Physicians Health Group, LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

PHYSICIANS HEALTH GROUP, LLC

Practice address

960 S Highway Dr
Fenton, MO 63026-2023

Phone

(636) 305-2000

Fax

(636) 305-2000

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert Edmiston, D.C.

Title

Administrator

Phone

(636) 305-2000

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Robert Edminston, D.C.

  • Chiropractor
  • Valley Park, MO
  • NPI 1649295700
  NPD (past)
• Flordeliz R Ross, M.D.

  • Specialist
  • Bridgeton, MO
  • NPI 1902840218
  NPD (past)

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1427090836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 S HIGHWAY DR",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262023",
            "telephone_number": "636-305-2000",
            "fax_number": "636-305-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 S HIGHWAY DR",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262023",
            "telephone_number": "636-305-2000",
            "fax_number": "636-305-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS HEALTH GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "EDMISTON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "636-305-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey E Petersen, MD
• Maryellen Petrie, DPT
• Gregory Morris Pfeffer
• Jessica Laura Phillips, FNP
• Physicians Health Group Medical Inc
• Connie L Pickering, ANP
• Macy Elizabeth Pilgrim, LMSW
• Ashley Marie Politte
• Andrew Jacob Polk, MD
• Kristina Potts

• Endocrinology, Diabetes & Metabolism Physician in Fenton, MO
• Providers in Fenton, MO by specialty
• Endocrinology, Diabetes & Metabolism Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.