Active NPI
Paean Physician Services LLC
- Internal Medicine Physician
- Saint Louis, MO
National Provider Identifier
1356064117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- PAEAN PHYSICIAN SERVICES LLC
- Practice address
- 141 N Spoede Rd
Saint Louis, MO 63141-7709 - Phone
- (660) 815-3668
- NPI assigned
- Sep 26, 2022
- 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
- Dr. Devinder Gupta Sr., MD
- Title
- Owner/Physician
- Phone
- (660) 815-3668
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
141 N Spoede Rd
Saint Louis, MO 63141-7709
Mailing address
141 N Spoede Rd
Saint Louis, MO 63141-7709
Phone (660) 815-3668
National Provider Directory
National Provider DirectoryPractitioners & 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698969600000",
"number": "1356064117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 N SPOEDE RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631417709",
"telephone_number": "660-815-3668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 N SPOEDE RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631417709",
"telephone_number": "660-815-3668"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAEAN PHYSICIAN SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-26",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A",
"authorized_official_last_name": "GUPTA",
"authorized_official_first_name": "DEVINDER",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "660-815-3668",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Sr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.