Organization Active NPI

Caduceus Corporation

  • Pulmonary Disease Physician
  • Saint Louis, MO
National Provider Identifier
1295785848
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
CADUCEUS CORPORATION
Practice address
11222 Tesson Ferry Rd
Suite 100
Saint Louis, MO 63123-6963
Phone
(314) 843-1866
Fax
(314) 843-7484
NPI assigned
May 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Authorized official

Name
Joseph Ojile, M.D.NPI 1003895236
Title
President
Phone
(314) 843-1866

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

11222 Tesson Ferry Rd
Suite 100
Saint Louis, MO 63123-6963

Mailing address

11222 Tesson Ferry Rd
Suite 100
Saint Louis, MO 63123-6963
Phone (314) 843-1866

Other identifiers 2

IdentifierTypeStateIssuer
500078803MedicaidMO
CN7320OtherMORAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050303000969 MO Part B Supplier - Clinic/Group Practice 3678527553 Receives reassigned benefits from 2 practitioners
Practice locations: Saint Louis, MO

National Provider Directory

National Provider Directory

Locations

11200 Tesson Ferry Rd
Ste 1
Saint Louis, MO 63123
Phone (314) 645-5855

2531 S Big Bend Blvd
Ste 103
Saint Louis, MO 63143
Phone (314) 645-5855

12700 Southfork Rd
Ste 275
Saint Louis, MO 63128
Phone (314) 849-1500

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1295785848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11222 TESSON FERRY RD",
            "address_2": "SUITE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631236963",
            "telephone_number": "314-843-1866",
            "fax_number": "314-843-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11222 TESSON FERRY RD",
            "address_2": "SUITE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631236963",
            "telephone_number": "314-843-1866",
            "fax_number": "314-843-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CADUCEUS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "OJILE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-843-1866",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500078803",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CN7320",
            "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 Nov 5, 2007; 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.