Active NPI
Scott Monroe Nordlicht, MD
- Cardiovascular Disease Physician
- Saint Louis, MO
National Provider Identifier
1437193877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- R7545
- Practice address
- 1020 N Mason Rd
Saint Louis, MO 63141-6300 - Phone
- (314) 362-1291
- Fax
- (314) 996-3268
- NPI assigned
- Jun 15, 2006
- Last updated
- Jan 24, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | R7545 | MO | Primary |
Addresses
Primary practice location
1020 N Mason Rd
Saint Louis, MO 63141-6300
Mailing address
660 S Euclid Ave
C B 8086
Saint Louis, MO 63110-1010
Phone (314) 362-1291
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201324472 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prompt Aid Inc | Cardiovascular Disease | Past | Accepting new patients |
| Fairview Heights Medical Group SC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1992746903
-
- Cardiovascular Disease Physician
- Saint Louis, MO
- NPI 1356657597
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1679503668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516752000000",
"number": "1437193877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 S EUCLID AVE",
"address_2": "C B 8086",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101010",
"telephone_number": "314-362-1291",
"fax_number": "314-996-3268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 N MASON RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631416300",
"telephone_number": "314-362-1291",
"fax_number": "314-996-3268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORDLICHT",
"first_name": "SCOTT",
"middle_name": "MONROE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2018-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MO",
"license": "R7545",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201324472",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}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 Jan 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.