Kirkwood Medical Group LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

KIRKWOOD MEDICAL GROUP LLC

Practice address

3844 S Lindbergh Blvd
Suite 160
Saint Louis, MO 63127-1368

Phone

(314) 698-2500

Fax

(314) 698-2323

NPI assigned

Jan 18, 2007

Last updated

Jul 30, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sandra Lea Fischer

Title

Office Manager

Phone

(314) 698-2500

Specialties & licenses 2

Addresses

Locations

Practitioners 3

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.

• Peter V Bettonville, M.D.

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1144273657
  NPD (past)
• Robert S Fischer, M.D.

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1548214455
  NPD (past)
• Jose A Ramirez, M.D.

  • Gastroenterology Physician
  • Saint Louis, MO
  • NPI 1801849831
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185753600000",
    "number": "1699828327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3844 S LINDBERGH BLVD",
            "address_2": "SUITE 160",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271368",
            "telephone_number": "314-698-2500",
            "fax_number": "314-698-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3844 S LINDBERGH BLVD",
            "address_2": "SUITE 160",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271368",
            "telephone_number": "314-698-2500",
            "fax_number": "314-698-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRKWOOD MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-30",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "314-698-2500"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deann Marie Kirksey, COTA L
• Kirksville Medical Imaging, Inc.
• Jerome J Kirkton, CRNA
• Kirkwood Ambulatory Surgery Center
• Kirkwood Diagnostic & Orthopedic Associates, LLC.
• Kirkwood Pathology Services Inc
• Nigar Kirmani, MD
• Timothy Gerard Kirn Jr., MPT
• Mary E Kirsch, CRNA
• Sharon Kirsch, M.A.

• Internal Medicine Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.