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ST. ANTHONY'S PHYSICIAN ORGANIZATION PRIVATE PRACTICES LC NPI 1225225279


NPI Information

NPI: 1225225279
Provider Name: ST. ANTHONY'S PHYSICIAN ORGANIZATION PRIVATE PRACTICES LC

Doing Business As: ST ANTHONY'S GASTROENTEROLOGY

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
10004 KENNERLY RD
STE. 364B
SAINT LOUIS, MO
ZIP 63128
Phone: (314) 543-5911
Get Directions

ST. ANTHONY'S PHYSICIAN ORGANIZATION PRIVATE PRACTICES LC is an internal medicine in Saint Louis, MO. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. ST. ANTHONY'S PHYSICIAN ORGANIZATION PRIVATE PRACTICES LC NPI is 1225225279. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St Anthony's Gastroenterology.

The provider's business location address is:

10004 KENNERLY RD
STE. 364B
SAINT LOUIS, MO
ZIP 63128-141
Phone: (314) 543-5911
Fax: (314) 543-5914

The provider's authorized official is Dave Hinkle .
The authorized official title is Executive Director and has the following contact phone number (314) 543-5903.

The enumeration date for this NPI number is 10/3/2007 and was last updated on 8/4/2010.


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
1207RG0100XInternal MedicineGastroenterologyNo
2207R00000XInternal MedicineR8411MISSOURIYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000015654MEDICARE PINMISSOURI

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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