Metro Medical Urgent Care

Primary specialty

SpecialistTaxonomy code 174400000X

License

R6047 Issued in MO

Legal business name

METRO MEDICAL URGENT CARE

Practice address

11115 New Halls Ferry Rd
# 201
Florissant, MO 63033-7613

Phone

(314) 397-6785

NPI assigned

Oct 6, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Jawed H. Siddiqui, M.D.

Title

Sole Owner

Phone

(314) 397-6785

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1598049751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11115 NEW HALLS FERRY RD",
            "address_2": "# 300",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630337613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11115 NEW HALLS FERRY RD",
            "address_2": "# 201",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630337613",
            "telephone_number": "314-397-6785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO MEDICAL URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-06",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "JAWED",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "314-397-6785",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MO",
            "license": "R6047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Lynn Meredith, R.N.
• Carol Flewellen Merritt, O.D.
• Metro Cardiovascular, Inc.
• Metro Dialysis Center - North, Inc.
• Metro Medical North County LLC
• Metro North Eyecare David M. Picker, O.D., P.C.
• Courtney Mettes, NP
• Lucias Daniel Meyer, O.D.
• Sarah E Meyer, DPT, ATC
• Stephanie Nicole Meyer

• All providers in Florissant, MO
• Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.