Family Physicians Care, South County, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R1H07 Issued in MO

Legal business name

FAMILY PHYSICIANS CARE, SOUTH COUNTY, LLC

Practice address

414 Spring Ave
Saint Louis, MO 63119-2635

Phone

(314) 558-4111

Fax

(314) 558-4111

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mary E Fox, MD

Title

Member and Owner

Phone

(314) 558-4111

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360022400000",
    "number": "1033273701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 SPRING AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631192635",
            "telephone_number": "314-558-4111",
            "fax_number": "314-558-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 SPRING AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631192635",
            "telephone_number": "314-558-4111",
            "fax_number": "314-558-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHYSICIANS CARE, SOUTH COUNTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2013-02-05",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEMBER AND OWNER",
        "authorized_official_telephone_number": "314-558-4111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R1H07",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Feb 5, 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.