St. Anthony'S Physician Organization Private Practices LC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

ST. ANTHONY'S PHYSICIAN ORGANIZATION PRIVATE PRACTICES LC

Practice address

2900 Lemay Ferry Road
Suite 216
St. Louis, MO 63125-3900

Phone

(314) 543-5988

Fax

(314) 416-8547

NPI assigned

Jul 1, 2009

Organization subpart

Yes

Parent organization

ST. ANTHONY'S PHYSICIAN ORGANIZATIONAs reported in NPPES

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

Authorized official

Name

Mr. Dave Hinkle

Title

Executive Director

Phone

(314) 543-5988

Specialties & licenses 4

Addresses

Tax ID family

New Specialists2 organizations share this tax ID, including this one

Part of

St Anthonys Physician Organ

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• St. Anthony'S Physician Organization Private Practices LC

  • General Practice Physician
  • Saint Louis, MO
  • NPI 1992931885
  NPD tax ID

Locations

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250121600000",
    "number": "1295963940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 LEMAY FERRY ROAD",
            "address_2": "SUITE 216",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631253900",
            "telephone_number": "314-543-5988",
            "fax_number": "314-416-8547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 LEMAY FERRY ROAD",
            "address_2": "SUITE 216",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631253900",
            "telephone_number": "314-543-5988",
            "fax_number": "314-416-8547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. ANTHONY'S PHYSICIAN ORGANIZATION PRIVATE PRACTICES LC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. ANTHONY'S PHYSICIAN ORGANIZATION",
        "enumeration_date": "2009-07-01",
        "last_updated": "2009-08-13",
        "status": "A",
        "authorized_official_last_name": "HINKLE",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-543-5988",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Anthony'S Physician Organization
• St. Anthony'S Physician Organization
• St. Anthony'S Physician Organization
• St. Anthony'S Physician Organization Private Practices LC
• St. Anthony'S Physician Organization Private Practices LC
• St. Anthony'S Physician Organization Private Practices LC
• St. Anthony'S Physician Organization Private Practices, L.C.
• St. Anthony'S Physician Organizaton
• St. Elizabeth Adult Day Care Center, Inc.
• St. Elizabeth Adult Day Care Center, Inc.

• Surgery Physician in St. Louis, MO
• Providers in St. Louis, MO by specialty
• Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; 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.