St. Louis Id, P.C.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

R7058 Issued in MO

Legal business name

ST. LOUIS ID, P.C.

Practice address

3009 N Ballas Rd
Suite 130a
Saint Louis, MO 63131-2322

Phone

(314) 395-8701

NPI assigned

Jan 18, 2010

Last updated

Jan 18, 2010By 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

Dr. Michael B. Gutwein, M.D.NPI 1780640037

Title

President

Phone

(314) 395-8701

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Michael B. Gutwein, M.D.

  • Infectious Disease Physician
  • Saint Louis, MO
  • NPI 1780640037
  Authorized official Same address or phone

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

{
    "created_epoch": "1263772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263772800000",
    "number": "1578894309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 N BALLAS RD",
            "address_2": "SUITE 130A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312322",
            "telephone_number": "314-395-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 N BALLAS RD",
            "address_2": "SUITE 130A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312322",
            "telephone_number": "314-395-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LOUIS ID, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-18",
        "last_updated": "2010-01-18",
        "status": "A",
        "authorized_official_last_name": "GUTWEIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-395-8701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MO",
            "license": "R7058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Louis Healthcare Solutions LLC
• St. Louis Heart & Vascular, P.C.
• St. Louis Home Care Providers Inc.
• St. Louis Home Care Providers LLC
• St. Louis Homecare, LLC (Visiting Angels Webster Groves)
• St. Louis Infectious Disease Specialists, LLC
• St. Louis Internal Medicine Inc
• St. Louis JC Vamc
• St. Louis JC Vamc
• St. Louis JC Vamc

• Infectious Disease Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Infectious Disease Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2010; 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.