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Organization Active NPI

St Anthony's Physician Organization Private Practices LC

Doing business as St Anthony's Surgical Group

  • Surgery Physician
  • Saint Louis, MO
National Provider Identifier
1134316185
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
ST ANTHONY'S PHYSICIAN ORGANIZATION PRIVATE PRACTICES LC
Doing business as
St Anthony's Surgical Group
Practice address
10004 Kennerly Rd
Ste 268B
Saint Louis, MO 63128-2141
Phone
(314) 543-5290
Fax
(314) 543-5263
NPI assigned
Oct 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2010

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

Authorized official

Name
Dave Hinkle
Title
Eecutive Director
Phone
(314) 543-5903

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

10004 Kennerly Rd
Ste 268B
Saint Louis, MO 63128-2141

Mailing address

10004 Kennerly Rd
Ste 268B
Saint Louis, MO 63128-2141
Phone (314) 543-5290

Other names 1

  • St Anthony's Surgical Group Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1134316185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY RD",
            "address_2": "STE 268B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282141",
            "telephone_number": "314-543-5290",
            "fax_number": "314-543-5263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY RD",
            "address_2": "STE 268B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282141",
            "telephone_number": "314-543-5290",
            "fax_number": "314-543-5263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ANTHONY'S PHYSICIAN ORGANIZATION PRIVATE PRACTICES LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "HINKLE",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "EECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-543-5903"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Anthony's Surgical Group",
            "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 4, 2010; 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.