NPIMap

Organization Active NPI

SSM St. Joseph Health Center

Doing business as The Imaging Center at St. Joseph Medical Park

  • Registered Dietitian
  • Saint Charles, MO
National Provider Identifier
1649426768
Registry record updated Aug 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
SSM ST. JOSEPH HEALTH CENTER
Doing business as
The Imaging Center at St. Joseph Medical Park
Practice address
1475 Kisker Rd
Saint Charles, MO 63304-8781
Phone
(636) 498-7400
Fax
(636) 498-7420
NPI assigned
Aug 8, 2008
Last updated
Aug 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2008

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

Authorized official

Name
Sherlyn Hailstone
Title
President
Phone
(636) 947-5076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NU Primary

Addresses

Primary practice location

1475 Kisker Rd
Saint Charles, MO 63304-8781

Mailing address

1836 Lackland Hill Pkwy
Attn Credentialing Department
Saint Louis, MO 63146-3572
Phone (314) 989-0300

Other names 1

  • The Imaging Center at St. Joseph Medical Park Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1475 Kisker Rd
Ste 220
Saint Charles, MO 63304
Phone (636) 498-5890

1551 Wall St
Saint Charles, MO 63303
Phone (636) 669-2220

1551 Wall St
Ste 335
Saint Charles, MO 63303
Phone (636) 669-2239

1551 Wall St
Ste 440
Saint Charles, MO 63303
Phone (636) 669-2239

300 1st Capitol Dr
Ste 100
Saint Charles, MO 63301
Phone (636) 669-2350

1475 Kisker Rd
Ste 145
Saint Peters, MO 63304
Phone (636) 922-5151

1601 Wentzville Pkwy
Ste 101
Wentzville, MO 63385
Phone (636) 327-3333

Practitioners & affiliated clinicians

Practitioners 7

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": "1218153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1649426768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 LACKLAND HILL PKWY",
            "address_2": "ATTN CREDENTIALING DEPARTMENT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463572",
            "telephone_number": "314-989-0300",
            "fax_number": "636-498-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 KISKER RD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633048781",
            "telephone_number": "636-498-7400",
            "fax_number": "636-498-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSM ST. JOSEPH HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-08",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "HAILSTONE",
        "authorized_official_first_name": "SHERLYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-947-5076"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Imaging Center at St. Joseph Medical Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.