Mark H Gregory MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

100578 Issued in MO

Legal business name

MARK H GREGORY MD PC

Practice address

555 N New Ballas Rd
Suite 101
Saint Louis, MO 63141-6825

Phone

(314) 872-8470

Fax

(314) 872-8471

NPI assigned

Sep 17, 2015

Organization subpart

No

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

Authorized official

Name

Mark Gregory, MDNPI 1104843663

Title

Owner

Phone

(314) 872-8470

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 2

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

• Mark H Gregory, MD

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1104843663
  Medicare reassignment NPD Authorized official
• Amy Susan Beck, DO

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1699898312
  NPD

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1033588256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 445",
            "city": "SULLIVAN",
            "state": "MO",
            "postal_code": "630800445",
            "telephone_number": "573-468-6501",
            "fax_number": "573-468-6502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N NEW BALLAS RD",
            "address_2": "SUITE 101",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416825",
            "telephone_number": "314-872-8470",
            "fax_number": "314-872-8471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK H GREGORY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-872-8470",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "100578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark a.Scheperle, Inc.
• Mark and Julie Mann LLC
• Mark D. Meyers DDS, PC
• Mark F Heiland, PHD, Licensed Psychologist, LLC
• Mark F. Hesker, D.D.S., P.C.
• Tanya M Mark, LPC
• Michael Daniel Markee, PT, ATC
• Robert I Markenson, M.D.
• Katherine Faye Kadlec Markes
• Regina Shontell Market, LPN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.