Organization Active NPI

Northern Michigan Hospitalists PC

  • Hospitalist Physician
  • Chesterfield, MO
National Provider Identifier
1689858342
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
NORTHERN MICHIGAN HOSPITALISTS PC
Practice address
1 McBride and Son Center Dr
Ste 150
Chesterfield, MO 63005-1425
Phone
(636) 530-0800
NPI assigned
Dec 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Authorized official

Name
David Sandvos
Title
Cfo
Phone
(636) 530-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208M00000X Primary

Addresses

Primary practice location

1 McBride and Son Center Dr
Ste 150
Chesterfield, MO 63005-1425

Mailing address

1 McBride and Son Center Dr
Ste 150
Chesterfield, MO 63005-1425

National Provider Directory

National Provider Directory

Locations

1 McBride and Son Center Dr
#D
Chesterfield, MO 63005

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": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1689858342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MCBRIDE AND SON CENTER DR",
            "address_2": "STE 150",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MCBRIDE AND SON CENTER DR",
            "address_2": "STE 150",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051425",
            "telephone_number": "636-530-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN MICHIGAN HOSPITALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "SANDVOS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "636-530-0800"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.