Organization Active NPI

Raymond F. Mohrman MD PC

  • Gastroenterology Physician
  • Bridgeton, MO
National Provider Identifier
1427252501
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
RAYMOND F. MOHRMAN MD PC
Practice address
12277 De Paul Dr
Suite 401
Bridgeton, MO 63044-2516
Phone
(314) 291-8824
NPI assigned
Jun 13, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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. Raymond F Mohrman Jr., MDNPI 1063516375
Title
President
Phone
(314) 291-8824

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

12277 De Paul Dr
Suite 401
Bridgeton, MO 63044-2516

Mailing address

12277 De Paul Dr
Suite 401
Bridgeton, MO 63044-2516

National Provider Directory

National Provider Directory

Locations

12266 De Paul Dr
Ste 300
Bridgeton, MO 63044
Phone (314) 291-2663

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427252501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12277 DE PAUL DR",
            "address_2": "SUITE 401",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12277 DE PAUL DR",
            "address_2": "SUITE 401",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442516",
            "telephone_number": "314-291-8824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND F. MOHRMAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOHRMAN",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-291-8824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, 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.