DRS. Barake & Genova, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DRS. BARAKE & GENOVA, LLC

Practice address

225 Clarkson Rd
Ellisville, MO 63011-2278

Phone

(636) 207-8880

Fax

(636) 256-7797

NPI assigned

Feb 16, 2007

Organization subpart

Yes

Parent organization

ST. LUKE'S MEDICAL GROUPAs reported in NPPES

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

Authorized official

Name

Rick Sonne

Title

Director

Phone

(314) 576-2490

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

St Lukes Medical Group

Member of 1

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

• St. Lukes Medical Group

  • Family Medicine Physician
  • Chesterfield, MO
  • NPI 1215308945

  Member Of

  NPD member

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1669516506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 S WOODS MILL RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173417",
            "telephone_number": "314-576-2490",
            "fax_number": "314-576-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CLARKSON RD",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630112278",
            "telephone_number": "636-207-8880",
            "fax_number": "636-256-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. BARAKE & GENOVA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. LUKE'S MEDICAL GROUP",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "SONNE",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-576-2490"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "DD6948",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Breanna Dolan, FNP-C
• Rezearta Dollani
• Tiara Donegan
• Stacie Doss, MPT
• David M Draney, ARNP
• Bryan Duepner, DO
• Laura Dunbar
• Georgianne Dell Duncan-Hively, PH.D., J.D.
• Medjine Duver
• Dynamic Health Chiropractic LLC

• Internal Medicine Physician in Ellisville, MO
• Providers in Ellisville, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.