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ST. LUKES MEDICAL GROUP NPI 1215308945


NPI Information

NPI: 1215308945
Provider Name: ST. LUKES MEDICAL GROUP
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 26D2125485

Address:
232 S WOODS MILL RD
CHESTERFIELD, MO
ZIP 63017
Phone: (636) 685-7804
Get Directions

ST. LUKES MEDICAL GROUP is a family medicine in Chesterfield, MO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ST. LUKES MEDICAL GROUP NPI is 1215308945. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

232 S WOODS MILL RD
CHESTERFIELD, MO
ZIP 63017-417
Phone: (636) 685-7804
Fax: (314) 336-6224

The provider's authorized official is Darren Haskell .
The authorized official title is Chief Medical Officer and has the following contact phone number (314) 205-6444.

The CLIA number assigned to this NPI record is 26D2125485 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/7/2015 and was last updated on 7/7/2023.


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
1207K00000XAllergy & ImmunologyNo
2207L00000XAnesthesiologyNo
3207R00000XInternal MedicineNo
4207T00000XNeurological SurgeryNo
5207V00000XObstetrics & GynecologyNo
6207X00000XOrthopaedic SurgeryNo
7208000000XPediatricsNo
82081P2900XPhysical Medicine & RehabilitationPain MedicineNo
9208200000XPlastic SurgeryNo
102084N0400XPsychiatry & NeurologyNeurologyNo
11208600000XSurgeryNo
122088F0040XUrologyFemale Pelvic Medicine and Reconstructive SurgeryNo
13208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No
14208VP0000XPain MedicinePain MedicineNo
15207Q00000XFamily 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: 4/28/2024

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