Active NPI
Elizabeth Ann Laffey, MD
- Family Medicine Physician
- St. Louis, MO
National Provider Identifier
1710083670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2000146107
- Practice address
- 755 South New Ballas Rd
Ste 120
St. Louis, MO 63141 - Phone
- (314) 665-3016
- Fax
- (314) 755-1345
- NPI assigned
- Sep 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2000146107 | MO | Primary |
| Family Medicine Physician | 207Q00000X | 036-099978 | IL |
Addresses
Primary practice location
755 South New Ballas Rd
Ste 120
St. Louis, MO 63141
Mailing address
755 S. New Ballas Rd
Ste 120
St. Louis, MO 63141
Phone (314) 665-3016
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151119002719 | MO | Order and Referring Only - Family Practice | 3678651874 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-099978 | IL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481241600000",
"number": "1710083670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 S. NEW BALLAS RD",
"address_2": "STE 120",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "63141",
"telephone_number": "314-665-3016",
"fax_number": "314-755-1345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 SOUTH NEW BALLAS RD",
"address_2": "STE 120",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "63141",
"telephone_number": "314-665-3016",
"fax_number": "314-755-1345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAFFEY",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-16",
"last_updated": "2016-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2000146107",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036-099978",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St. Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.