NPIMap

Organization Active NPI

Id Med Consulting, Inc

  • General Acute Care Hospital
  • Fenton, MO
National Provider Identifier
1720374747
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
25858 Issued in MO
Legal business name
ID MED CONSULTING, INC
Practice address
43 Quail Woods Dr
Fenton, MO 63026-3444
Phone
(314) 651-4141
Fax
(636) 326-2659
NPI assigned
Jun 28, 2011
Last updated
Jun 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Authorized official

Name
Mrs. Elaine Marie Dunn, RN
Title
President
Phone
(314) 651-4141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 25858 MO Primary

Addresses

Primary practice location

43 Quail Woods Dr
Fenton, MO 63026-3444

Mailing address

43 Quail Woods Dr
Fenton, MO 63026-3444
Phone (314) 651-4141

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309219200000",
    "number": "1720374747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 QUAIL WOODS DR",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630263444",
            "telephone_number": "314-651-4141",
            "fax_number": "636-326-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 QUAIL WOODS DR",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630263444",
            "telephone_number": "314-651-4141",
            "fax_number": "636-326-2659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ID MED CONSULTING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-28",
        "last_updated": "2011-06-28",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-651-4141",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MO",
            "license": "25858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; 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.