Organization Active NPI

Dutchtown Medical Arts LLC

Doing business as Timothy M. Mahood, M.D.

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1053574228
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DUTCHTOWN MEDICAL ARTS LLC
Doing business as
Timothy M. Mahood, M.D.
Practice address
3219 Meramec St
Saint Louis, MO 63118-4305
Phone
(314) 351-2716
Fax
(314) 351-1286
NPI assigned
Jul 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Timothy M Mahood, M.D.
Title
Member
Phone
(314) 351-2716

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3219 Meramec St
Saint Louis, MO 63118-4305

Mailing address

3219 Meramec St
Saint Louis, MO 63118-4305
Phone (314) 351-2716

Other names 1

  • Timothy M. Mahood, M.D. Doing business as

National Provider Directory

National Provider Directory

Locations

3219 Meramec St
Saint Louis, MO 63118
Phone (314) 351-2716

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1053574228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3219 MERAMEC ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631184305",
            "telephone_number": "314-351-2716",
            "fax_number": "314-351-1286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3219 MERAMEC ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631184305",
            "telephone_number": "314-351-2716",
            "fax_number": "314-351-1286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUTCHTOWN MEDICAL ARTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "MAHOOD",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "314-351-2716",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Timothy M. Mahood, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.