Chesterfield Valley Internal Medicine & Pediatrics LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

CHESTERFIELD VALLEY INTERNAL MEDICINE & PEDIATRICS LLC

Practice address

121 Saint Lukes Center Dr
Attn: Rick Sonne
Chesterfield, MO 63017-3509

Phone

(314) 576-2490

Fax

(314) 576-2344

NPI assigned

Aug 11, 2015

Organization subpart

Yes

Parent organization

ST. LUKE'S MEDICAL GROUPAs reported in NPPES

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

Authorized official

Name

Rick Sonne

Title

Director

Phone

(314) 576-2490

Specialties & licenses 1

Addresses

Part of

St Lukes Medical Group

Locations

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1306222518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 SAINT LUKES CENTER DR",
            "address_2": "ATTN: RICK SONNE",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173509",
            "telephone_number": "314-576-2490",
            "fax_number": "314-576-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 SAINT LUKES CENTER DR",
            "address_2": "ATTN: RICK SONNE",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173509",
            "telephone_number": "314-576-2490",
            "fax_number": "314-576-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTERFIELD VALLEY INTERNAL MEDICINE & PEDIATRICS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. LUKE'S MEDICAL GROUP",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "SONNE",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-576-2490"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.