Active NPI
GCXP Inc
- Emergency Medicine Physician
- O'Fallon, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- GCXP INC
- Practice address
- 1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099 - Phone
- (618) 234-2120
- Fax
- (904) 265-8181
- NPI assigned
- Feb 8, 2018
- Last updated
- Feb 8, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carmon L Glover III, DO
- Title
- Authorized Official
- Phone
- (888) 577-6337
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Mailing address
PO Box 797002
Saint Louis, MO 63179-7000
Phone (888) 577-6337
National Provider Directory
National Provider DirectoryLocations
12866 Troxler Ave
Highland, IL 62249
Phone (618) 651-2600
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Emergency Medicine Physician
- Belleville, IL
- NPI 1497701510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518048000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1518048000000",
"number": "1346749090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 797002",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631797000",
"telephone_number": "888-577-6337",
"fax_number": "618-624-3387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SAINT ELIZABETH BLVD",
"city": "O FALLON",
"state": "IL",
"postal_code": "622691099",
"telephone_number": "618-234-2120",
"fax_number": "904-265-8181"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GCXP INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-08",
"last_updated": "2018-02-08",
"status": "A",
"authorized_official_last_name": "GLOVER",
"authorized_official_first_name": "CARMON",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "888-577-6337",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in O'Fallon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.