Westglen Family Physicians, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

WESTGLEN FAMILY PHYSICIANS, LLC

Practice address

225 Clarkson Rd
Ellisville, MO 63011-2278

Phone

(636) 685-7715

Fax

(314) 590-5916

NPI assigned

Jan 24, 2007

Organization subpart

Yes

Parent organization

ST. LUKES MEDICAL GROUPAs reported in NPPES

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

Authorized official

Name

Rick Sonne

Title

Director

Phone

(314) 576-2490

Specialties & licenses 1

Addresses

Part of

St Lukes Medical Group

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• St. Lukes Medical Group

  • Family Medicine Physician
  • Chesterfield, MO
  • NPI 1215308945
  NPPES parent name

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1235284597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 CLARKSON RD",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630112278",
            "telephone_number": "636-230-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CLARKSON RD",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630112278",
            "telephone_number": "636-685-7715",
            "fax_number": "314-590-5916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "653 Big Bend Rd",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "MO",
            "postal_code": "630217723",
            "country_code": "US",
            "telephone_number": "636-685-7770",
            "fax_number": "314-590-5916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WESTGLEN FAMILY PHYSICIANS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. LUKES MEDICAL GROUP",
        "enumeration_date": "2007-01-24",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "SONNE",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-576-2490"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Ellisville, MO
• Providers in Ellisville, MO by specialty
• Primary Care Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.