West County Diabetes and Endocrinology Center PC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

2016025626 Issued in MO

Legal business name

WEST COUNTY DIABETES AND ENDOCRINOLOGY CENTER PC

Practice address

1023 Executive Parkway Dr Ste 2
Creve Coeur, MO 63141-6323

Phone

(314) 627-1627

Fax

(314) 485-2374

NPI assigned

Aug 16, 2018

Organization subpart

No

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

Authorized official

Name

Gurkiran Dhindsa, MD

Title

Owner/President

Phone

(716) 598-1545

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1699255935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411193",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631413193",
            "telephone_number": "314-627-1627",
            "fax_number": "314-485-2374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 EXECUTIVE PARKWAY DR STE 2",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416323",
            "telephone_number": "314-627-1627",
            "fax_number": "314-485-2374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COUNTY DIABETES AND ENDOCRINOLOGY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-16",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "DHINDSA",
        "authorized_official_first_name": "GURKIRAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "716-598-1545",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MO",
            "license": "2016025626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500062705",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Weder
• Steven Mark Weiner, PHD
• Evonne Weinhaus, LCSW
• Leonard B Weinstock, MD
• Howard Ivan Weiss, M.D.
• West County Physicians, LLC
• West County Surgical Center
• Kerrie Lee Weston, RPH
• Samantha Ilona Weyhrich, RD, LD
• Thomas F Wheeler, MD

• Endocrinology, Diabetes & Metabolism Physician in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Endocrinology, Diabetes & Metabolism Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.