Active NPI
Arturo Calvo Taca Jr., MD
- Psychiatry Physician
- Creve Coeur, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2006024384
- Practice address
- 11477 Olde Cabin Rd
Suite 210
Creve Coeur, MO 63141-7130 - Phone
- (314) 997-5208
- Fax
- (314) 997-5368
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 2006024384 | MO | Primary |
Addresses
Primary practice location
11477 Olde Cabin Rd
Suite 210
Creve Coeur, MO 63141-7130
Mailing address
11477 Olde Cabin Rd
Suite 210
Creve Coeur, MO 63141-7130
Phone (314) 997-5208
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11477 Olde Cabin Rd
Suite 210
Creve Coeur, MO 63141-7129
Phone (314) 997-5208
5207 Heritage Ave
Colleyville, TX 76034-5915
Phone (888) 990-0663
615 S New Ballas Rd
Mercy JFK Clinic
St Louis, MO 63141-8221
Phone (314) 251-6382
Hospital & facility affiliations
- Mercy Hospital St Louis
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restore Day Surgery | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| Arturo C. Taca, Jr., M.D. LLC | Psychiatry | Current | Accepting new patients |
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| Valerie T Taca MD LLC | Past | Accepting new patients |
Locations
11477 Olde Cabin Rd
Ste 210
Saint Louis, MO 63141
Phone (314) 997-5208
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
Interoperability endpoints
- arturo.taca.1@18773.direct.athenahealth.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Creve Coeur, MO
- NPI 1891881140
-
- Clinic/Center
- Saint Louis, MO
- NPI 1851431738
-
- Land Ambulance
- Saint Louis, MO
- NPI 1881329902
-
- Ambulatory Surgical Clinic/Center
- The Colony, TX
- NPI 1528904950
-
- Internal Medicine Physician
- Creve Coeur, MO
- NPI 1669772828
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330300800000",
"number": "1295846319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11477 OLDE CABIN RD",
"address_2": "SUITE 210",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631417130",
"telephone_number": "314-997-5208",
"fax_number": "314-997-5368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11477 OLDE CABIN RD",
"address_2": "SUITE 210",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631417130",
"telephone_number": "314-997-5208",
"fax_number": "314-997-5368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TACA",
"first_name": "ARTURO",
"middle_name": "CALVO",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2012-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "2006024384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Creve Coeur, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.