Active NPI
Tricia Pavlopoulos
- Medical Specialty Clinic/Center
- Saint Louis, MO
National Provider Identifier
1477794063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 106145
- Legal business name
- TRICIA PAVLOPOULOS
- Practice address
- 11125 Dunn Rd
Suite 304
Saint Louis, MO 63136-6132 - Phone
- (314) 355-1166
- Fax
- (314) 355-4385
- NPI assigned
- Mar 12, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tricia Pavlopoulos, M.D.
- Title
- Physician
- Phone
- (314) 355-1166
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 106145 | MO | Primary |
Addresses
Primary practice location
11125 Dunn Rd
Suite 304
Saint Louis, MO 63136-6132
Mailing address
11125 Dunn Rd
Suite 304
Saint Louis, MO 63136-6132
Phone (314) 355-1166
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1236816000000",
"number": "1477794063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11125 DUNN RD",
"address_2": "SUITE 304",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631366132",
"telephone_number": "314-355-1166",
"fax_number": "314-355-4385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11125 DUNN RD",
"address_2": "SUITE 304",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631366132",
"telephone_number": "314-355-1166",
"fax_number": "314-355-4385"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRICIA PAVLOPOULOS",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-12",
"last_updated": "2009-03-12",
"status": "A",
"authorized_official_last_name": "PAVLOPOULOS",
"authorized_official_first_name": "TRICIA",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "314-355-1166",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "MO",
"license": "106145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.