Pro Physicians Clinic PA

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

PRO PHYSICIANS CLINIC PA

Practice address

450 N New Ballas Rd Ste 70W
Saint Louis, MO 63141-6833

Phone

(314) 665-3096

NPI assigned

Oct 27, 2015

Last updated

Oct 27, 2015By 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

Jon Tryggestad

Title

Ceo

Phone

(972) 573-4611

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Peter Lanasa Sr., M.D.

  • Radiation Oncology Physician
  • Arlington, TX
  • NPI 1265482475
  NPD (past)
• Charles PO-Yang Lee, MD

  • Radiation Oncology Physician
  • Flower Mound, TX
  • NPI 1720089949
  NPD (past)
• Travis Thompson, M.D.

  • Radiation Oncology Physician
  • Corpus Christi, TX
  • NPI 1164472676
  NPD (past)

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445904000000",
    "number": "1467824649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 678234",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752678234",
            "telephone_number": "512-583-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N NEW BALLAS RD STE 70W",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416833",
            "telephone_number": "314-665-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO PHYSICIANS CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-27",
        "last_updated": "2015-10-27",
        "status": "A",
        "authorized_official_last_name": "TRYGGESTAD",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-573-4611"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Private Nursing Service Inc. (Independent Nurses)
• Private Nursing Service, Inc.
• Private Nursing Service, Inc.
• Private Nursing Service, Inc. (Independent Nurses)
• Pro Medical Reviews, LLC (Pro Medical Reviews)
• Pro-Motion PT LLC (Pro-Motion)
• Probst OB/GYN Services PC (Probst OBGYN)
• Kimberly Jane Probst Warden, LCSW
• James Raymond Probst, MD
• John William Probst, D.D.S

• Radiation Oncology Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Radiation Oncology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.