NPIMap

Organization Active NPI

Barnes Jewish West County Hospital

  • General Practice Physician
  • Creve Coeur, MO
National Provider Identifier
1447268495
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
BARNES JEWISH WEST COUNTY HOSPITAL
Practice address
12634 Olive Blvd
Creve Coeur, MO 63141-6337
Phone
(314) 996-8000
Fax
(314) 996-3610
NPI assigned
Aug 4, 2006
Last updated
Jan 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Authorized official

Name
Mr. Gregory Patterson
Title
President
Phone
(314) 362-5909

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

12634 Olive Blvd
Creve Coeur, MO 63141-6337

Mailing address

12634 Olive Blvd
Creve Coeur, MO 63141-6337
Phone (314) 996-8000

Other identifiers 8

IdentifierTypeStateIssuer
7723X7723OtherHEALTHCARE USA
012778403MedicaidMO
0518719OtherAETNA HMO/POS
117292OtherHEALTHLINK
16OtherBLUE CROSS
6350680OtherAETNA PPO
542778402MedicaidMO
260162OtherMERCY

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070502000085 MO Part B Supplier - Clinic/Group Practice 2567468259 Receives reassigned benefits from 2 practitioners
Practice locations: Saint Louis, MO

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Bi State Med Consultant4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020

1040 N Mason Rd
Ste 116
Creve Coeur, MO 63141
Phone (314) 542-9378

1040 N Mason Rd
Ste G02
Creve Coeur, MO 63141
Phone (314) 996-8080

10 Barnes West Dr
Ste 202
Saint Louis, MO 63141
Phone (314) 996-8080

1020 N Mason Rd
Ste 220
Saint Louis, MO 63141
Phone (314) 996-3050

1040 N Mason Rd
Ste 212
Saint Louis, MO 63141
Phone (314) 996-8080

1044 N Mason Rd
Ste 120
Saint Louis, MO 63141
Phone (314) 996-8840

1044 N Mason Rd
Ste 220
Saint Louis, MO 63141
Phone (314) 996-3050

5201 Mid America Plz
Ste 2100
Saint Louis, MO 63129
Phone (314) 286-1000

969 N Mason Rd
Ste 110
Saint Louis, MO 63141
Phone (314) 996-3434

969 N Mason Rd
Ste 260
Saint Louis, MO 63141
Phone (314) 996-8680

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Barnes Jewish West County HospitalSaint Louis, MO, CCN 260162 Hospital Operational/Managerial Control Sep 13, 1989

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 29

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.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1447268495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12634 OLIVE BLVD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416337",
            "telephone_number": "314-996-8000",
            "fax_number": "314-996-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12634 OLIVE BLVD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416337",
            "telephone_number": "314-996-8000",
            "fax_number": "314-996-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARNES JEWISH WEST COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-362-5909",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE USA",
            "identifier": "7723X7723",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012778403",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO/POS",
            "identifier": "0518719",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "117292",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "16",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "6350680",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "542778402",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY",
            "identifier": "260162",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "12634 Olive Blvd",
            "city": "Creve Coeur",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631416337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

Verify at the official NPI Registry.