Active NPI
Qor Medical Group LLC
- Family Medicine Physician
- Saint Louis, MO
National Provider Identifier
1104554484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- QOR MEDICAL GROUP LLC
- Practice address
- 6 Cardinal Way Ste 900
Saint Louis, MO 63102-2807 - Phone
- (314) 499-9331
- NPI assigned
- Aug 12, 2022
- 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
- Erica Evans, NP-C
- Title
- Owner
- Phone
- (314) 499-9331
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
6 Cardinal Way Ste 900
Saint Louis, MO 63102-2807
Mailing address
6 Cardinal Way Ste 900
Saint Louis, MO 63102-2807
Phone (314) 499-9331
Other names 1
- Qor Health & Wellness
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Saint Louis, MO
- NPI 1902577042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660262400000",
"number": "1104554484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 CARDINAL WAY STE 900",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631022807",
"telephone_number": "314-499-9331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 CARDINAL WAY STE 900",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631022807",
"telephone_number": "314-499-9331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QOR MEDICAL GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-12",
"last_updated": "2022-08-12",
"certification_date": "2022-08-12",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "ERICA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "314-499-9331",
"authorized_official_credential": "NP-C"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Qor Health & Wellness",
"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 Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.