Active NPI
Overland Medical Center
- Internal Medicine Physician
- Overland, MO
National Provider Identifier
1679637870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- OVERLAND MEDICAL CENTER
- Practice address
- 2428 Woodson Rd
Overland, MO 63114-5423 - Phone
- (314) 427-2424
- Fax
- (314) 427-7787
- NPI assigned
- Dec 21, 2006
- Last updated
- Feb 14, 2008
- 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
- Ben Goldstein, MD
- Title
- Officer
- Phone
- (314) 427-2424
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | |||
| Dermatology Physician | 207N00000X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Cardiovascular Disease Physician | 207RC0000X | |||
| Gastroenterology Physician | 207RG0100X | |||
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Pediatrics Physician | 208000000X | |||
| General Practice Physician | 208D00000X | |||
| Podiatrist | 213E00000X |
Addresses
Primary practice location
2428 Woodson Rd
Overland, MO 63114-5423
Mailing address
2428 Woodson Rd
Overland, MO 63114-5423
Phone (314) 427-2424
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 28
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.
-
- Surgery Physician
- Saint Louis, MO
- NPI 1245259498
-
- Urology Physician
- Florissant, MO
- NPI 1932166162
-
- Cardiovascular Disease Physician
- Saint Louis, MO
- NPI 1275551194
Internal Medicine
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1811919228
-
- Gastroenterology Physician
- Saint Louis, MO
- NPI 1578672648
-
- Obstetrics & Gynecology Physician
- Saint Louis, MO
- NPI 1427097666
-
- Rheumatology Physician
- Saint Louis, MO
- NPI 1679591184
-
- Orthopaedic Surgery Physician
- Saint Louis, MO
- NPI 1689727851
-
- Obstetrics & Gynecology Physician
- Saint Louis, MO
- NPI 1508891870
-
- Family Medicine Physician
- Saint Louis, MO
- NPI 1407996143
-
- Foot & Ankle Surgery Podiatrist
- Saint Peters, MO
- NPI 1629070792
-
- Specialist
- Overland, MO
- NPI 1912919523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202947200000",
"number": "1679637870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2428 WOODSON RD",
"city": "OVERLAND",
"state": "MO",
"postal_code": "631145423",
"telephone_number": "314-427-2424",
"fax_number": "314-427-7787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2428 WOODSON RD",
"city": "OVERLAND",
"state": "MO",
"postal_code": "631145423",
"telephone_number": "314-427-2424",
"fax_number": "314-427-7787"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OVERLAND MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-21",
"last_updated": "2008-02-14",
"status": "A",
"authorized_official_last_name": "GOLDSTEIN",
"authorized_official_first_name": "BEN",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "314-427-2424",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology, Allergy",
"state": null,
"license": null,
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Overland, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.