Active NPI
Forest Park Hospital Corporation
Doing business as DPG
- Emergency Medicine Physician
- Saint Louis, MO
National Provider Identifier
1700835758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- FOREST PARK HOSPITAL CORPORATION
- Doing business as
- DPG
- Practice address
- 6150 Oakland Ave
Saint Louis, MO 63139-3215 - Phone
- (314) 768-3090
- Fax
- (314) 768-3940
- NPI assigned
- May 8, 2006
- Last updated
- Nov 24, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James J O'Keefe
- Title
- Interim Chief Executive Officer
- Phone
- (314) 768-3699
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary | ||
| Cardiovascular Disease Physician | 207RC0000X | |||
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | |||
| Diagnostic Radiology Physician | 2085R0202X |
Addresses
Primary practice location
6150 Oakland Ave
Saint Louis, MO 63139-3215
Mailing address
531 Pebble Brook LN
Hmai
Belleville, IL 62221-7609
Phone (618) 779-5508
Other names 1
- DPG
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1259020800000",
"number": "1700835758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "531 PEBBLE BROOK LN",
"address_2": "HMAI",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622217609",
"telephone_number": "618-779-5508",
"fax_number": "618-206-8588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6150 OAKLAND AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631393215",
"telephone_number": "314-768-3090",
"fax_number": "314-768-3940"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOREST PARK HOSPITAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-08",
"last_updated": "2009-11-24",
"status": "A",
"authorized_official_last_name": "O'KEEFE",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "INTERIM CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "314-768-3699",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DPG",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Louis, MO
- Forest Park Anesthesia, Inc
- Forest Park Critical Care LLC
- Forest Park Emergency Physicians LLC
- Forest Park Hospital Corp #1 (Ambulatory Care Center)
- Forest Park Hospital Corp #1 (Family Medicine of St Louis)
- Forest Park Hospital Corporation
- Forest Park Hospital Corporation #1
- Forest Park Hospital Corpporation #1
- Forest Park Medical Clinic Inc (Medex)
- Forest Park Pediatrics, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.