SPECIALIST IN AGING SUCCESSFULLY LLC NPI 1023572690

NPI Information

  • NPI: 1023572690
  • Provider Name: SPECIALIST IN AGING SUCCESSFULLY LLC
  • Classification: Internal Medicine - 207RG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Organization
  • Address: 3466 BRIDGELAND DR STE 105
    BRIDGETON, MO
    ZIP 63044
  • Phone: (314) 209-5100

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NPI Details

SPECIALIST IN AGING SUCCESSFULLY LLC is a geriatric medicine internal medicine in Bridgeton, MO. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. SPECIALIST IN AGING SUCCESSFULLY LLC NPI is 1023572690. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3466 BRIDGELAND DR STE 105
BRIDGETON, MO
ZIP 63044-606
Phone: (314) 209-5100

The provider's authorized official is Asif Bhutto .
The authorized official title is Member and has the following contact phone number (314) 209-5100.

The enumeration date for this NPI number is 1/28/2019 and was last updated on 3/15/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0300XInternal MedicineGeriatric MedicineYes

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: 11/21/2025

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