County Oncologist, Inc.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

34924 Issued in MO

Legal business name

COUNTY ONCOLOGIST, INC.

Practice address

11125 Dunn Rd
Suite 108
Saint Louis, MO 63136-6132

Phone

(314) 355-8200

Fax

(314) 355-4582

NPI assigned

Dec 31, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Juan Oswald Carden, M.D.

Title

President

Phone

(314) 355-8200

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1262217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262217600000",
    "number": "1437489168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11125 DUNN ROAD",
            "address_2": "SUITE 108",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63136",
            "telephone_number": "314-355-8200",
            "fax_number": "314-355-4582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11125 DUNN RD",
            "address_2": "SUITE 108",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366132",
            "telephone_number": "314-355-8200",
            "fax_number": "314-355-4582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY ONCOLOGIST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-31",
        "last_updated": "2009-12-31",
        "status": "A",
        "authorized_official_last_name": "CARDEN",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "OSWALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-355-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MO",
            "license": "34924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201892601",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly D Counts, ACNP
• County Cardiology, Inc.
• County of St Louis Division of Fiscal Management (South County Health Center)
• County of St Louis Division of Fiscal Management (North Central Community Health Center)
• County of St Louis Division of Fiscal Management (St Louis County Dept of Health)
• County Podiatrist Inc
• Steven G Couper, PA
• Hristos Courellis
• Rhonda Vidette Coursey-Pratt, LMSW
• Sierra Courtney

• Hematology & Oncology Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Hematology & Oncology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.