Active NPI
Nephrology Associates of St. Louis
- Nephrology Physician
- Saint Louis, MO
National Provider Identifier
1003145335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- NEPHROLOGY ASSOCIATES OF ST. LOUIS
- Practice address
- 12855 N Forty Drive
Suite 205
Saint Louis, MO 63141-8657 - Phone
- (314) 720-0900
- NPI assigned
- Dec 16, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tricia Pavlopoulos, MD
- Title
- President
- Phone
- (314) 720-0900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
12855 N Forty Drive
Suite 205
Saint Louis, MO 63141-8657
Mailing address
12855 N Forty Drive
Suite 205
Saint Louis, MO 63141-8657
Phone (314) 720-0900
Other names 1
- Nephrology Associates of St. Louis
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Creve Coeur, MO
- NPI 1568433902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264377600000",
"number": "1003145335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12855 N FORTY DRIVE",
"address_2": "SUITE 205",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418657",
"telephone_number": "314-720-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12855 N FORTY DRIVE",
"address_2": "SUITE 205",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418657",
"telephone_number": "314-720-0900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEPHROLOGY ASSOCIATES OF ST. LOUIS",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-16",
"last_updated": "2010-01-25",
"status": "A",
"authorized_official_last_name": "PAVLOPOULOS",
"authorized_official_first_name": "TRICIA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "314-720-0900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Nephrology Associates of St. Louis",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.