Active NPI
Critical Care Management Group, LLC
- Critical Care Medicine (Internal Medicine) Physician
- Florissant, MO
National Provider Identifier
1679520720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- Legal business name
- CRITICAL CARE MANAGEMENT GROUP, LLC
- Practice address
- 3533 Dunn Rd
Suite 210
Florissant, MO 63033-6761 - Phone
- (314) 921-2250
- NPI assigned
- May 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert J Simpson, DO
- Title
- President
- Phone
- (314) 921-2250
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | Primary |
Addresses
Primary practice location
3533 Dunn Rd
Suite 210
Florissant, MO 63033-6761
Mailing address
3533 Dunn Rd
Suite 210
Florissant, MO 63033-6761
Phone (314) 921-2250
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE1800 | Other | MO | RR MEDICARE |
| 508336500 | Medicaid | MO |
National Provider Directory
National Provider DirectoryLocations
3533 Dunn Rd
Ste 210
Florissant, MO 63033
Phone (314) 921-2250
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
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- Fairhope, AL
- NPI 1972555852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1254787200000",
"number": "1679520720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3533 DUNN RD",
"address_2": "SUITE 210",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630336761",
"telephone_number": "314-921-2250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3533 DUNN RD",
"address_2": "SUITE 210",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630336761",
"telephone_number": "314-921-2250"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRITICAL CARE MANAGEMENT GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-27",
"last_updated": "2009-10-06",
"status": "A",
"authorized_official_last_name": "SIMPSON",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "314-921-2250",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "DE1800",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "508336500",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florissant, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.