NPIMap

Organization Active NPI

SLH Vista, Inc.

  • Emergency Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1295039055
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
SLH VISTA, INC.
Practice address
3635 Vista Ave
Saint Louis, MO 63110-2539
Phone
(314) 577-8000
Fax
(314) 577-8003
NPI assigned
Jan 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Authorized official

Name
Timothy Adams
Title
SVP Regional Operations, Tenet
Phone
(469) 893-2563

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X

Addresses

Primary practice location

3635 Vista Ave
Saint Louis, MO 63110-2539

Mailing address

PO Box 741286
Atlanta, GA 30374-1286
Phone (314) 577-8000

National Provider Directory

National Provider Directory

Locations

400 Medical Plz
Ste 125
Lake St Louis, MO 63367
Phone (636) 561-2545

1221 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 577-8720

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469664000000",
    "number": "1295039055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741286",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303741286",
            "telephone_number": "314-577-8000",
            "fax_number": "314-577-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 VISTA AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631102539",
            "telephone_number": "314-577-8000",
            "fax_number": "314-577-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLH VISTA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-07",
        "last_updated": "2016-07-28",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "SVP REGIONAL OPERATIONS, TENET",
        "authorized_official_telephone_number": "469-893-2563"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jul 28, 2016; 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.