William R Reilly Inc

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

R2F41 Issued in MO

Legal business name

WILLIAM R REILLY INC

Doing business as

St. Louis Cardiovascular Center

Practice address

450 N. New Ballas Rd
Ste 170W
St. Louis, MO 63141-6835

Phone

(618) 939-4200

Fax

(618) 939-4256

NPI assigned

Sep 16, 2006

Organization subpart

No

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

Authorized official

Name

William R Reilly, MD

Title

Owner

Phone

(618) 939-4200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• St. Louis Cardiovascular Center Doing business as

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329696000000",
    "number": "1225134117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78399",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631788399",
            "telephone_number": "618-939-4200",
            "fax_number": "618-939-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N. NEW BALLAS RD",
            "address_2": "STE 170W",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631416835",
            "telephone_number": "618-939-4200",
            "fax_number": "618-939-4256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM R REILLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2012-02-20",
        "status": "A",
        "authorized_official_last_name": "REILLY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-939-4200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MO",
            "license": "R2F41",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20248037",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Louis Cardiovascular Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Interventional Cardiology Physician in St. Louis, MO
• Providers in St. Louis, MO by specialty
• Interventional Cardiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; 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.