Active NPI
St Louis University
- Cardiovascular Disease Physician
- St Louis, MO
National Provider Identifier
1568688570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- ST LOUIS UNIVERSITY
- Practice address
- 1034 S. Brentwood, Ste 1120
St Louis, MO 63117 - Phone
- (314) 977-4440
- NPI assigned
- Apr 18, 2007
- 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
- Alyce Lanxon
- Title
- Executive Director
- Phone
- (314) 977-6828
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
1034 S. Brentwood, Ste 1120
St Louis, MO 63117
Mailing address
3545 Lindell Blvd FL 3
Saint Louis, MO 63103-1020
Phone (314) 977-6828
Other practice location 1
3660 Vista Ave
Saint Louis, MO 63110-2540
Phone (314) 977-6190
Other names 1
- SLUCare Dept of Internal Medicine-Cardiovascular Disease
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632182400000",
"number": "1568688570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3545 LINDELL BLVD FL 3",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631031020",
"telephone_number": "314-977-6828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1034 S. BRENTWOOD, STE 1120",
"city": "ST LOUIS",
"state": "MO",
"postal_code": "63117",
"telephone_number": "314-977-4440"
}
],
"practiceLocations": [
{
"address_1": "3660 Vista Ave",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631102540",
"country_code": "US",
"telephone_number": "314-977-6190",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ST LOUIS UNIVERSITY",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-18",
"last_updated": "2021-09-21",
"certification_date": "2021-09-21",
"status": "A",
"authorized_official_last_name": "LANXON",
"authorized_official_first_name": "ALYCE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "314-977-6828"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SLUCare Dept of Internal Medicine-Cardiovascular Disease",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "SLUCare Dept of Internal Medicine-Cardiovascular Disease",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in St Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.