Comprecare Medical, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

R7222 Issued in MO

Legal business name

COMPRECARE MEDICAL, LLC

Practice address

3440 De Paul LN
Suite 110
Bridgeton, MO 63044-3545

Phone

(314) 739-3990

Fax

(314) 739-3924

NPI assigned

Jul 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Paul Altsheler Jr., MD

Title

Physician/Owner

Phone

(314) 739-3990

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376352000000",
    "number": "1235394396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 DE PAUL LN",
            "address_2": "SUITE 110",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630443545",
            "telephone_number": "314-739-3990",
            "fax_number": "314-739-3924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 DE PAUL LN",
            "address_2": "SUITE 110",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630443545",
            "telephone_number": "314-739-3990",
            "fax_number": "314-739-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPRECARE MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-28",
        "last_updated": "2013-08-13",
        "status": "A",
        "authorized_official_last_name": "ALTSHELER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "314-739-3990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "R7222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP#",
            "identifier": "DB5898",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Bridgeton, MO
• Providers in Bridgeton, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; 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.