Des Peres Medical Specialist

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

R9B88 Issued in MO

Legal business name

DES PERES MEDICAL SPECIALIST

Practice address

2355 Dougherty Ferry Rd
Suite 408
Saint Louis, MO 63122-3325

Phone

(314) 821-3111

Fax

(314) 821-8846

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael David Impey, D.O.

Title

Internal Medicine & Critical Care

Phone

(314) 821-3111

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336216902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 790056",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631790056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 DOUGHERTY FERRY RD",
            "address_2": "SUITE 408",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631223325",
            "telephone_number": "314-821-3111",
            "fax_number": "314-821-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DES PERES MEDICAL SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IMPEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "INTERNAL MEDICINE & CRITICAL CARE",
        "authorized_official_telephone_number": "314-821-3111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MO",
            "license": "R9B88",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Des Peres Healthmart Pharmacy LLC
• Des Peres Hospital
• Des Peres Hospital
• Des Peres Hospital
• Des Peres Hospital, Inc.
• Des Peres Square Imaging Center LLC
• Anjali Desai, DO
• Daksh Desai
• Devang Jitendra Desai, MD
• Jay Pragneshbhai Desai, M.D.

• General Acute Care Hospital in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• General Acute Care Hospital in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.