St Louis Regenerative Medicine and Pain Institute,LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ST LOUIS REGENERATIVE MEDICINE AND PAIN INSTITUTE,LLC

Practice address

4116 Von Talge Rd
Suite B
Saint Louis, MO 63128-1957

Phone

(314) 892-8787

Fax

(314) 892-8790

NPI assigned

Aug 21, 2014

Last updated

Aug 21, 2014By 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

Mr. William Talbott Schmidt

Title

Manager

Phone

(314) 892-8787

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1295134633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4116 VON TALGE ROAD",
            "address_2": "SUITE B",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63128",
            "telephone_number": "314-892-8787",
            "fax_number": "314-892-8790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4116 VON TALGE RD",
            "address_2": "SUITE B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631281957",
            "telephone_number": "314-892-8787",
            "fax_number": "314-892-8790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LOUIS REGENERATIVE MEDICINE AND PAIN INSTITUTE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "TALBOTT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "314-892-8787",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Louis Pain Management Center Inc
• St Louis Pathology Assoc Inc.
• St Louis Pathology Assoc Inc.
• St Louis Public Schools
• St Louis Recovery Hospital LLC
• St Louis Society for the Blind
• St Louis South Orthodontics
• St Louis Sports Chiropractic Center PC
• St Louis Surgical Doctors Group LLC
• St Louis Trauma Counseling LLC

• Internal Medicine Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.