Organization Active NPI

Patrick H Durbin M.D.P.C.

  • Internal Medicine Physician
  • St Louis, MO
National Provider Identifier
1467551457
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PATRICK H DURBIN M.D.P.C.
Doing business as
Senior Health Center at St Louis Hills
Practice address
6901 Chippewa St
St Louis, MO 63109
Phone
(314) 644-7000
Fax
(314) 644-7101
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

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

Authorized official

Name
Dr. Patrick H. Durbin, M.D.
Title
Primary Care Physician
Phone
(314) 644-7000

Specialties & licenses 1

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

Addresses

Primary practice location

6901 Chippewa St
St Louis, MO 63109

Mailing address

6901 Chippewa St
St Louis, MO 63109
Phone (314) 644-7000

Other identifiers 1

IdentifierTypeStateIssuer
202982955MedicaidMO

Other names 1

  • Senior Health Center at St Louis Hills Doing business as

National Provider Directory

National Provider Directory

Locations

6901 Chippewa St
Saint Louis, MO 63109
Phone (314) 644-7000

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1467551457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 CHIPPEWA ST",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63109",
            "telephone_number": "314-644-7000",
            "fax_number": "314-644-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 CHIPPEWA ST",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63109",
            "telephone_number": "314-644-7000",
            "fax_number": "314-644-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK H DURBIN M.D.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "DURBIN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRIMARY CARE PHYSICIAN",
        "authorized_official_telephone_number": "314-644-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202982955",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Health Center at St Louis Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.