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MISSOURI RENAL MEDICINE NPI 1427267855


NPI Information

NPI: 1427267855
Provider Name: MISSOURI RENAL MEDICINE
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
621 S NEW BALLAS RD
SUITE 3015B
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 251-6344
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MISSOURI RENAL MEDICINE is a nephrology internal medicine in Saint Louis, MO. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. MISSOURI RENAL MEDICINE NPI is 1427267855. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

621 S NEW BALLAS RD
SUITE 3015B
SAINT LOUIS, MO
ZIP 63141-232
Phone: (314) 251-6344
Fax: (314) 251-7929

The provider's authorized official is Robyn H Jacobs .
The authorized official title is Physician and has the following contact phone number (314) 251-6344.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 5/3/2012.


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
1207RN0300XInternal MedicineNephrologyYes

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
1506877000MEDICAIDMISSOURI
2000011536MEDICARE PINMISSOURI
3CP8380OTHERMISSOURIRAILROAD MEDICARE
4000011516MEDICARE 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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