Forest Park Critical Care LLC
Organization Active NPI Critical Care Medicine (Internal Medicine) Physician · Saint Louis, MO
NPI 1073748828 · NPPES record last updated Jul 31, 2009
Key facts
- NPI
- 1073748828
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician 207RC0200X
- Legal business name
- FOREST PARK CRITICAL CARE LLC
- Practice address
- 6150 Oakland Ave
Saint Louis, MO 63139-3215 - Phone
- (314) 209-9331
- Fax
- (314) 447-0155
- NPI assigned
- May 22, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Tshiswaka Kayembe, M.D.
- Title
- President
- Phone
- (314) 209-9331
Practitioners 4
-
Mohammad F Ghani, MD
-
Walter David Kistler Jr., M.D.
-
Tillet J Mills, MD
-
Abbas Ali, M.D
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician |
207RC0200X | Yes |
Addresses
Primary practice location
6150 Oakland Ave
Saint Louis, MO 63139-3215
Mailing address
PO Box 240311
Ballwin, MO 63024-0311
Phone (314) 209-9331
Other providers in Saint Louis, MO
- Forefront Dermatology, S.C.
- Forefront Dermatology, S.C.
- Alyxandria Janae Foreman
- Forest Manor Health Care Center LLC
- Forest Park Anesthesia, Inc
- Forest Park Emergency Physicians LLC
- Forest Park Hospital Corp #1
- Forest Park Hospital Corp #1
- Forest Park Hospital Corporation
- Forest Park Hospital Corporation
All providers in Saint Louis, MO · Critical Care Medicine (Internal Medicine) Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.