Organization Active NPI

Internal Medicine of West County, LLC

  • Internal Medicine Physician
  • Chesterfield, MO
National Provider Identifier
1467616722
Registry record updated Mar 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
INTERNAL MEDICINE OF WEST COUNTY, LLC
Practice address
14897 Clayton Rd
Ste 100
Chesterfield, MO 63017-7887
Phone
(636) 227-3222
Fax
(636) 227-1178
NPI assigned
Jul 16, 2008
Organization subpart
Yes
Parent organization
ST. LUKE'S MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 3, 2009

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

Authorized official

Name
Rick Sonne
Title
Director
Phone
(314) 576-2490

Specialties & licenses 1

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

Addresses

Primary practice location

14897 Clayton Rd
Ste 100
Chesterfield, MO 63017-7887

Mailing address

222 S Woods Mill Rd
Chesterfield, MO 63017-3625
Phone (314) 576-2490

National Provider Directory

National Provider Directory
Part of
St Lukes Medical Group

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

16216 Baxter Rd
Ste 320
Chesterfield, MO 63017
Phone (636) 391-1706

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1467616722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S WOODS MILL RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173625",
            "telephone_number": "314-576-2490",
            "fax_number": "314-576-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14897 CLAYTON RD",
            "address_2": "STE 100",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630177887",
            "telephone_number": "636-227-3222",
            "fax_number": "636-227-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE OF WEST COUNTY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. LUKE'S MEDICAL GROUP",
        "enumeration_date": "2008-07-16",
        "last_updated": "2009-03-03",
        "status": "A",
        "authorized_official_last_name": "SONNE",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-576-2490"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; 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.