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COUNTY ONCOLOGIST INC. NPI 1437489168


NPI Information

NPI: 1437489168
Provider Name: COUNTY ONCOLOGIST, INC.
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
11125 DUNN RD
SUITE 108
SAINT LOUIS, MO
ZIP 63136
Phone: (314) 355-8200
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COUNTY ONCOLOGIST, INC. is a hematology and oncology internal medicine in Saint Louis, MO. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. COUNTY ONCOLOGIST, INC. NPI is 1437489168. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11125 DUNN RD
SUITE 108
SAINT LOUIS, MO
ZIP 63136-132
Phone: (314) 355-8200
Fax: (314) 355-4582

The provider's authorized official is Juan Oswald Carden .
The authorized official title is President and has the following contact phone number (314) 355-8200.

The enumeration date for this NPI number is 12/31/2009 and was last updated on 12/31/2009.


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
1207RH0003XInternal MedicineHematology & Oncology34924MISSOURIYes

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
1201892601MEDICAIDMISSOURI
2A10943MEDICARE UPINMISSOURI

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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