Organization Active NPI

Medical Acute Care Center, P.C.

  • Non-Pharmacy Dispensing Site
  • Creve Coeur, MO
National Provider Identifier
1639447477
Registry record updated Jan 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
MEDICAL ACUTE CARE CENTER, P.C.
Practice address
13035 Olive Blvd
Suite 115
Creve Coeur, MO 63141-6173
Phone
(314) 434-3114
NPI assigned
Dec 8, 2011
Organization subpart
Yes
Parent organization
MEDICAL ACUTE CARE CENTER, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 17, 2012

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

Authorized official

Name
Hashim Raza, M.D.NPI 1891840237
Title
Owner
Phone
(314) 434-3114

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

13035 Olive Blvd
Suite 115
Creve Coeur, MO 63141-6173

Mailing address

2980 N Beverly Glen Cir
Suite 301
Los Angeles, CA 90077-1726
Phone (310) 474-9809

National Provider Directory

National Provider Directory
Part of
Medical Acute Care Center PC

Locations

13035 Olive Blvd
Ste 115
Creve Coeur, MO 63141
Phone (314) 434-3114

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1639447477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13035 OLIVE BLVD",
            "address_2": "SUITE 115",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416173",
            "telephone_number": "314-434-3114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ACUTE CARE CENTER, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL ACUTE CARE CENTER, P.C.",
        "enumeration_date": "2011-12-08",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "RAZA",
        "authorized_official_first_name": "HASHIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-434-3114",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; 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.