Individual provider Active NPI

Richard Edward Gestring, M.D.

  • Psychiatry Physician
  • Saint Louis, MO
National Provider Identifier
1043530728
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2014004825 Issued in MO
Practice address
6220 S Lindbergh Blvd
Suite 203
Saint Louis, MO 63123-7839
Phone
(314) 200-6997
NPI assigned
Jun 4, 2010
Last updated
Jul 22, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2014004825 MO Primary
Psychiatry Physician 2084P0800X 036134624 IL

Addresses

Primary practice location

6220 S Lindbergh Blvd
Suite 203
Saint Louis, MO 63123-7839

Mailing address

6220 S Lindbergh Blvd
Suite 203
Saint Louis, MO 63123-7839
Phone (314) 200-6997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140730002659 MO Practitioner - Psychiatry 8921224767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036134624ILMDPsychiatry Physician
2014004825MOMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1043530728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 S LINDBERGH BLVD",
            "address_2": "SUITE 203",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631237839",
            "telephone_number": "314-200-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6220 S LINDBERGH BLVD",
            "address_2": "SUITE 203",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631237839",
            "telephone_number": "314-200-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GESTRING",
        "first_name": "RICHARD",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-04",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2014004825",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036134624",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.