Organization Active NPI

Metropolitan Urological Specialists

  • Physician Assistant
  • Saint Louis, MO
National Provider Identifier
1013093780
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
METROPOLITAN UROLOGICAL SPECIALISTS
Practice address
11710 Administration Dr
Suite # 22
Saint Louis, MO 63146-3407
Phone
(314) 645-6454
NPI assigned
Oct 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Luis Anglo, MD
Title
President
Phone
(314) 645-6454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X Primary

Addresses

Primary practice location

11710 Administration Dr
Suite # 22
Saint Louis, MO 63146-3407

Mailing address

630 Emerson Rd
Loft 404
Creve Coeur, MO 63141-6745
Phone (314) 995-9782

National Provider Directory

National Provider Directory

Locations

11710 Administration Dr
Ste 22
Saint Louis, MO 63146

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013093780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 EMERSON RD",
            "address_2": "LOFT 404",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416745",
            "telephone_number": "314-995-9782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11710 ADMINISTRATION DR",
            "address_2": "SUITE # 22",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463407",
            "telephone_number": "314-645-6454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN UROLOGICAL SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANGLO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-645-6454",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.