PHYSICIAN GROUPS LC NPI 1184791535

NPI Information

  • NPI: 1184791535
  • Provider Name: PHYSICIAN GROUPS LC
  • Classification: Clinic/Center - 261QX0200X
  • Specialization: Oncology
  • Entity Type: Organization
  • Doing Business As: SITEMAN CANCER CENTER AT BJSPH
  • CLIA Number: 26D1035285
  • Address: 150 ENTRANCE WAY
    SAINT PETERS, MO
    ZIP 63376
  • Phone: (636) 916-9923

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NPI Details

PHYSICIAN GROUPS LC is an oncology clinic center in Saint Peters, MO. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents. PHYSICIAN GROUPS LC NPI is 1184791535. The provider is registered as an organization entity type.
The provider Is Doing Business As Siteman Cancer Center At Bjsph.

The provider's business location address is:

150 ENTRANCE WAY
SAINT PETERS, MO
ZIP 63376-645
Phone: (636) 916-9923
Fax: (636) 916-9176

The provider's authorized official is Raymond P Davidson .
The authorized official title is President and has the following contact phone number (314) 286-2028.

The CLIA number assigned to this NPI record is 26D1035285 - ancillary testing site in health care center with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/29/2006 and was last updated on 3/26/2008.

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
1261QX0200XClinic/CenterOncologyYes

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: 3/30/2025

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