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PAI PARTICIPANT 1 LLC NPI 1093371312


NPI Information

NPI: 1093371312
Provider Name: PAI PARTICIPANT 1 LLC
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
505 COUCH AVE
KIRKWOOD, MO
ZIP 63122
Phone: (314) 909-6010
Get Directions

PAI PARTICIPANT 1 LLC is a geriatric medicine internal medicine in Kirkwood, 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. PAI PARTICIPANT 1 LLC NPI is 1093371312. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

505 COUCH AVE
KIRKWOOD, MO
ZIP 63122-577
Phone: (314) 909-6010

The provider's authorized official is Jill C Ford .
The authorized official title is Authorized Offical and has the following contact phone number (484) 643-2629.

The enumeration date for this NPI number is 5/13/2019 and was last updated on 3/4/2024.


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
1207RG0300XInternal MedicineGeriatric MedicineYes
2363A00000XPhysician AssistantNo
3363L00000XNurse PractitionerNo

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

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