Organization Active NPI

Meg Associates of St. Louis, L.L.C.

  • Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1346260551
Registry record updated Jul 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MEG ASSOCIATES OF ST. LOUIS, L.L.C.
Practice address
3655 Vista Ave
Tg055
Saint Louis, MO 63110-2539
Phone
(314) 577-8600
Fax
(314) 577-8605
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2015

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

Authorized official

Name
Donna Marie Hebb
Title
Cfo
Phone
(636) 239-4550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3655 Vista Ave
Tg055
Saint Louis, MO 63110-2539

Mailing address

21 W 3Rd St
Washington, MO 63090-2630
Phone (636) 239-4550

Other identifiers 1

IdentifierTypeStateIssuer
716786306MedicaidMO

National Provider Directory

National Provider Directory

Locations

3655 Vista Ave
#55
Saint Louis, MO 63110
Phone (314) 577-8600

3655 Vista Ave
Ste TG55
Saint Louis, MO 63110
Phone (314) 577-8600

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436832000000",
    "number": "1346260551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 W 3RD ST",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630902630",
            "telephone_number": "636-239-4550",
            "fax_number": "636-239-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 VISTA AVE",
            "address_2": "TG055",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631102539",
            "telephone_number": "314-577-8600",
            "fax_number": "314-577-8605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEG ASSOCIATES OF ST. LOUIS, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2015-07-14",
        "status": "A",
        "authorized_official_last_name": "HEBB",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "636-239-4550"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "716786306",
            "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 Jul 14, 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.