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ST LOUIS MEDICAL CLINIC P.C. NPI 1174505127


NPI Information

NPI: 1174505127
Provider Name: ST LOUIS MEDICAL CLINIC, P.C.

Other Name: ST. LOUIS MEDICAL CLINIC

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
3009 N BALLAS RD
SUITE 100B
SAINT LOUIS, MO
ZIP 63131
Phone: (314) 432-1111
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ST LOUIS MEDICAL CLINIC, P.C. is a podiatrist in Saint Louis, MO. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. ST LOUIS MEDICAL CLINIC, P.C. NPI is 1174505127. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is St. Louis Medical Clinic.

The provider's business location address is:

3009 N BALLAS RD
SUITE 100B
SAINT LOUIS, MO
ZIP 63131-322
Phone: (314) 432-1111
Fax: (314) 432-6308

The provider's authorized official is Mindy Powell .
The authorized official title is Administrator and has the following contact phone number (314) 983-4054.

The enumeration date for this NPI number is 11/16/2005 and was last updated on 10/31/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatologyNo
2207Q00000XFamily MedicineNo
3207R00000XInternal MedicineNo
4207RC0000XInternal MedicineCardiovascular DiseaseNo
5207RR0500XInternal MedicineRheumatologyNo
6207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
7207RG0100XInternal MedicineGastroenterologyNo
8213E00000XPodiatristYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.