Usrc Creve Coeur LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

USRC CREVE COEUR LLC

Practice address

1009 Executive Parkway Dr
Creve Coeur, MO 63141-6324

Phone

(314) 434-4770

NPI assigned

Sep 10, 2019

Organization subpart

Yes

Parent organization

U.S. RENAL CARE INC.As reported in NPPES

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

Authorized official

Name

Thomas L Weinberg

Title

Chairman

Phone

(214) 736-2730

Specialties & licenses 1

Addresses

Other names 1

• U.S. Renal Care Creve Coeur Dialysis Former legal business name

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Listed as

USRC Creve Coeur DialysisCCN 262508

Overall star rating

4.0 of 5

Ownership

Profit

Certified

Jul 24, 1981

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

28

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

US Renal Care Inc

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Robyn Hayley Jacobs, MD

  • Nephrology Physician
  • St Louis, MO
  • NPI 1730288317

  Dialysis facility

  Care Compare affiliation Name & address match
• Anibal Goncalves Melo, MD

  • Nephrology Physician
  • Chesterfield, MO
  • NPI 1861563421

  Dialysis facility

  Care Compare affiliation Name & address match
• Thomas R Pohlman, M.D.

  • Nephrology Physician
  • Chesterfield, MO
  • NPI 1760597629

  Dialysis facility

  Care Compare affiliation Name & address match
• Brian Richard Ringhofer, M.D.

  • Nephrology Physician
  • Saint Louis, MO
  • NPI 1538380076

  Dialysis facility

  Care Compare affiliation Name & address match
• Sadaf Sheikh, M.D.

  • Nephrology Physician
  • Chesterfield, MO
  • NPI 1104239888

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568073600000",
    "number": "1144879362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251549",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750251500",
            "telephone_number": "214-736-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 EXECUTIVE PARKWAY DR",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416324",
            "telephone_number": "314-434-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC CREVE COEUR LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE INC.",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-09-10",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "214-736-2730"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U.S. Renal Care Creve Coeur Dialysis",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Truebridge Services, LLC
• Ubc Pharmacy LLC
• Robin Lynn Ude, L.P.C., L.C.S.W.
• Ultrasound First LLC
• United Surgical Center, LLC
• Valerie T Taca MD LLC
• Van Luven McKnight Psychological Associates
• Jared Eugene Vananne, D.C.
• Monica Gorman Varner, COTA
• Lillian Grace Varney

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.