NPIMap

Organization Active NPI

Physician Groups LC

  • Multi-Specialty Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1285664268
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PHYSICIAN GROUPS LC
Practice address
670 Mason Ridge Center Dr Ste 300
Saint Louis, MO 63141-8573
Phone
(314) 996-7644
Fax
(314) 996-7658
NPI assigned
Jul 4, 2006
Last updated
Sep 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Authorized official

Name
Karen Canter-Koester
Title
VP Operations and Strategy
Phone
(314) 996-7610

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
Medical Specialty Clinic/Center 261QM2500X
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

670 Mason Ridge Center Dr Ste 300
Saint Louis, MO 63141-8573

Mailing address

670 Mason Ridge Center Dr
Ste 300
Saint Louis, MO 63141-8573
Phone (314) 996-7644

Other identifiers 2

IdentifierTypeStateIssuer
CC66523OtherMOMEDICARE RAILROAD
504451907MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040220001157 MO Part B Supplier - Clinic/Group Practice 3072421254 Receives reassigned benefits from 611 practitioners
44 other NPIs on this enrollment

Other NPIs on the same Medicare enrollment 44

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 44

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

7245 Raider Rd
Ste C
Bonne Terre, MO 63628
Phone (573) 358-4600

1103 W Liberty St
Farmington, MO 63640
Phone (573) 760-8488

1224 Graham Rd
Ste 3003
Florissant, MO 63031
Phone (314) 831-6883

3528 Patterson Rd
Florissant, MO 63031
Phone (314) 838-6700

1 Dillon Plaza Dr
High Ridge, MO 63049
Phone (636) 677-3012

2 Progress Point Pkwy
Ste 101
O Fallon, MO 63368
Phone (636) 344-3100

2 Progress Point Pkwy
Ste 101C
O Fallon, MO 63368
Phone (636) 344-3012

2 Progress Point Pkwy
Ste 101D
O Fallon, MO 63368
Phone (636) 344-3015

20 Progress Point Pkwy
Ste 108
O Fallon, MO 63368
Phone (636) 344-1073

1 Barnes Hospital Plz
Ste 16304
Saint Louis, MO 63110
Phone (314) 747-4777

1 Barnes Jewish Hospital Plz
Ste 16422
Saint Louis, MO 63110
Phone (314) 367-9595

11125 Dunn Rd
Ste 301
Saint Louis, MO 63136
Phone (314) 741-6864

3009 N Ballas Rd
Ste 102B
Saint Louis, MO 63131
Phone (314) 725-2010

3009 N Ballas Rd
Ste 227A
Saint Louis, MO 63131
Phone (314) 567-5000

3009 N Ballas Rd
Ste 380C
Saint Louis, MO 63131
Phone (314) 996-4192

3009 N Ballas Rd
Ste 383C
Saint Louis, MO 63131
Phone (314) 305-1447

3009 N Ballas Rd
Ste 387C
Saint Louis, MO 63131
Phone (314) 996-5900

675 Old Ballas Rd
Ste 103
Saint Louis, MO 63141
Phone (314) 567-1902

Use Cc6523
Saint Louis, MO 63160
Phone (314) 831-6883

70 Jungermann Cir
Ste 202
Saint Peters, MO 63376
Phone (636) 441-6340

1520 Wentzville Pkwy
Wentzville, MO 63385
Phone (636) 497-4000

Practitioners & affiliated clinicians

Practitioners 904

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.

View all 904

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1285664268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 MASON RIDGE CENTER DR",
            "address_2": "STE 300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418573",
            "telephone_number": "314-996-7644",
            "fax_number": "314-996-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 MASON RIDGE CENTER DR STE 300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418573",
            "telephone_number": "314-996-7644",
            "fax_number": "314-996-7658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN GROUPS LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "CANTER-KOESTER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "VP OPERATIONS AND STRATEGY",
        "authorized_official_telephone_number": "314-996-7610"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CC66523",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "504451907",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.

Verify at the official NPI Registry.