INTENSIVIST GROUP OF MISSOURI INC NPI 1902122211

NPI Information

  • NPI: 1902122211
  • Provider Name: INTENSIVIST GROUP OF MISSOURI INC
  • Classification: Internal Medicine - 207RC0200X
  • Specialization: Critical Care Medicine
  • Entity Type: Organization
  • Address: 1015 BOWLES AVE
    FENTON, MO
    ZIP 63026
  • Phone: (866) 344-0543

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NPI Details

INTENSIVIST GROUP OF MISSOURI INC is a critical care medicine internal medicine in Fenton, MO. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. INTENSIVIST GROUP OF MISSOURI INC NPI is 1902122211. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1015 BOWLES AVE
FENTON, MO
ZIP 63026-394
Phone: (866) 344-0543
Fax: (866) 344-3934

The provider's authorized official is Jay S. Cowen .
The authorized official title is President and has the following contact phone number (866) 344-0543.

The enumeration date for this NPI number is 4/12/2010 and was last updated on 7/20/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0200XInternal MedicineCritical Care MedicineYes

What is NPI?

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This page was last updated on: 3/30/2025

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