Organization Active NPI

Southland Hospitalists PC

  • Hospitalist Physician
  • Chesterfield, MO
National Provider Identifier
1235144700
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
SOUTHLAND HOSPITALISTS PC
Practice address
1 McBride and Son Center Dr
Suite 150
Chesterfield, MO 63005-1425
Phone
(636) 530-0800
Fax
(636) 519-4081
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Authorized official

Name
Christopher Kang, MD
Title
Medical Director
Phone
(636) 530-0800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X
Hospitalist PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208M00000X Primary

Addresses

Primary practice location

1 McBride and Son Center Dr
Suite 150
Chesterfield, MO 63005-1425

Mailing address

1 McBride and Son Center Dr
Suite 150
Chesterfield, MO 63005-1425
Phone (636) 530-0800

Other identifiers 2

IdentifierTypeStateIssuer
DF4004OtherRAILROAD MEDICARE
65946055MedicaidKY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266796800000",
    "number": "1235144700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MCBRIDE AND SON CENTER DR",
            "address_2": "SUITE 150",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051425",
            "telephone_number": "636-530-0800",
            "fax_number": "636-519-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MCBRIDE AND SON CENTER DR",
            "address_2": "SUITE 150",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051425",
            "telephone_number": "636-530-0800",
            "fax_number": "636-519-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLAND HOSPITALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2010-02-22",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "636-530-0800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF4004",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65946055",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.