St. Charles Nephrology

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

2000158727 Issued in MO

Legal business name

ST. CHARLES NEPHROLOGY

Practice address

6 Jungermann Cir
Suite 215
Saint Peters, MO 63376-1621

Phone

(636) 928-0123

Fax

(636) 928-0129

NPI assigned

Jul 20, 2007

Last updated

Sep 21, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Henrikas I Juknis, M.D.NPI 1578531299

Title

President

Phone

(636) 928-0123

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

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.

• Henrikas Irmantas Juknis, MD

  • Nephrology Physician
  • Saint Peters, MO
  • NPI 1578531299
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600646400000",
    "number": "1396945168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 JUNGERMANN CIR",
            "address_2": "SUITE 215",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761621",
            "telephone_number": "636-928-0123",
            "fax_number": "636-928-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 JUNGERMANN CIR",
            "address_2": "SUITE 215",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761621",
            "telephone_number": "636-928-0123",
            "fax_number": "636-928-0129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CHARLES NEPHROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A",
        "authorized_official_last_name": "JUKNIS",
        "authorized_official_first_name": "HENRIKAS",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-928-0123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "2000158727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Peters Residential, LLC (Spencer Place)
• St Peters Vision Center Inc
• St. Charles Assisted Living, LLC (Chestnut Glen Assisted Livign and The Arbors at Chestnut Glen)
• St. Charles County Ambulance District
• St. Charles County Ambulance District
• St. Charles Orthopaedic Surgery Associates, Inc.
• St. Charles Sports&Physical Therapy, Inc.
• St. Louis Heart Institute Cardiothoracic Surgeons, Inc. (St. Louis Heart Institute)
• St. Peters Community Healthcare, LLC (St. Peters Post Acute)
• St. Peters Cosmetic and Family Dentistry LLC

• Nephrology Physician in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Nephrology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.