St Clair Allergy-Asthma

Primary specialty

SpecialistTaxonomy code 174400000X

License

R3G15 Issued in MO

Legal business name

ST CLAIR ALLERGY-ASTHMA

Practice address

1020 St. Clair Plaza
St. Clair, MO 63077

Phone

(636) 629-6030

Fax

(636) 629-6030

NPI assigned

Dec 18, 2009

Last updated

Jul 25, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John D. Marcum, M.D.NPI 1720113053

Title

President

Phone

(636) 629-6030

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• John D Marcum, MD

  • Allergy & Immunology Physician
  • Saint Clair, MO
  • NPI 1720113053
  Authorized official Same address or phone

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

{
    "created_epoch": "1261094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406246400000",
    "number": "1225367337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13025 PAGADA PKWY",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271931",
            "telephone_number": "636-629-6030",
            "fax_number": "636-629-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 ST. CLAIR PLAZA",
            "city": "ST. CLAIR",
            "state": "MO",
            "postal_code": "63077",
            "telephone_number": "636-629-6030",
            "fax_number": "636-629-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CLAIR ALLERGY-ASTHMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-18",
        "last_updated": "2014-07-25",
        "status": "A",
        "authorized_official_last_name": "MARCUM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-629-6030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MO",
            "license": "R3G15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Kay Robbins, MOTR/L
• Patrick J Rose, M.D.
• Natalie Schroeder, M.A. CCC-SLP
• Amanda Slater, COTA/L
• Patrick Raymond Smith, M.D.
• St Clair Family Dentistry
• St Clair Nursing LLC (St Clair Nursing Center)
• St Clair Physical Therapy Inc
• St Clair Rexall Drug Store (St. Clair Health Mart Pharmacy)
• St. Clair Ambulance District

• Specialist in Saint Clair, MO
• Providers in Saint Clair, MO by specialty
• Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2014; 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.