Active NPI
George V Andreoff, M.D.
- Internal Medicine Physician
- Bridgeton, MO
National Provider Identifier
1184772816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- R9C95
- Practice address
- 11903 Saint Charles Rock Rd
Bridgeton, MO 63044-2623 - Phone
- (314) 739-2900
- Fax
- (314) 770-1623
- NPI assigned
- Jan 8, 2007
- Last updated
- Jul 26, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | R9C95 | MO | Primary |
Addresses
Primary practice location
11903 Saint Charles Rock Rd
Bridgeton, MO 63044-2623
Mailing address
11903 Saint Charles Rock Rd
Bridgeton, MO 63044-2623
Phone (314) 739-2900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R9C95 | MO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Microvas Wellness Center | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1407904139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374796800000",
"number": "1184772816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11903 SAINT CHARLES ROCK RD",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "630442623",
"telephone_number": "314-739-2900",
"fax_number": "314-770-1623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11903 SAINT CHARLES ROCK RD",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "630442623",
"telephone_number": "314-739-2900",
"fax_number": "314-770-1623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREOFF",
"first_name": "GEORGE",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2013-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "R9C95",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeton, MO
- Amedisys Missouri, LLC (Amedisys Home Health of Missouri)
- Robert Francis Andel III, D.C
- Caitlin Anderson
- Megan Anderson, MSW
- Wenona Bertina Anderson, BA
- Randy Andrews, MD
- Christopher Louis Aquino, DPM
- Arch Dermatology Institute, LLC
- Ardaman S Nanda Inc (Midwest Cardiovascular Consultants Inc)
- Ardrenna White (A-One-N Home Services LLC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.