NPIMap

Organization Active NPI

Medstaffpc

  • Family Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1588088157
Registry record updated Feb 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEDSTAFFPC
Practice address
12633 Olive Blvd
St Louis, MO 63141-6313
Phone
(314) 205-1988
Fax
(314) 205-1982
NPI assigned
Feb 18, 2014
Last updated
Feb 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2014

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

Authorized official

Name
Philip Kurtz
Title
Ceo
Phone
(918) 779-7431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

12633 Olive Blvd
St Louis, MO 63141-6313

Mailing address

4500 S 129TH East Ave Ste 191
Tulsa, OK 74134-5891
Phone (918) 779-7400

National Provider Directory

National Provider Directory
Tax ID family
Medstaffpc27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1588088157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 S 129TH EAST AVE STE 191",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741345891",
            "telephone_number": "918-779-7400",
            "fax_number": "918-779-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12633 OLIVE BLVD",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631416313",
            "telephone_number": "314-205-1988",
            "fax_number": "314-205-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAFFPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-18",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "KURTZ",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "918-779-7431"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "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 Feb 18, 2014; 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.