Active NPI
Internal Medicine of West County, LLC
- Internal Medicine Physician
- Chesterfield, MO
National Provider Identifier
1467616722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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 GROUP
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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.