Active NPI
Leslie Launch, M.D.
- Internal Medicine Physician
- Bridgeton, MO
National Provider Identifier
1346221090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- R2J26
- Practice address
- 12255 De Paul Dr
Suite 700
Bridgeton, MO 63044-2510 - Phone
- (314) 739-4166
- Fax
- (314) 739-2485
- NPI assigned
- Nov 9, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | R2J26 | MO | Primary |
Addresses
Primary practice location
12255 De Paul Dr
Suite 700
Bridgeton, MO 63044-2510
Mailing address
PO Box 23340
Saint Louis, MO 63156-3340
Phone (314) 739-4166
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000012460 | Other | MO | ESSENCE ST CHARLES |
| 202580411 | Medicaid | MO | |
| A25928 | Other | MO | MERCY |
| 109346 | Other | MO | BCBS |
| 5418213 | Other | MO | AETNA |
| 0400842 | Other | MO | UHC |
| D04008 | Other | MO | EXCLUSIVE CHOICE |
| 000000010023 | Other | MO | ESSENCE |
| 103088 | Other | MO | HEALTHLINK |
| 127510 | Other | MO | GHP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348185600000",
"number": "1346221090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23340",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631563340",
"telephone_number": "314-739-4166",
"fax_number": "314-739-2485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12255 DE PAUL DR",
"address_2": "SUITE 700",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "630442510",
"telephone_number": "314-739-4166",
"fax_number": "314-739-2485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAUNCH",
"first_name": "LESLIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-09",
"last_updated": "2012-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "R2J26",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ESSENCE ST CHARLES",
"identifier": "000000012460",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202580411",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERCY",
"identifier": "A25928",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "109346",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5418213",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "0400842",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EXCLUSIVE CHOICE",
"identifier": "D04008",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ESSENCE",
"identifier": "000000010023",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "103088",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHP",
"identifier": "127510",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bridgeton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.