Organization Active NPI

Tricia Pavlopoulos

  • Medical Specialty Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1477794063
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
106145 Issued in MO
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

Updated by the provider on Mar 12, 2009

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.