In-kind items and services
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CAPLYTA | General | $17.04 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
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PREVNAR 20 | General | $16.40 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
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OTEZLA | General | $16.20 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Wegovy | General | $16.20 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC |
Food and Beverage
In-kind items and services
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XIFAXAN | General | $16.02 |
| Exact Sciences Corporation |
Food and Beverage
In-kind items and services
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Cologuard Collection Kit | General | $15.80 |
| Dexcom, Inc. |
Food and Beverage
In-kind items and services
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Dexcom G6 Transmitter | General | $15.42 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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UBRELVY | General | $15.26 |
| Boehringer Ingelheim Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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JARDIANCE | General | $15.04 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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45 | 36 | $176.00 | $103.05 |
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G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
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16 | 16 | $215.00 | $105.93 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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12 | 12 | $125.00 | $72.61 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 40 | 70 | $96.87 | 38 |
| Prednisone | Prednisone | 38 | 207 | $86.46 | 36 |
| Diazepam | Diazepam | 34 | 40 | $41.53 | 33 |
| Mupirocin | Mupirocin | 29 | 925 | $297.09 | 16 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 28 | 760 | $130.37 | 14 |
| Ipratropium Bromide | Ipratropium Bromide | 25 | 847 | $542.43 | 14 |
| Doxycycline Hyclate | Doxycycline Hyclate | 22 | 176 | $167.05 | 22 |
| Azithromycin | Azithromycin | 21 | 104 | $64.10 | 21 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 20 | 123 | $71.65 | 20 |
| Meloxicam | Meloxicam | 19 | 630 | $30.93 | 11 |
| Methylprednisolone | Methylprednisolone | 19 | 114 | $67.63 | 19 |
| Montelukast Sodium | Montelukast Sodium | 19 | 1,560 | $246.08 | โ |
| Gabapentin | Gabapentin | 18 | 480 | $166.28 | 13 |
| Azelastine Hcl | Azelastine Hcl | 18 | 715 | $354.82 | 14 |
| Amlodipine Besylate | Amlodipine Besylate | 12 | 670 | $30.60 | โ |
| Cefuroxime | Cefuroxime Axetil | 12 | 66 | $76.41 | 11 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 12 | 117 | $106.94 | 12 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 11 | 175 | $57.00 | โ |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2024-07-10NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
NUCC Taxonomy Code: 390200000X
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20240718000617
MO
2365988078
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Mercy Clinic East Communities
621 S New Ballas Rd, Saint Louis, MO 631418255
Phone: 3142516335
Mercy Clinic East Communities
621 S New Ballas Rd, Saint Louis, MO 631418269
Phone: 3148729192
Mercy Clinic East Communities
1001 S Kirkwood Rd, Saint Louis, MO 631227250
Phone: 3145254225
Mercy Clinic East Communities
1820 Zumbehl Rd, Saint Charles, MO 633032761
Phone: 6369472334
Mercy Clinic East Communities
12855 N 40 Dr, Saint Louis, MO 631418657
Phone: 3144324415
Secondary Practice Locations
1588 S Lindbergh Blvd Ste 210
Saint Louis, MO 631313516
Phone: 3143138173
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Adult Health
ANPBC
Nurse Practitioner - Family
Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)
Nurse Practitioner - Family
Family Nurse Practitioner
Internal Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 637 DUNN RD STE 102A, HAZELWOOD, MO 630421755 (Tel: 3148318600)
Registered at PO BOX 776084, CHICAGO, IL 606776084 (Tel: 3148318600)
Registered at 1588 S LINDBERGH BLVD STE 210, SAINT LOUIS, MO 631313516 (Tel: 3143138173)
Recorded as ROBERT FLEMING, PA-C
NPI status registered as active in NPPES database
Registered at 3437 CAROLINE ST, SAINT LOUIS, MO 631041111 (Tel: 3143138173)
Registered at 3437 CAROLINE ST, SAINT LOUIS, MO 631041111
Recorded as ROBERT FLEMING, PA-S
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
Po Box 776084
Chicago, IL 606776084
Phone: 3148318600