Provider Demographics
NPI: | 1962780155 |
---|---|
Name: | SCHWETYE, KATHERINE ELIZABETH (MD) |
Entity type: | Individual |
Prefix: | DR |
First Name: | KATHERINE |
Middle Name: | ELIZABETH |
Last Name: | SCHWETYE |
Suffix: | |
Gender: | |
Credentials: | MD |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | PO BOX 7412011 |
Mailing Address - Street 2: | |
Mailing Address - City: | CHICAGO |
Mailing Address - State: | IL |
Mailing Address - Zip Code: | 60674-2011 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 314-362-5641 |
Mailing Address - Fax: | 314-362-0369 |
Practice Address - Street 1: | 1 BARNES JEWISH HOSPITAL PLZ |
Practice Address - Street 2: | DIV PA ANATOMIC AND MOLECULAR PATH |
Practice Address - City: | SAINT LOUIS |
Practice Address - State: | MO |
Practice Address - Zip Code: | 63110-1003 |
Practice Address - Country: | US |
Practice Address - Phone: | 314-362-5641 |
Practice Address - Fax: | 314-362-0369 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2011-07-22 |
Last Update Date: | 2025-04-17 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
MO | 2014004833 | 207ZP0101X, 207ZN0500X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 207ZN0500X | Allopathic & Osteopathic Physicians | Pathology | Neuropathology |
No | 207ZP0101X | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
MO | 200031762 | Medicaid |