CALDWELL GENERAL PRACTICE INC. NPI 1467450023

NPI Information

  • NPI: 1467450023
  • Provider Name: CALDWELL GENERAL PRACTICE, INC.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Former Legal Business Name: GENERAL PRACTICE INC
  • Address: 2880 NETHERTON DR
    SUITE 103
    ST. LOUIS, MO
    ZIP 63136
  • Phone: (314) 521-7768

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NPI Details

CALDWELL GENERAL PRACTICE, INC. is a family medicine in St. Louis, 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. CALDWELL GENERAL PRACTICE, INC. NPI is 1467450023. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is General Practice Inc.

The provider's business location address is:

2880 NETHERTON DR
SUITE 103
ST. LOUIS, MO
ZIP 63136
Phone: (314) 521-7768
Fax: (314) 838-3683

The provider's authorized official is Reynal Leon Caldwell .
The authorized official title is Ceo Physician and has the following contact phone number (314) 521-7768.

The enumeration date for this NPI number is 7/8/2005 and was last updated on 5/3/2013.

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
1207Q00000XFamily MedicineR5E11MISSOURIYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000002199MEDICARE PIN
2A10270MEDICARE UPIN
3242386712MEDICAIDMISSOURI

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: 11/21/2025

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