Organization Active NPI

Agans Medical LLC

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Saint Louis, MO
National Provider Identifier
1437843240
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X
Legal business name
AGANS MEDICAL LLC
Practice address
4930 Lindell Blvd
Saint Louis, MO 63108-1510
Phone
(314) 361-8700
NPI assigned
Jun 5, 2023
Last updated
Jun 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Authorized official

Name
Dr. Stephen AgansNPI 1730377607
Title
Owner
Phone
(504) 352-7856

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207PE0005X Primary

Addresses

Primary practice location

4930 Lindell Blvd
Saint Louis, MO 63108-1510

Mailing address

4625 Lindell Blvd # 311
Saint Louis, MO 63108-3725

Other practice location 1

4615 Lindell Blvd Apt 201
Saint Louis, MO 63108-3718
Phone (504) 352-7856

Other practice location 2

6420 Clayton Rd
Saint Louis, MO 63117-1811
Phone (314) 768-8535

Other practice location 3

300 1st Capitol Dr Fl 1
Saint Charles, MO 63301-2844
Phone (636) 947-5010

Other practice location 4

2885 Technology Dr
Lake St Louis, MO 63367-4123
Phone (228) 865-1330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230622002887 MO Part B Supplier - Clinic/Group Practice 9830557875 Receives reassigned benefits from 8 practitioners
Practice locations: Saint Louis, MO; Saint Charles, MO
O20250512000607 IL Part B Supplier - Clinic/Group Practice 9830557875 Receives reassigned benefits from 2 practitioners
Practice locations: Belleville, IL

National Provider Directory

National Provider Directory

Locations

100 W Main St
Belleville, IL 62220
Phone (504) 352-7856

300 1st Capitol Dr
Fl 1
Saint Charles, MO 63301
Phone (636) 947-5010

12813 Flushing Meadows Dr
Ste 110
Saint Louis, MO 63131

4625 Lindell Blvd
#311
Saint Louis, MO 63108

4625 Lindell Blvd
Ste 311
Saint Louis, MO 63108
Phone (314) 361-8700

Practitioners & affiliated clinicians

Practitioners 8

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": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1437843240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 LINDELL BLVD # 311",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631083725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4930 LINDELL BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081510",
            "telephone_number": "314-361-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4615 Lindell Blvd Apt 201",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631083718",
            "country_code": "US",
            "telephone_number": "504-352-7856",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6420 Clayton Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631171811",
            "country_code": "US",
            "telephone_number": "314-768-8535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 1st Capitol Dr Fl 1",
            "address_purpose": "LOCATION",
            "city": "Saint Charles",
            "state": "MO",
            "postal_code": "633012844",
            "country_code": "US",
            "telephone_number": "636-947-5010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2885 Technology Dr",
            "address_purpose": "LOCATION",
            "city": "Lake St Louis",
            "state": "MO",
            "postal_code": "633674123",
            "country_code": "US",
            "telephone_number": "228-865-1330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AGANS MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "AGANS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-352-7856",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.