Active NPI
Southland Hospitalists PC
- Hospitalist Physician
- Chesterfield, MO
National Provider Identifier
1235144700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Hospitalist Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DF4004 | Other | RAILROAD MEDICARE | |
| 65946055 | Medicaid | KY |
National Provider Directory
National Provider DirectoryNPI 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.