Organization Active NPI

Charles H Tadros, MD, LLC

  • Internal Medicine Physician
  • Kirkwood, MO
National Provider Identifier
1013257021
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CHARLES H TADROS, MD, LLC
Practice address
461 S Kirkwood Rd
Kirkwood, MO 63122-6119
Phone
(314) 965-1513
Fax
(314) 965-1063
NPI assigned
Feb 28, 2013
Organization subpart
Yes
Parent organization
ST. LUKE'S MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Authorized official

Name
Mr. Rick Sonne
Title
Executive Director
Phone
(314) 576-2490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

461 S Kirkwood Rd
Kirkwood, MO 63122-6119

Mailing address

121 Saint Lukes Center Dr
Attn Rick Sonne
Chesterfield, MO 63017-3509
Phone (314) 576-2490

National Provider Directory

National Provider Directory
Part of
St Lukes Medical Group

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

461 S Kirkwood Rd
Saint Louis, MO 63122
Phone (314) 434-3278

NPI Registry JSON

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1013257021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 SAINT LUKES CENTER DR",
            "address_2": "ATTN RICK SONNE",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173509",
            "telephone_number": "314-576-2490",
            "fax_number": "314-576-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 S KIRKWOOD RD",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631226119",
            "telephone_number": "314-965-1513",
            "fax_number": "314-965-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES H TADROS, MD, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. LUKE'S MEDICAL GROUP",
        "enumeration_date": "2013-02-28",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "SONNE",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-576-2490",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.