DR. CLIFFORD STRUPP MD MBA NPI 1184136558

NPI Information

  • NPI: 1184136558
  • Provider Name: DR. CLIFFORD STRUPP, MD, MBA
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1000 DES PERES RD STE 110
    DES PERES, MO
    ZIP 63131
  • Phone: (314) 942-8880

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NPI Details

DR. Clifford Strupp, MD, MBA is a general practice in Des Peres, 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 DR. Clifford Strupp, MD, MBA NPI is 1184136558. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1000 DES PERES RD STE 110
DES PERES, MO
ZIP 63131-050
Phone: (314) 942-8880

The NPI 1184136558 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 10/25/2017 and was last updated on 12/11/2024.

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
1207Q00000XFamily Medicine2017038041MISSOURINo
2207QS0010XFamily MedicineSports Medicine2017038041MISSOURINo
3207R00000XInternal Medicine2017038041MISSOURINo
4208D00000XGeneral Practice2017038041MISSOURIYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1220050391MEDICAIDMISSOURI
22017038041OTHERMISSOURIMISSOURI BOARD OF HEALING ARTS

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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