Organization Active NPI

The Ms Center of Saint Louis

  • Specialist
  • Chesterfield, MO
National Provider Identifier
1295824092
Registry record updated Oct 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
R1G29 Issued in MO
Legal business name
THE MS CENTER OF SAINT LOUIS
Practice address
1176 Town and Country Commons
Chesterfield, MO 63017-8200
Phone
(636) 893-1260
Fax
(636) 893-1261
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2014

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

Authorized official

Name
Mrs. Pat Knoerle-Jordan
Title
Director
Phone
(636) 893-1256

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X R1G29 MO Primary

Addresses

Primary practice location

1176 Town and Country Commons
Chesterfield, MO 63017-8200

Mailing address

1176 Town and Country Commons
Chesterfield, MO 63017-8200
Phone (636) 893-1260

National Provider Directory

National Provider Directory

Locations

621 S New Ballas Rd
Ste 5018B
Saint Louis, MO 63141
Phone (314) 569-6507

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414454400000",
    "number": "1295824092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1176 TOWN AND COUNTRY COMMONS",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630178200",
            "telephone_number": "636-893-1260",
            "fax_number": "636-893-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1176 TOWN AND COUNTRY COMMONS",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630178200",
            "telephone_number": "636-893-1260",
            "fax_number": "636-893-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MS CENTER OF SAINT LOUIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2014-10-28",
        "status": "A",
        "authorized_official_last_name": "KNOERLE-JORDAN",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "636-893-1256",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MO",
            "license": "R1G29",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.