Paul Altsheler, MD
Individual provider Active NPI Internal Medicine Physician · Saint Louis, MO
NPI 1346225372 · NPPES record last updated Apr 19, 2016
Key facts
- NPI
- 1346225372
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- R7222 (MO)
- Practice address
- 3009 N Ballas Rd # 203a
Saint Louis, MO 63131-2322 - Phone
- (314) 739-3990
- Fax
- (314) 739-3924
- NPI assigned
- Dec 13, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R7222 | MO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John M Laird Inc | Internal Medicine | Current |
Accepting new patients |
| Compre Care Medical | Past | Accepting new patients | |
| Northwest Internal Medicine Specialists | Past | Accepting new patients |
Locations
3009 N Ballas Rd
Ste 230A
Saint Louis, MO 63131
Phone (314) 739-3990
3015 N Ballas Rd
Saint Louis, MO 63131
Phone (314) 996-5330
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | R7222 | MO | Yes |
Addresses
Primary practice location
3009 N Ballas Rd # 203a
Saint Louis, MO 63131-2322
Mailing address
PO Box 1209
Maryland Heights, MO 63043-0209
Phone (314) 739-3990
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201278512 | Medicaid | MO | |
| P00116104 | Other | MO | MEDICARE RR# |
Other providers in Saint Louis, MO
- Dustin R Altmann
- Laurie Susan Altobella
- Altruistic Care & Home Health LLC
- Altruistic Care in Home LLC
- Altruistic Home Health Care LLC
- Sheun Aluko
- Hana Alul
- Aluma Care Missouri LLC
- Aluna Therapy
- Ram Sanjeev Alur
All providers in Saint Louis, MO · Internal Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.