MRT Medical Group.PC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

2000174352 Issued in MO

Legal business name

MRT MEDICAL GROUP.PC

Doing business as

County Medical Specialists

Practice address

2325 Dougherty Ferry Rd,
Suite# 206
St Louis, MO 63122

Phone

(314) 265-3033

Fax

(314) 821-0952

NPI assigned

Jun 24, 2008

Last updated

Jun 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Venkata R PanteNPI 1356314298

Title

Director

Phone

(314) 265-3033

Specialties & licenses 3

Addresses

Other names 1

• County Medical Specialists Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FBHABA

Practitioners 2

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.

• Venkata Pante, MD

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1356314298
  Medicare reassignment NPD Authorized official
• Anjali Kamat, M.D.

  • Internal Medicine Physician
  • Bridgeton, MO
  • NPI 1578729471
  NPD (past)

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1467613125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411397",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631411397",
            "telephone_number": "314-265-3033",
            "fax_number": "314-821-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 DOUGHERTY FERRY RD,",
            "address_2": "SUITE# 206",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63122",
            "telephone_number": "314-265-3033",
            "fax_number": "314-821-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRT MEDICAL GROUP.PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "PANTE",
        "authorized_official_first_name": "VENKATA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-265-3033",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2000174352",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MO",
            "license": "2000174352",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "2000174352",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "County Medical Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul Thomas Mrotek, PA-C
• Joseph Daniel Mroz, D.D.S.
• Mrs Octavia Home Health Care LLC
• Mrs Octavia Home Health Care LLC
• Mrs Octavia Inhome Health Care Service
• Petya Gancheva Mruckovski, RDH
• Gabriel Msengi, PHARMD.
• MTR, LLC
• Roeshelle Renne Mu'Min, LCSW
• Lamya Suhail Mubayed, MD

• Geriatric Medicine (Internal Medicine) Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Geriatric Medicine (Internal Medicine) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.