NPIMap

Organization Active NPI

Bi-State Medical Consultants, Inc.

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1306972195
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BI-STATE MEDICAL CONSULTANTS, INC.
Practice address
605 Old Ballas Rd
Suite 200
Saint Louis, MO 63141-7000
Phone
(314) 872-8740
Fax
(314) 432-4348
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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

Authorized official

Name
Zamir Eidelman, M.D.NPI 1194806497
Title
President
Phone
(314) 872-8740

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

605 Old Ballas Rd
Suite 200
Saint Louis, MO 63141-7000

Mailing address

605 Old Ballas Rd
Suite 200
Saint Louis, MO 63141-7000
Phone (314) 872-8740

Other identifiers 1

IdentifierTypeStateIssuer
000013395OtherMOMEDICARE

National Provider Directory

National Provider Directory

Locations

605 Old Ballas Rd
Ste 200
Saint Louis, MO 63141
Phone (314) 872-8740

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1306972195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 OLD BALLAS RD",
            "address_2": "SUITE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417000",
            "telephone_number": "314-872-8740",
            "fax_number": "314-432-4348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 OLD BALLAS RD",
            "address_2": "SUITE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417000",
            "telephone_number": "314-872-8740",
            "fax_number": "314-432-4348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BI-STATE MEDICAL CONSULTANTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "EIDELMAN",
        "authorized_official_first_name": "ZAMIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-872-8740",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "000013395",
            "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 Jun 23, 2010; 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.