Euclid Primary Care, P.C.

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

104284 Issued in MO

Legal business name

EUCLID PRIMARY CARE, P.C.

Practice address

3737 N Kingshighway Blvd Ste 107
Saint Louis, MO 63115-1703

Phone

(314) 361-6644

Fax

(314) 361-3611

NPI assigned

Mar 24, 2010

Last updated

Mar 24, 2010By 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

Dr. Carmel Rose Boykin-Wright

Title

Owner

Phone

(314) 361-6644

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269388800000",
    "number": "1285958983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 N KINGSHIGHWAY BLVD STE 107",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631151703",
            "telephone_number": "314-361-6644",
            "fax_number": "314-361-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 N KINGSHIGHWAY BLVD STE 107",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631151703",
            "telephone_number": "314-361-6644",
            "fax_number": "314-361-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUCLID PRIMARY CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-24",
        "last_updated": "2010-03-24",
        "status": "A",
        "authorized_official_last_name": "BOYKIN-WRIGHT",
        "authorized_official_first_name": "CARMEL",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-361-6644",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "MO",
            "license": "104284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206755571",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oscar Etuk, D.P.M
• Courtney Anne Etzkorn, O.D.
• James Robert Etzkorn, M.D.
• Ann Louise Eubanks, PT, MHS
• Martha Eubanks, SLP
• Molly Euler, RN
• Vanessa Eulo, M.D.
• Selena Eunice IX
• Euphoria in-Home Health Services
• Eric P Eutsler, MD

• Legal Medicine in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Legal Medicine in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; 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.