Robert D. Tague MD PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

R8E10 Issued in MO

Legal business name

ROBERT D. TAGUE MD PC

Practice address

10004 Kennerly Rd
Saint Louis, MO 63128-2141

Phone

(314) 543-5969

Fax

(314) 543-5972

NPI assigned

Oct 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert D Tague, M.D.

Title

Owner

Phone

(314) 543-5969

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.

• Paul S Catanzaro, MD

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1386653731
  NPD (past)
• Susan Lee Swope, MD

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1346276094
  NPD (past)

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435795200000",
    "number": "1679760904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY RD",
            "address_2": "SUITE 186B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282141",
            "telephone_number": "314-543-5969",
            "fax_number": "314-543-5972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282141",
            "telephone_number": "314-543-5969",
            "fax_number": "314-543-5972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT D. TAGUE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2015-07-02",
        "status": "A",
        "authorized_official_last_name": "TAGUE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-543-5969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MO",
            "license": "R8E10",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter Eugene Roberson Jr., MA,LPC
• Robert a Aisenstat MD,Helene M Aisenstat MD PC
• Robert a Aisenstat MD&Helene M Aisenstat MDD PC
• Robert a Levy DMD LLC
• Robert D Craig MD Inc
• Robert E Anthony LCSW LLC
• Robert Gordon, LLC
• Robert J. Hellmannn, Jr. D.M.D. Inc.
• Robert R. Schlueter DMD PC
• Meagan Robert

• Primary Care Clinic/Center in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Primary Care Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; 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.