Comprehensive Cancer Care, PC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

112773 Issued in MO

Legal business name

COMPREHENSIVE CANCER CARE, PC

Practice address

12855 N 40 Dr
Suite 200
Saint Louis, MO 63141-8657

Phone

(314) 443-6465

NPI assigned

Oct 29, 2009

Organization subpart

No

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

Authorized official

Name

Mary M Klix, MD

Title

Owner

Phone

(314) 443-6465

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William John Moriconi, M.D.

  • Medical Oncology Physician
  • Saint Louis, MO
  • NPI 1952379224
  NPD (past)

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

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1629304423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190820",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631196820",
            "telephone_number": "314-443-6465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12855 N 40 DR",
            "address_2": "SUITE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418657",
            "telephone_number": "314-443-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE CANCER CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-29",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "KLIX",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-443-6465",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MO",
            "license": "112773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Compassus Op of Missouri LLC
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• Complex Healthcare of Des Peres LLC
• Comprehensive Cardiovascular Consultants, Inc.
• Comprehensive Cardiovascular Consultants, Inc.
• Comprehensive Care of Nephrology, LLC
• Comprehensive Epilepsy Care Center for Children and Adults, P.C.
• Comprehensive Ergonomics Services

• Hematology & Oncology Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Hematology & Oncology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.