Valuecare Geriatrics 1 PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

VALUECARE GERIATRICS 1 PC

Practice address

623 Hamacher St
Waterloo, IL 62298-1786

Phone

(314) 925-0903

NPI assigned

Sep 8, 2026

Last updated

Sep 8, 2026By 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

Walter LinNPI 1952481913

Title

Chief Executive Officer

Phone

(314) 925-0903

Specialties & licenses 2

Addresses

Tax ID family

Valuecare Geriatrics 1 PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Valuecare Geriatrics 1 PC

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1891613691
  NPD tax ID

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.

• Walter Lin, MD, MBA

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1952481913
  NPD (past) Authorized official

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

{
    "created_epoch": "1788825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1275443855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10426 BAUR BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631321905",
            "telephone_number": "314-925-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 HAMACHER ST",
            "city": "WATERLOO",
            "state": "IL",
            "postal_code": "622981786",
            "telephone_number": "314-925-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALUECARE GERIATRICS 1 PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-08",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "314-925-0903"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Amy Travelstead, LPN
• Elizabeth Turnbow, MHP
• Timothy Valentine, RSA
• Anthony Todd Valleroy, DC
• Daniel Valleroy, QMHP
• Valuecare Geriatrics 3 PC
• Keeler Van Breusegen
• Alexander Vartanian
• Villa Aesthetics & Wellness
• Jessica M Wachtel, PA

• Internal Medicine Physician in Waterloo, IL
• Providers in Waterloo, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.