Organization Active NPI

Twin City Internal Medicine Specialists, Inc.

  • Internal Medicine Physician
  • Festus, MO
National Provider Identifier
1437399771
Registry record updated Feb 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2001018643 Issued in MO
Legal business name
TWIN CITY INTERNAL MEDICINE SPECIALISTS, INC.
Practice address
1390 Highway 61
Suite 2200
Festus, MO 63028-4137
Phone
(636) 937-8642
Fax
(636) 937-9555
NPI assigned
Feb 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2009

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

Authorized official

Name
Dr. Benjamin Y. Albano Jr., M.D.
Title
Physician
Phone
(636) 937-8642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 2001018643 MO Primary

Addresses

Primary practice location

1390 Highway 61
Suite 2200
Festus, MO 63028-4137

Mailing address

PO Box 380
Crystal City, MO 63019-0380
Phone (636) 937-8642

Other identifiers 3

IdentifierTypeStateIssuer
1982603650OtherMONPI NUMBER FOR BENJAMIN ALBANO, JR, M.D., OWNER OF TWIN CITY INTERNAL MEDICINE
205427404MedicaidMO
000095272OtherMOMEDICARE LEGACY/PROVIDER NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235606400000",
    "number": "1437399771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 380",
            "city": "CRYSTAL CITY",
            "state": "MO",
            "postal_code": "630190380",
            "telephone_number": "636-937-8642",
            "fax_number": "636-937-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 HIGHWAY 61",
            "address_2": "SUITE 2200",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284137",
            "telephone_number": "636-937-8642",
            "fax_number": "636-937-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN CITY INTERNAL MEDICINE SPECIALISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-26",
        "last_updated": "2009-02-26",
        "status": "A",
        "authorized_official_last_name": "ALBANO",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "636-937-8642",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2001018643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER FOR BENJAMIN ALBANO, JR, M.D., OWNER OF TWIN CITY INTERNAL MEDICINE",
            "identifier": "1982603650",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205427404",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LEGACY/PROVIDER NUMBER",
            "identifier": "000095272",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Festus, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; 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.