Individual provider Active NPI

Pamela Latarsha Buchanan, M.D.

  • Family Medicine Physician
  • Saint Charles, MO
National Provider Identifier
1164633111
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2005021689 Issued in MO
Practice address
1820 Zumbehl Rd
Suite 130-a
Saint Charles, MO 63303-2761
Phone
(636) 947-2334
Fax
(636) 940-5459
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036.154328 IL
Emergency Medicine Physician 207P00000X 2008022566 MO
Family Medicine Physician 207Q00000X 2005021689 MO Primary
Family Medicine Physician 207Q00000X 2008022566 MO

Addresses

Primary practice location

1820 Zumbehl Rd
Suite 130-a
Saint Charles, MO 63303-2761

Mailing address

1820 Zumbehl Rd
Suite 130-a
Saint Charles, MO 63303-2761
Phone (636) 947-2334

Other practice location 1

270 Bellevue Ave # 1084
Newport, RI 02840-3516
Phone (720) 689-5269

Other names 1

  • Pamela Latarsha Blue Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL, NM, CA, MT, WI, UT, CO8 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
I20080927000029 MO Practitioner - Family Practice 8325115736 Reassigns benefits to 12 organizations
I20230605000047 IL Practitioner - Family PracticePractitioner - Emergency Medicine 8325115736 Reassigns benefits to 3 organizations
I20230824000737 NM Practitioner - Family Practice 8325115736 Reassigns benefits to 1 organization
I20230905003275 CA Practitioner - Family PracticePractitioner - Emergency Medicine 8325115736 Reassigns benefits to 1 organization
I20230906001888 MT Practitioner - Family PracticePractitioner - Emergency Medicine 8325115736 Reassigns benefits to 1 organization
I20230927004141 WI Practitioner - Family Practice 8325115736 Reassigns benefits to 1 organization
I20231017003907 UT Practitioner - Family Practice 8325115736 Reassigns benefits to 1 organization
I20240104001927 CO Practitioner - Family Practice 8325115736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America LLCGroup PAC ID 6608056171, 995 clinicians

Practice addresses (Care Compare)

500 Medical Dr
Wentzville, MO 63385-3421
Phone (636) 327-1000

Hospital & facility affiliations

  • Ste Genevieve County Memorial Hospital Hospital, Sainte Genevieve, MO, CCN 261330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2008022566MOMDEmergency Medicine Physician
036.154328ILMDFamily Medicine Physician
2005021689MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ste Genevieve County Memorial Hospital CurrentSince Mar 6, 2024 Accepting new patients
Mercy St. Francis Hospital CurrentSince Sep 18, 2023 Accepting new patients
Fast Track Medical LLC CurrentSince Feb 23, 2017 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Mar 1, 2020 Accepting new patients
Ste. Genevieve County Memorial Hospital CurrentSince Mar 6, 2024 Accepting new patients
Signify Health Medical Associates of Colorado, PLLC. CurrentSince Dec 1, 2023 Accepting new patients
Mercy Clinic East Communities Family Medicine CurrentSince Jan 23, 2013 Accepting new patients
Analytical Pathology Services LTD Current Accepting new patients
Virtualcare Medical Group PA Family Medicine CurrentSince May 1, 2022 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Mar 1, 2020 Accepting new patients
Mercy East Ambulatory Services LLC CurrentSince Nov 27, 2016 Accepting new patients
Cep America, LLC Emergency Medicine Current Accepting new patients
Fast Track Medical LLC CurrentSince Feb 23, 2017 Accepting new patients
Mercy St. Francis Hospital CurrentSince Sep 18, 2023 Accepting new patients
Ste Genevieve County Memorial Hospital Current Accepting new patients
Complexcare Medical Group Midwest H PLLC CurrentSince Jul 14, 2025 Accepting new patients
Theoria Medical CurrentSince Sep 9, 2024 Accepting new patients
Southeastern Emergency Physicians of Memphis LLC Emergency Medicine CurrentSince Mar 10, 2019 Accepting new patients
Fast Track Urgent Care LLC Current Accepting new patients
Signify Health Medical Associates of California, PC CurrentSince Aug 22, 2023 Accepting new patients
Mercy Hospital South Emergency Medicine Past Accepting new patients
Butte Inpatient Services Past Accepting new patients
DRH Medical Group Past Accepting new patients
Hillsboro Rehabilitation and Health Care Center, LLC PastSince May 1, 2025 Accepting new patients
Physician Specialists of St Lukes LLC Emergency Medicine Past Accepting new patients

Locations (25 of 28)

818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

505 Montgomery St
Fl 10
San Francisco, CA 94111
Phone (503) 427-8095

7900 E Union Ave
Ste 1100
Denver, CO 80237
Phone (469) 466-7420

751 N Oak St
Carlinville, IL 62626
Phone (217) 854-2511

471 W Terra Cotta Ave
Crystal Lake, IL 60014
Phone (815) 455-0550

1300 E Tremont St
Hillsboro, IL 62049
Phone (215) 532-6191

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

7245 Raider Rd
Bonne Terre, MO 63628
Phone (573) 358-1400

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

1203 Smizer Mill Rd
Ste 100
Fenton, MO 63026
Phone (314) 230-1500

2686 N Highway 67
Florissant, MO 63033
Phone (314) 436-9300

9191 N Ambassador Dr
Kansas City, MO 64154
Phone (816) 491-6190

409 Lafayette Ctr
Manchester, MO 63011
Phone (636) 707-0764

100 W US Highway 60
Mountain View, MO 65548
Phone (417) 934-7000

300 Winding Woods Dr
Ste 100
O Fallon, MO 63366
Phone (636) 240-0130

1820 Zumbehl Rd
Ste 130A
Saint Charles, MO 63303
Phone (636) 947-2334

2150 W Randolph St
Saint Charles, MO 63301
Phone (636) 946-4966

621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328

621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335

800 Ste Genevieve Dr
Ste Genevieve, MO 63670
Phone (573) 883-2571

232 S Woods Mill Rd
Town and Country, MO 63017
Phone (314) 205-6030

Interoperability endpoints

  • Direct secure messaging: pbuchanan621095@direct.carenet.org
  • Direct secure messaging: pamela.buchanan.1@30520.direct.athenahealth.com
  • Direct secure messaging: pbuchanan1968@directc.mercy.net
  • Direct secure messaging: ms_pbuchan4@landmarkhealth-direct.org

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hillsboro Rehab & HCCHillsboro, IL, CCN 145500 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
May 1, 2025
May 1, 2025
Carlinville Rehab & HCCCarlinville, IL, CCN 145454 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
May 1, 2025
May 1, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 45

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 45

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1164633111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 ZUMBEHL RD",
            "address_2": "SUITE 130-A",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633032761",
            "telephone_number": "636-947-2334",
            "fax_number": "636-940-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 ZUMBEHL RD",
            "address_2": "SUITE 130-A",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633032761",
            "telephone_number": "636-947-2334",
            "fax_number": "636-940-5459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "270 Bellevue Ave # 1084",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "RI",
            "postal_code": "028403516",
            "country_code": "US",
            "telephone_number": "720-689-5269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "PAMELA",
        "middle_name": "LATARSHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.154328",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2008022566",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2005021689",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2008022566",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "BLUE",
            "middle_name": "LATARSHA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Charles, MO

Sources for this page

Verify at the official NPI Registry.