Organization Active NPI

Chesterfield Valley Gastroenterology LLC

  • Clinic/Center
  • Chesterfield, MO
National Provider Identifier
1104119916
Registry record updated Aug 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CHESTERFIELD VALLEY GASTROENTEROLOGY LLC
Practice address
100 Chesterfield Business Pkwy Ste 110
Chesterfield, MO 63005-1271
Phone
(636) 532-0990
Fax
(636) 532-0993
NPI assigned
May 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2011

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

Authorized official

Name
Dr. Helen Kim-James, MD
Title
Physician/Owner
Phone
(636) 532-0990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

100 Chesterfield Business Pkwy Ste 110
Chesterfield, MO 63005-1271

Mailing address

100 Chesterfield Business Pkwy Ste 110
Chesterfield, MO 63005-1271
Phone (636) 532-0990

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312934400000",
    "number": "1104119916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CHESTERFIELD BUSINESS PKWY STE 110",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051271",
            "telephone_number": "636-532-0990",
            "fax_number": "636-532-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CHESTERFIELD BUSINESS PKWY STE 110",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051271",
            "telephone_number": "636-532-0990",
            "fax_number": "636-532-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTERFIELD VALLEY GASTROENTEROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-26",
        "last_updated": "2011-08-10",
        "status": "A",
        "authorized_official_last_name": "KIM-JAMES",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "636-532-0990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; 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.