Active NPI
Solomon Noguera, M.D.
- Hospitalist Physician
- Ste Genevieve, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- R8H32
- Practice address
- 800 Ste Genevieve Dr
Ste Genevieve, MO 63670-1434 - Phone
- (573) 883-2751
- NPI assigned
- Nov 28, 2005
- Last updated
- Dec 5, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R8H32 | MO | |
| Hospitalist Physician | 208M00000X | R8H32 | MO | Primary |
Addresses
Primary practice location
800 Ste Genevieve Dr
Ste Genevieve, MO 63670-1434
Mailing address
800 Ste Genevieve Dr
Sainte Genevieve, MO 63670-1434
Phone (573) 883-7781
Other practice location 1
1153 E Gannon Dr
Festus, MO 63028-2611
Phone (636) 931-3667 ext. 104
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4503502 | Other | MO | AETNA PROVIDER # |
| 171019 | Other | MO | HEALTHLINK PROVIDER # |
| 080187496 | Other | MO | RAILROAD MEDICARE # |
| 113990 | Other | MO | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R8H32 | MO | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ste Genevieve County Memorial Hospital | Current | Accepting new patients | |
| Analytical Pathology Services LTD | Current | Accepting new patients | |
| Ste Genevieve County Memorial Hospital | Current | Accepting new patients |
Locations
753 Pointe Basse Dr
Ste Genevieve, MO 63670
Phone (573) 883-2782
800 Ste Genevieve Dr
Ste Genevieve, MO 63670
Phone (573) 883-2571
Interoperability endpoints
- ms_snoguer3@landmarkhealth-direct.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- Ste Genevieve, MO
- NPI 1073587655
-
dba Family Heath Care Pointe Basse
- Rural Health Clinic/Center
- Ste Genevieve, MO
- NPI 1801817416
-
- Anatomic Pathology & Clinical Pathology Physician
- Saint Louis, MO
- NPI 1558343673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543968000000",
"number": "1275516858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 STE GENEVIEVE DR",
"city": "SAINTE GENEVIEVE",
"state": "MO",
"postal_code": "636701434",
"telephone_number": "573-883-7781",
"fax_number": "573-883-4411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 STE GENEVIEVE DR",
"city": "STE GENEVIEVE",
"state": "MO",
"postal_code": "636701434",
"telephone_number": "573-883-2751"
}
],
"practiceLocations": [
{
"address_1": "1153 E Gannon Dr",
"address_purpose": "LOCATION",
"city": "Festus",
"state": "MO",
"postal_code": "630282611",
"country_code": "US",
"telephone_number": "636-931-3667 x104",
"fax_number": "636-931-2177",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOGUERA",
"first_name": "SOLOMON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-28",
"last_updated": "2018-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "R8H32",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MO",
"license": "R8H32",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER #",
"identifier": "4503502",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK PROVIDER #",
"identifier": "171019",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE #",
"identifier": "080187496",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "113990",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ste Genevieve, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.