West County Family Medicine, Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

R8687 Issued in MO

Legal business name

WEST COUNTY FAMILY MEDICINE, INC

Practice address

2355 Dougherty Ferry Rd
Ste 320
Saint Louis, MO 63122-3325

Phone

(314) 821-6889

Fax

(314) 821-1887

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David Norman Kantor, D.O.

Title

President, Physician

Phone

(314) 821-6889

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1598823478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 DOUGHERTY FERRY RD",
            "address_2": "STE 320",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631223325",
            "telephone_number": "314-821-6889",
            "fax_number": "314-821-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 DOUGHERTY FERRY RD",
            "address_2": "STE 320",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631223325",
            "telephone_number": "314-821-6889",
            "fax_number": "314-821-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COUNTY FAMILY MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "KANTOR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "NORMAN",
        "authorized_official_title_or_position": "PRESIDENT, PHYSICIAN",
        "authorized_official_telephone_number": "314-821-6889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MO",
            "license": "R8687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240189704",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christian Wessling, MD
• Sarah Anne Wessling, PA
• Brian Todd Wessman, MD
• Jennifer Corinne Wessman, MD
• West County Cardiothoracic Anesthesia, Inc
• West County Foot and Ankle LLC
• West County Gastroenterology LLC
• West County Infectious Disease, LLC
• West County Medical Specialists, Inc
• West County Neurological

• Primary Care Clinic/Center in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Primary Care Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.