Organization
SAM HAWATMEH, M D, P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISAM S HAWATMEH M.D. (PRESIDENT)
(314) 645-8200
Entity
Organization
Contact information
Practice address
12345 W BEND DR STE 304, SAINT LOUIS, MO 63128-2256
(314) 722-2500
(314) 645-8244
Mailing address
12345 W BEND DR STE 304, SAINT LOUIS, MO 63128-2256
(314) 722-2500
(314) 645-8244
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1125337
FIRST HORIZON
MO
01
—
1140267
CARE PARTNER
MO
01
—
125694
HEALTHLINK
MO
01
—
178V178
GHP
MO
01
—
26810
BLUE
MO
01
—
305572
PARTNER HMO
MO
01
—
4039765
AETNA
MO
05
—
507424406
—
MO
01
—
55772
HEALTHCARE
MO
01
—
889041
COMMUNITY
MO
01
—
CG6708
RRMCR
MO
01
—
E31401
MERCY
MO
01
—
PC23505
CIGNA
MO
01
—
STL040029
UNITED HEALTHCARE
MO
01
—
STM040053
MEDICAL COMP
MO
Enumeration date
06/15/2006
Last updated
09/10/2025
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