Organization Active NPI

Primary Care Physicians, PC

  • Family Medicine Physician
  • Wentzville, MO
National Provider Identifier
1164432175
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PRIMARY CARE PHYSICIANS, PC
Practice address
1603 Wentzville Pkwy
Suite 121
Wentzville, MO 63385-3438
Phone
(636) 327-6556
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
James Cuellar, MDNPI 1912917998
Title
Practice Owner
Phone
(636) 327-6556

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MO Primary

Addresses

Primary practice location

1603 Wentzville Pkwy
Suite 121
Wentzville, MO 63385-3438

Mailing address

1603 Wentzville Pkwy
Suite 121
Wentzville, MO 63385-3438
Phone (314) 432-2580

National Provider Directory

National Provider Directory

Locations

1603 Wentzville Pkwy
Ste 121
Wentzville, MO 63385
Phone (636) 327-6556

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": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164432175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 WENTZVILLE PKWY",
            "address_2": "SUITE 121",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853438",
            "telephone_number": "314-432-2580",
            "fax_number": "314-432-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 WENTZVILLE PKWY",
            "address_2": "SUITE 121",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853438",
            "telephone_number": "636-327-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE PHYSICIANS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CUELLAR",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "636-327-6556",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wentzville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.