Premier Medical Physicians LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PREMIER MEDICAL PHYSICIANS LLC

Practice address

2325 Dougherty Ferry Rd Ste 104
Saint Louis, MO 63122-3356

Phone

(314) 821-6889

Fax

(314) 821-1887

NPI assigned

Mar 7, 2018

Last updated

Jul 10, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

ST. LUKES MEDICAL GROUPAs reported in NPPES

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

Authorized official

Name

Darren R. Haskell, MD.NPI 1689636813

Title

Chief Medical Officer

Phone

(314) 205-6444

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

St Lukes Medical Group

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• St. Lukes Medical Group

  • Family Medicine Physician
  • Chesterfield, MO
  • NPI 1215308945
  NPPES parent name

Practitioners 25

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.

• Jacqueline Michelle Block, FNP

  • Family Nurse Practitioner
  • Saint Louis, MO
  • NPI 1871064972
  Medicare reassignment Care Compare group NPD
• Marietta R Caiarelli, FNP

  • Family Nurse Practitioner
  • Saint Louis, MO
  • NPI 1891993481
  Medicare reassignment Care Compare group NPD
• Natalie Eads, FNP

  • Family Nurse Practitioner
  • Saint Louis, MO
  • NPI 1356731004
  Medicare reassignment Care Compare group NPD
• Barbara A Ellzey, MD

  • Emergency Medicine Physician
  • Saint Louis, MO
  • NPI 1235116492
  Medicare reassignment Care Compare group NPD
• Dawn M Forbes, FNP

  • Family Nurse Practitioner
  • Ellisville, MO
  • NPI 1457637811
  Medicare reassignment Care Compare group NPD
• Annamarie Elizabeth Goldstein, D.O.

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1093235970
  Medicare reassignment Care Compare group NPD
• Jodi Green, ARNP

  • Family Nurse Practitioner
  • High Ridge, MO
  • NPI 1679730576
  Medicare reassignment Care Compare group NPD
• Amy Marie Holder, FNP

  • Family Nurse Practitioner
  • Saint Louis, MO
  • NPI 1679900740
  Medicare reassignment Care Compare group NPD
• Ketan J Patel, MD

  • Emergency Medicine Physician
  • Saint Louis, MO
  • NPI 1659398279

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Brenda Lynn Buckley, M.D.

  • Family Medicine Physician
  • Saint Louis, MO
  • NPI 1134104466
  Medicare reassignment NPD
• Danielle Renee CHI, ANP-BC

  • Adult Health Nurse Practitioner
  • Saint Louis, MO
  • NPI 1821359118
  Medicare reassignment NPD
• Christa Jane Durbin

  • Family Nurse Practitioner
  • Fenton, MO
  • NPI 1922735554
  Medicare reassignment NPD

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783641600000",
    "number": "1417459207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 S WOODS MILL RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173406",
            "telephone_number": "314-821-6889",
            "fax_number": "314-821-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 DOUGHERTY FERRY RD STE 104",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631223356",
            "telephone_number": "314-821-6889",
            "fax_number": "314-821-1887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2315 Dougherty Ferry Rd Ste 109A",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631223383",
            "country_code": "US",
            "telephone_number": "314-729-1725",
            "fax_number": "314-729-1732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIER MEDICAL PHYSICIANS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. LUKES MEDICAL GROUP",
        "enumeration_date": "2018-03-07",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A",
        "authorized_official_last_name": "HASKELL",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "314-205-6444",
        "authorized_official_credential": "MD."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Comfort Care LLC
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• Premier Dermatology LLC
• Premier Emergency Physicians, LLC
• Premier Home Care Services LLC
• Premier Medical Specialists, LLC
• Premier Medical Staffin Services
• Premier Pediatrics LLC
• Premier Prosthetics and Orthotics (ForMotion Clinic)
• Premier Spine and Joint LLC

• Multi-Specialty Clinic/Center in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Multi-Specialty Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.