Organization Active NPI

LRVS Medical LLC

  • Obstetrics & Gynecology Physician
  • Florissant, MO
National Provider Identifier
1689703290
Registry record updated Sep 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
R8127 Issued in MO
Legal business name
LRVS MEDICAL LLC
Practice address
1224 Graham Rd
Suite 2003
Florissant, MO 63031-8028
Phone
(314) 504-6032
Fax
(314) 831-0988
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2010

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

Authorized official

Name
Ms. Virginia Lee Stolley
Title
Practice Administrator
Phone
(314) 504-6032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X R8127 MO Primary

Addresses

Primary practice location

1224 Graham Rd
Suite 2003
Florissant, MO 63031-8028

Mailing address

1224 Graham Rd
Suite 2003
Florissant, MO 63031-8028
Phone (314) 504-6032

National Provider Directory

National Provider Directory

Locations

1224 Graham Rd
Ste 2003
Florissant, MO 63031
Phone (314) 504-6032

5992 Howdershell Rd
Ste 106
Hazelwood, MO 63042
Phone (314) 731-9393

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283817600000",
    "number": "1689703290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 GRAHAM RD",
            "address_2": "SUITE 2003",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630318028",
            "telephone_number": "314-504-6032",
            "fax_number": "314-831-0988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 GRAHAM RD",
            "address_2": "SUITE 2003",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630318028",
            "telephone_number": "314-504-6032",
            "fax_number": "314-831-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LRVS MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2010-09-07",
        "status": "A",
        "authorized_official_last_name": "STOLLEY",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "314-504-6032",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "R8127",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 7, 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.