Kevin T Enger MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

112850 Issued in MO

Legal business name

KEVIN T ENGER MD PC

Practice address

1400 US Hwy 61
Suite 310
Festus, MO 63028-4137

Phone

(636) 931-5080

Fax

(636) 937-7321

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Kevin T Enger, MD PC

Title

Owner Doctor

Phone

(636) 931-5080

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Adam Salaber, P.A.

  • Physician Assistant
  • Festus, MO
  • NPI 1134333776
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309392000000",
    "number": "1427267459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 US HIGHWAY 61",
            "address_2": "SUITE 310",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284100",
            "telephone_number": "636-931-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 US HWY 61",
            "address_2": "SUITE 310",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284137",
            "telephone_number": "636-931-5080",
            "fax_number": "636-937-7321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN T ENGER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2011-06-30",
        "status": "A",
        "authorized_official_last_name": "ENGER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "636-931-5080",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD PC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MO",
            "license": "112850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209004209",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Kennen Jr., DO
• Kenneth R Kilian MD PC
• Theresa Kerperien
• Bradford B. Kesler, O.D.
• Jeffrey Lynde Kettelhut, BS IN PHARMACY
• Basem Khishfe, M.D.
• Souheil H Khoukaz, MD
• Kenneth Richard Kilian, M.D.
• Caitlin King
• Marshall Kirsch, DO

• Specialist in Festus, MO
• Providers in Festus, MO by specialty
• Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; 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.