Dr. Peter Fonseca, MD
Dr. Peter Fonseca, MD is a Thoracic Surgery in Bridgeton, Missouri. Graduated from Saint Louis University School of Medicine in 1987, 39 years ago. Practices with SSM Medical Group Inc, a 560-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.
- Years since qualifying
- 39
- Trained at
- Saint Louis University School of Medicine
- Licensed in
- MO
- In the registry since
- 2005
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
12266 De Paul Dr Ste 205Bridgeton, MO 63044-2514
Phone: (314) 647-8269
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 10004 Kennerly Rd, Saint Louis, MO 63128-2141 — (314) 543-5252
Specialties & licences
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) | Taxonomy 208G00000X · Licence 116658 (MO) |
|---|
Record details
| NPI number | 1760483101 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | August 9, 2005 |
| Last updated in NPPES | November 5, 2020 |
| Certification date | November 5, 2020 |
| Mailing address | Po Box 955534, Saint Louis, MO 63195-5534 |
Medicare enrollment
| Medicare specialty | THORACIC SURGERY |
|---|---|
| Also practises | CARDIAC SURGERY, GENERAL SURGERY |
| Medical school | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 1987 (39 years in practice) |
| Group practice | Ssm Medical Group Inc — 560 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Bridgeton
-
SSM Cardiovascular and Thoracic Services, Inc
12255 De Paul Dr Ste 445, Bridgeton, MO 63044-2510 · (314) 647-8269
-
Dr. David A Theodoro, MD
12255 De Paul Dr N Bldg Ste 260, Bridgeton, MO 63044 · (314) 647-8269