NPIMap

Organization Active NPI

Comprehensive Epilepsy Care Center for Children and Adults, P.C.

  • Specialist
  • Saint Louis, MO
National Provider Identifier
1093886749
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
R9G50 Issued in MO
Legal business name
COMPREHENSIVE EPILEPSY CARE CENTER FOR CHILDREN AND ADULTS, P.C.
Practice address
3009 North Ballas Road
Suite 129a
St. Louis, MO 63131-2381
Phone
(314) 453-9300
Fax
(314) 453-0163
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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

Authorized official

Name
Dr. William E Rosenfeld, M.D.
Title
Director
Phone
(314) 453-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X R9G50 MO Primary

Addresses

Primary practice location

3009 North Ballas Road
Suite 129a
St. Louis, MO 63131-2381

Mailing address

3009 N Ballas Rd
Suite 129 a
Saint Louis, MO 63131-2322
Phone (314) 453-9300

Other identifiers 1

IdentifierTypeStateIssuer
507640605MedicaidMO

National Provider Directory

National Provider Directory

Locations

222 S Woods Mill Rd
Ste 610N
Chesterfield, MO 63017
Phone (314) 453-9300

222 S Woods Mill Rd
Ste 610
Chesterfield, MO 63017
Phone (314) 453-9300

Practitioners & affiliated clinicians

Practitioners 2

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": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1093886749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 N BALLAS RD",
            "address_2": "SUITE 129 A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312322",
            "telephone_number": "314-453-9300",
            "fax_number": "314-453-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 NORTH BALLAS ROAD",
            "address_2": "SUITE 129A",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631312381",
            "telephone_number": "314-453-9300",
            "fax_number": "314-453-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE EPILEPSY CARE CENTER FOR CHILDREN AND ADULTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "ROSENFELD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-453-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MO",
            "license": "R9G50",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507640605",
            "state": "MO"
        }
    ],
    "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 Jan 28, 2015; 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.