ADDERLEY MEDICAL GROUP L.L.C. NPI 1134433659

NPI Information

  • NPI: 1134433659
  • Provider Name: ADDERLEY MEDICAL GROUP, L.L.C.
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 1400 US HIGHWAY 61
    FESTUS, MO
    ZIP 63028
  • Phone: (314) 288-9161

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NPI Details

ADDERLEY MEDICAL GROUP, L.L.C. is a general practice in Festus, MO. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee ADDERLEY MEDICAL GROUP, L.L.C. NPI is 1134433659. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1400 US HIGHWAY 61
FESTUS, MO
ZIP 63028-100
Phone: (314) 288-9161

The provider's authorized official is Mark Floyd Adderley .
The authorized official title is Member and has the following contact phone number (314) 288-9161.

The enumeration date for this NPI number is 7/27/2010 and was last updated on 6/12/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice2007032281MISSOURIYes

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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