NPIMap

Organization Active NPI

West End Internal Medicine

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1609983055
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
RC400 Issued in MO
Legal business name
WEST END INTERNAL MEDICINE
Practice address
5585 Pershing Avenue
Suite 220
St Louis, MO 63112
Phone
(314) 367-2766
Fax
(314) 454-1336
NPI assigned
Aug 23, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Tonia Novella Peebles
Title
Office Manager
Phone
(314) 367-2766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X RC400 MO Primary

Addresses

Primary practice location

5585 Pershing Avenue
Suite 220
St Louis, MO 63112

Mailing address

5585 Pershing Avenue
Suite 220
St Louis, MO 63112
Phone (314) 367-2766

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609983055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5585 PERSHING AVENUE",
            "address_2": "SUITE 220",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63112",
            "telephone_number": "314-367-2766",
            "fax_number": "314-454-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5585 PERSHING AVENUE",
            "address_2": "SUITE 220",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63112",
            "telephone_number": "314-367-2766",
            "fax_number": "314-454-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST END INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEEBLES",
        "authorized_official_first_name": "TONIA",
        "authorized_official_middle_name": "NOVELLA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "314-367-2766",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "RC400",
            "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 Aug 22, 2020; 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.