Active NPI
Occupational Medicine
- Family Medicine Physician
- Bridgeton, MO
National Provider Identifier
1629254040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- OCCUPATIONAL MEDICINE
- Practice address
- 3165 McKelvey Rd
Suite 210
Bridgeton, MO 63044-2550 - Phone
- (314) 996-8105
- Fax
- (314) 996-8134
- NPI assigned
- Jan 16, 2008
- Last updated
- Jan 16, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Szewczyk, MD
- Title
- Physician
- Phone
- (573) 815-2369
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
3165 McKelvey Rd
Suite 210
Bridgeton, MO 63044-2550
Mailing address
1701 E Broadway
Suite 204
Columbia, MO 65201-8018
Phone (573) 815-2369
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200441600000",
"number": "1629254040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 E BROADWAY",
"address_2": "SUITE 204",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652018018",
"telephone_number": "573-815-2369",
"fax_number": "573-815-2666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3165 MCKELVEY RD",
"address_2": "SUITE 210",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "630442550",
"telephone_number": "314-996-8105",
"fax_number": "314-996-8134"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OCCUPATIONAL MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-16",
"last_updated": "2008-01-16",
"status": "A",
"authorized_official_last_name": "SZEWCZYK",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "573-815-2369",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.