Des Peres Hospital

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

DES PERES HOSPITAL

Practice address

2345 Dougherty Ferry Rd
Attention Medical Education
Saint Louis, MO 63122-3313

Phone

(314) 966-9491

NPI assigned

Sep 19, 2008

Organization subpart

No

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

Authorized official

Name

Jamesy Charles Smith, D.O.

Title

Physician

Phone

(573) 760-8605

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cedar Hill Family Medicine L.L.C. Other name

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1366692915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 W LIBERTY ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401921",
            "telephone_number": "573-756-6751",
            "fax_number": "573-756-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 DOUGHERTY FERRY RD",
            "address_2": "ATTENTION MEDICAL EDUCATION",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631223313",
            "telephone_number": "314-966-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DES PERES HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-19",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JAMESY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "573-760-8605",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI BOARD OF HEALING ARTS",
            "identifier": "2009018166",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Hill Family Medicine L.L.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Paula Jean Deruntz, NP
• Des Peres Eye Surgery Center, LLC
• Des Peres Family Medicine
• Des Peres Family Medicine PC
• Des Peres Healthmart Pharmacy LLC
• Des Peres Hospital
• Des Peres Hospital
• Des Peres Hospital, Inc.
• Des Peres Medical Specialist
• Des Peres Square Imaging Center LLC

• General Acute Care Hospital in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• General Acute Care Hospital in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.