Janet Todorczuk, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

R2K13 Issued in MO

Practice address

11525 Olde Cabin Rd
Creve Coeur, MO 63141-7146

Phone

(314) 997-0554

Fax

(314) 997-5086

NPI assigned

Jul 31, 2006

Last updated

Feb 27, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393459200000",
    "number": "1447266432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11525 OLDE CABIN RD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417146",
            "telephone_number": "314-997-0554",
            "fax_number": "314-997-5086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11525 OLDE CABIN RD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417146",
            "telephone_number": "314-997-0554",
            "fax_number": "314-997-5086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODORCZUK",
        "first_name": "JANET",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2014-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MO",
            "license": "R2K13",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LEGACY",
            "identifier": "005012657",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "100017273",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4118530",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP",
            "identifier": "136158",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "20651",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202839015",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "685715",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "790731",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Renee Tipton, M.A., L.P.C.
• Alayna Titus, MMS PA-C
• TLC Laser Eye Centers (Refractive I) Inc. (TLC Laser Eye Centers St. Louis)
• TMS Therapeutics (Precision TMS)
• Mira Todd, OTR/L
• Alexa Lynne Tolliver, MOT, OTR/L
• Top Medical Center LP
• Total Access Urgent Care, PC (Total Access Urgent Care)
• Total Joint Center of St. Louis, LP (Total Joint Center of St. Louis)
• Town & Country Dermatology LLC

• Gastroenterology Physician in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Gastroenterology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.