Active NPI
Joseph M Duvall MD LLC
- Dermatology Physician
- Saint Louis, MO
National Provider Identifier
1053414227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- R6127
- Legal business name
- JOSEPH M DUVALL MD LLC
- Practice address
- 621 S New Ballas Rd
5002B
St Louis, MO 63141 - Phone
- (314) 432-3033
- Fax
- (314) 995-9985
- NPI assigned
- Sep 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph M Duvall, MD
- Title
- MD
- Phone
- (314) 432-5112
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | R6127 | MO | Primary |
Addresses
Primary practice location
621 S New Ballas Rd
5002B
St Louis, MO 63141
Mailing address
621 S New Ballas Rd
5002B
St Louis, MO 63141
Phone (314) 432-3033
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000013588 | Other | MO | MEDICARE ID- TYPE UNSPECI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196294400000",
"number": "1053414227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 S NEW BALLAS RD",
"address_2": "5002B",
"city": "ST LOUIS",
"state": "MO",
"postal_code": "63141",
"telephone_number": "314-432-3033",
"fax_number": "314-995-9985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 S NEW BALLAS RD",
"address_2": "5002B",
"city": "ST LOUIS",
"state": "MO",
"postal_code": "63141",
"telephone_number": "314-432-3033",
"fax_number": "314-995-9985"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSEPH M DUVALL MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-06",
"last_updated": "2007-11-29",
"status": "A",
"authorized_official_last_name": "DUVALL",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "314-432-5112",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": "MO",
"license": "R6127",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID- TYPE UNSPECI",
"identifier": "000013588",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
- Rebecca S Jose, MSW
- Joseph and Nina Zeigler, D.M.D.S, P.C.
- Joseph F. Unger, Jr., D.C., a Professional Corporation (Atrium Health Services)
- Joseph G Herrmann MD LLC
- Joseph Hughey DDS, PC
- Joseph M Seria MD LLC
- Joseph P Wood MD, LLC
- Joseph P. Cutrona, D.M.D., LLC
- Joseph S Grimaud DDS PC
- Amy M Joseph, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.