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MIDWEST HEALTH PROFESSIONALS PC NPI 1487709812


NPI Information

NPI: 1487709812
Provider Name: MIDWEST HEALTH PROFESSIONALS PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 26D1026843

Address:
8793 WATSON RD
SAINT LOUIS, MO
ZIP 63119
Phone: (314) 968-0700
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MIDWEST HEALTH PROFESSIONALS PC is a family medicine in Saint Louis, MO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MIDWEST HEALTH PROFESSIONALS PC NPI is 1487709812. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8793 WATSON RD
SAINT LOUIS, MO
ZIP 63119-111
Phone: (314) 968-0700
Fax: (314) 961-0909

The provider's authorized official is Tshiswaka Kayembe .
The authorized official title is Owner and has the following contact phone number (314) 968-0700.

The CLIA number assigned to this NPI record is 26D1026843 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/24/2007 and was last updated on 12/31/2023.


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
1207Q00000XFamily Medicine108334MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1500166202MEDICAIDMISSOURI
2CI4700OTHERMISSOURIRAILROAD MEDICARE

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.