Active NPI
MBS Advantage Inc
- General Practice Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 000014833
- Legal business name
- MBS ADVANTAGE INC
- Practice address
- 11618 Gravois Rd
Saint Louis, MO 63126-3014 - Phone
- (314) 842-1900
- Fax
- (314) 842-9185
- NPI assigned
- Jul 12, 2005
- Last updated
- Mar 11, 2012
- 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
- Ms. Jean L Foster, MA/CCC-SLP, BRS-S
- Title
- President
- Phone
- (314) 842-1900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 207927 | IL | |
| General Practice Physician | 208D00000X | 000014833 | MO | Primary |
| Speech-Language Pathologist | 235Z00000X | 102623 | MO | |
| Speech-Language Pathologist | 235Z00000X | 146004057 | IL |
Addresses
Primary practice location
11618 Gravois Rd
Saint Louis, MO 63126-3014
Mailing address
11618 Gravois Rd
Saint Louis, MO 63126-3014
Phone (314) 842-1900
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500893409 | Medicaid | MO | |
| 121947 | Other | BCBS | |
| 271325663 | Medicaid | IL |
National Provider Directory
National Provider DirectoryLocations
4618 N Illinois St
Fairview Heights, IL 62208
Phone (314) 510-3308
215 W Pennsylvania St
Staunton, IL 62088
Phone (618) 635-5577
100 Rosewood Village Dr
Swansea, IL 62226
Phone (618) 236-1391
11600 Concord Village Ave
Saint Louis, MO 63128
Phone (314) 842-1900
11600 Concord Village Ave
Ste 4
Saint Louis, MO 63128
Phone (314) 842-1900
11618 Gravois Rd
Saint Louis, MO 63126
Phone (314) 239-9740
Practitioners & affiliated clinicians
Practitioners 16
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Speech-Language Pathologist
- Saint Louis, MO
- NPI 1972541233
-
- Pulmonary Disease Physician
- Chesterfield, MO
- NPI 1619960655
-
- Emergency Medicine Physician
- Belton, MO
- NPI 1942282710
-
- Family Medicine Physician
- Arnold, MO
- NPI 1457987166
-
- Emergency Medicine Physician
- Lee's Summit, MO
- NPI 1720066624
-
- Anesthesiology Physician
- Kansas City, MO
- NPI 1992124937
-
- Family Nurse Practitioner
- Lee's Summit, MO
- NPI 1770128688
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1316467376
-
- Acute Care Nurse Practitioner
- Overland Park, KS
- NPI 1144817529
-
- Family Medicine Physician
- Springfield, MO
- NPI 1528007416
-
- Pediatrics Physician
- Saint Louis, MO
- NPI 1316033525
-
- Physical Therapist
- Mitchell, SD
- NPI 1972752459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331424000000",
"number": "1083612253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11618 GRAVOIS RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631263014",
"telephone_number": "314-842-1900",
"fax_number": "314-842-9185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11618 GRAVOIS RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631263014",
"telephone_number": "314-842-1900",
"fax_number": "314-842-9185"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MBS ADVANTAGE INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-12",
"last_updated": "2012-03-11",
"status": "A",
"authorized_official_last_name": "FOSTER",
"authorized_official_first_name": "JEAN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "314-842-1900",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MA/CCC-SLP, BRS-S"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "IL",
"license": "207927",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "MO",
"license": "000014833",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "102623",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146004057",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500893409",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "121947",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "271325663",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
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 Mar 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.