Physician Groups LC

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

Legal business name

PHYSICIAN GROUPS LC

Doing business as

North County Colorectal Surgery

Practice address

11155 Dunn Rd
Suite 312E Building 1
Saint Louis, MO 63136-6150

Phone

(314) 741-0430

NPI assigned

Feb 16, 2007

Last updated

Apr 2, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Raymond P Davidson II, MD

Title

President

Phone

(314) 286-2028

Specialties & licenses 1

Addresses

Other names 1

• North County Colorectal Surgery Doing business as

Tax ID family

Mardonio Yap MD6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

• Physician Groups LC

  dba Medical Arts Allergy Clinic

  • Allergy Physician
  • Farmington, MO
  • NPI 1033236948
  NPD tax ID
• Physician Groups LC

  dba Midwest Gynecology

  • Medical Specialty Clinic/Center
  • Saint Louis, MO
  • NPI 1164599502
  NPD tax ID
• Physician Groups LC

  dba Midwest Internists

  • Primary Care Clinic/Center
  • Saint Louis, MO
  • NPI 1275600603
  NPD tax ID
• Physician Groups LC

  dba Pheasant Point Physicians

  • Family Medicine Physician
  • Saint Louis, MO
  • NPI 1396889218
  NPD tax ID
• Physician Groups LC

  dba Office of Dr. Brick

  • Primary Care Clinic/Center
  • Saint Charles, MO
  • NPI 1831265966
  NPD tax ID

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1659415578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 MASON RIDGE CENTER DR",
            "address_2": "SUITE 300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418573",
            "telephone_number": "314-996-7644",
            "fax_number": "314-996-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11155 DUNN RD",
            "address_2": "SUITE 312E BUILDING 1",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366150",
            "telephone_number": "314-741-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN GROUPS LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-286-2028",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North County Colorectal Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Physician Groups LC (Contemporary Womens Healthcare Mo Bap)
• Physician Groups LC (Pheasant Point Physicians)
• Physician Groups LC (Sunset Hills Adult Medicine)
• Physician Groups LC (Christian Hospital Pain Management Clinic)
• Physician Groups LC (North County Colorectal Surgery)
• Physician Groups LC (Weiss Black Singer)
• Physician Groups LC (Office of Dr. Gray-Swain)
• Physician Groups LC (West County Bone And Joint)
• Physician Groups LC (University Medical Consultants)
• Physician Services and Consulting, LLC (Chesterfield Bariatric Surgery)

• Colon & Rectal Surgery Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Colon & Rectal Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.