Provider Type Icon

ST. LOUIS CANCER CARE L.L.P. NPI 1932156726


NPI Information

NPI: 1932156726
Provider Name: ST. LOUIS CANCER CARE, L.L.P.
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

CLIA Number: 26D0943328

Address:
10004 KENNERLY RD STE 137A
SAINT LOUIS, MO
ZIP 63128
Phone: (314) 842-7301
Get Directions

ST. LOUIS CANCER CARE, L.L.P. 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. ST. LOUIS CANCER CARE, L.L.P. NPI is 1932156726. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

10004 KENNERLY RD STE 137A
SAINT LOUIS, MO
ZIP 63128-140
Phone: (314) 842-7301
Fax: (314) 842-7308

The provider's authorized official is Carol J Riley .
The authorized official title is Practice Manager and has the following contact phone number (314) 965-6411.

The CLIA number assigned to this NPI record is 26D0943328 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/28/2006 and was last updated on 11/14/2017.


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 & Oncology2002002867MISSOURIYes
2207RH0003XInternal MedicineHematology & OncologyR6F58MISSOURINo
3207RH0003XInternal MedicineHematology & OncologyR7758MISSOURINo
4207RH0003XInternal MedicineHematology & Oncology103666MISSOURINo
5207RH0003XInternal MedicineHematology & OncologyR1C00MISSOURINo

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
1000011025MEDICARE ID-TYPE UNSPECIFIEDMISSOURI

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.