Internal Medicine at Winghaven, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

INTERNAL MEDICINE AT WINGHAVEN, LLC

Practice address

5551 Winghaven Blvd Ste 290
O Fallon, MO 63368-3629

Phone

(636) 695-2575

Fax

(314) 590-5938

NPI assigned

Jan 10, 2012

Organization subpart

Yes

Parent organization

ST. LUKES MEDICAL GROUPAs reported in NPPES

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

Authorized official

Name

Darren Haskell, M.D.

Title

Chief Medical Officer

Phone

(314) 205-6444

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Tax ID family

Internal Medicine at Winghaven LLC2 organizations share this tax ID, including this one

Part of

St Lukes Medical Group

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Internal Medicine at Winghaven LLC

  • Primary Care Clinic/Center
  • O Fallon, MO
  • NPI 1033350541
  NPD tax ID

Member of 1

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

• St. Lukes Medical Group

  • Family Medicine Physician
  • Chesterfield, MO
  • NPI 1215308945

  Member Of

  NPD member

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• St. Lukes Medical Group

  • Family Medicine Physician
  • Chesterfield, MO
  • NPI 1215308945
  NPPES parent name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gina Marie Schnurbusch, FNP

  • Family Nurse Practitioner
  • O Fallon, MO
  • NPI 1861928244
  Medicare reassignment Care Compare group NPD
• Amaad Bashir Rana, MD

  • Rheumatology Physician
  • New Haven, CT
  • NPI 1366962417

  Internal Medicine, MO

  Medicare reassignment Care Compare group NPD
• Gary D Gray, MD

  • Internal Medicine Physician
  • O Fallon, MO
  • NPI 1497729826
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1487924288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 SAINT LUKES CENTER DR STE 200",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173518",
            "telephone_number": "636-685-7804",
            "fax_number": "314-576-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5551 WINGHAVEN BLVD STE 290",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633683629",
            "telephone_number": "636-695-2575",
            "fax_number": "314-590-5938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE AT WINGHAVEN, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. LUKES MEDICAL GROUP",
        "enumeration_date": "2012-01-10",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "HASKELL",
        "authorized_official_first_name": "DARREN",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "314-205-6444",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487924288",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Initial Independence Inc. of Ohio
• Kristin Inkley, LMSW
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• Internal Medicine at Winghaven LLC
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• Iverson-Tomasino Eyecare Inc
• Christina Marie Ivy, FNP-C
• Daniel Jablonski, D.C.
• Jack W. Haney, D.D.S., P.C.

• Internal Medicine Physician in O Fallon, MO
• Providers in O Fallon, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.