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ST ANTHONY'S PHYSICIAN ORGANIZATION PRIVATE PRACTICES LC NPI 1609063650


NPI Information

NPI: 1609063650
Provider Name: ST ANTHONY'S PHYSICIAN ORGANIZATION PRIVATE PRACTICES LC

Doing Business As: SOUTH COUNTY ENDOCRINOLOGY & DIABETES CENTER

Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
12700 SOUTHFORK RD
STE 215
SAINT LOUIS, MO
ZIP 63128
Phone: (314) 543-5285
Get Directions

ST ANTHONY'S PHYSICIAN ORGANIZATION PRIVATE PRACTICES LC is an endocrinology and diabetes and metabolism internal medicine in Saint Louis, MO. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. ST ANTHONY'S PHYSICIAN ORGANIZATION PRIVATE PRACTICES LC NPI is 1609063650. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As South County Endocrinology & Diabetes Center.

The provider's business location address is:

12700 SOUTHFORK RD
STE 215
SAINT LOUIS, MO
ZIP 63128-201
Phone: (314) 543-5285
Fax: (314) 543-5238

The provider's authorized official is Dave Hinkle .
The authorized official title is Exec 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 6/15/2012.


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
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

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
1000015650MEDICARE 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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