NPIMap

Organization Active NPI

Sanjay a. Patwardhan, MD, PC

Doing business as Premier Hospitalists

  • Internal Medicine Physician
  • Manchester, MO
National Provider Identifier
1194783068
Registry record updated Nov 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
107804 Issued in MO
Legal business name
SANJAY A. PATWARDHAN, MD, PC
Doing business as
Premier Hospitalists
Practice address
13610 Barrett Office Dr
Suite 110
Manchester, MO 63021-7816
Phone
(314) 909-4700
Fax
(314) 909-4712
NPI assigned
May 2, 2006
Last updated
Nov 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2008

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

Authorized official

Name
Dr. Sanjay A Patwardhan, MDNPI 1073583803
Title
President
Phone
(314) 909-4700

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
Internal Medicine Physician 207R00000X 107804 MO Primary

Addresses

Primary practice location

13610 Barrett Office Dr
Suite 110
Manchester, MO 63021-7816

Mailing address

PO Box 952037
Saint Louis, MO 63195-2037
Phone (636) 566-8155

Other identifiers 1

IdentifierTypeStateIssuer
508330206MedicaidMO

Other names 1

  • PREMIER HOSPITALISTS Doing business as

National Provider Directory

National Provider Directory

Locations

13610 Barrett Office Dr
Ste 110
Manchester, MO 63021
Phone (314) 909-4700

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1194783068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 952037",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631952037",
            "telephone_number": "636-566-8155",
            "fax_number": "636-566-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13610 BARRETT OFFICE DR",
            "address_2": "SUITE 110",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630217816",
            "telephone_number": "314-909-4700",
            "fax_number": "314-909-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANJAY A. PATWARDHAN, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "PATWARDHAN",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-909-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "107804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "508330206",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PREMIER HOSPITALISTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manchester, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; 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.