Generations Family Medicine PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2000154561 Issued in MO

Legal business name

GENERATIONS FAMILY MEDICINE PC

Practice address

1035 Bellevue Ave
Suite 206
St Louis, MO 63117-1846

Phone

(314) 781-4922

Fax

(314) 645-0158

NPI assigned

Jul 4, 2006

Last updated

Dec 13, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrea A Baxter, M.D.

Title

President

Phone

(314) 781-4922

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John D Radke, MD

  • Cardiovascular Disease Physician
  • Saint Louis, MO
  • NPI 1013962133
  NPD (past)
• Celso Ferreira Rodrigues, M.D.

  • Internal Medicine Physician
  • Imperial, MO
  • NPI 1861403628
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1023048907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 BELLEVUE AVE",
            "address_2": "SUITE 206",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631171846",
            "telephone_number": "314-781-4922",
            "fax_number": "314-645-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 BELLEVUE AVE",
            "address_2": "SUITE 206",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631171846",
            "telephone_number": "314-781-4922",
            "fax_number": "314-645-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONS FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "BAXTER",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-781-4922",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2000154561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• General Leonard Wood Army Community Hospital (USA Occup HLTH Clin-Goodfellow)
• General Surgery of St Louis PC
• Generation Clinical Partners Aco, LLC (Generation Clinical Partners ACO)
• Generation Clinical Partners LLC
• Generational Foundations LLC
• Genesis Adult Care, LLC
• Genesis Adult Care, LLC
• Genesis CDS, L.L.C
• Genesis Christian Counseling, LLC
• Genesis Enterprises Inc (Genesis Pharmacy Services)

• Family Medicine Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.