Family Medicine LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

115448 Issued in MO

Legal business name

FAMILY MEDICINE LLC

Practice address

1031 Bellevue Ave
Suite 349
Richmond Heights, MO 63117-1818

Phone

(314) 645-7265

Fax

(314) 645-7578

NPI assigned

Jun 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Ladonna Teressa Finch, M.D.

Title

Proprietor

Phone

(314) 645-7265

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1376702738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 BELLEVUE AVE",
            "address_2": "SUITE 349",
            "city": "RICHMOND HEIGHTS",
            "state": "MO",
            "postal_code": "631171818",
            "telephone_number": "314-645-7265",
            "fax_number": "314-645-7578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 BELLEVUE AVE",
            "address_2": "SUITE 349",
            "city": "RICHMOND HEIGHTS",
            "state": "MO",
            "postal_code": "631171818",
            "telephone_number": "314-645-7265",
            "fax_number": "314-645-7578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "FINCH",
        "authorized_official_first_name": "LADONNA",
        "authorized_official_middle_name": "TERESSA",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "314-645-7265",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "115448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205710304",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Richmond Heights, MO
• Providers in Richmond Heights, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.