Organization Active NPI

Intermed Associates, Inc.

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1407063696
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
INTERMED ASSOCIATES, INC.
Practice address
10511 Old Olive Street Rd
Saint Louis, MO 63141-5925
Phone
(314) 993-2660
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. William David Birenbaum, M.D.
Title
President
Phone
(314) 993-2660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

10511 Old Olive Street Rd
Saint Louis, MO 63141-5925

Mailing address

10511 Old Olive Street Rd
Saint Louis, MO 63141-5925
Phone (314) 993-2660

Other names 1

  • Willowbrook Medical Center Doing business as

National Provider Directory

National Provider Directory

Locations

10511 Old Olive Street Rd
#R
Saint Louis, MO 63141
Phone (314) 993-2660

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407063696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10511 OLD OLIVE STREET RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631415925",
            "telephone_number": "314-993-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10511 OLD OLIVE STREET RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631415925",
            "telephone_number": "314-993-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERMED ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BIRENBAUM",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-993-2660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willowbrook Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.