Valerie T Taca MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2010035683 Issued in MO

Legal business name

VALERIE T TACA MD LLC

Practice address

228 Carlyle Lake Dr
Creve Coeur, MO 63141-7544

Phone

(314) 222-3737

NPI assigned

Oct 21, 2010

Last updated

Oct 21, 2010By 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

Valerie T Taca, MDNPI 1740331735

Title

Owner

Phone

(314) 222-3737

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Valerie T. Taca, MD

  • Internal Medicine Physician
  • Creve Coeur, MO
  • NPI 1740331735
  Authorized official Same address or phone
• Arturo Calvo Taca Jr., MD

  • Psychiatry Physician
  • Creve Coeur, MO
  • NPI 1295846319
  NPD (past)

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1669772828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 CARLYLE LAKE DR",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417544",
            "telephone_number": "314-222-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 CARLYLE LAKE DR",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417544",
            "telephone_number": "314-222-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALERIE T TACA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-21",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "TACA",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-222-3737",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2010035683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ultrasound First LLC
• United Surgical Center, LLC
• Usrc Creve Coeur LLC
• Van Luven McKnight Psychological Associates (West County Behavioral Health)
• Jared Eugene Vananne, D.C.
• Monica Gorman Varner, COTA
• Lillian Grace Varney
• Brittany Venable, FNP

• Internal Medicine Physician in Creve Coeur, MO
• Providers in Creve Coeur, 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 Oct 21, 2010; 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.