A Care, LLC
Organization Active NPI Gastroenterology Physician · Festus, MO
NPI 1720458797 · NPPES record last updated Jan 11, 2016
Key facts
- NPI
- 1720458797
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- 2012003969 (MO)
- Legal business name
- A CARE, LLC
- Practice address
- 420 W Main St
Festus, MO 63028-1800 - Phone
- (636) 931-2320
- Fax
- (636) 937-9693
- NPI assigned
- Oct 2, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. Naeem Aslam, MD
- Title
- Owner/President
- Phone
- (636) 931-2120
Practitioners 5
-
Naeem Aslam, MD
-
Anela B Draganovic, ANP-BC
-
Kayla Bone, MSN, APRN FNP BC
-
Malgorzata Borchardt, CRNA
-
Guihua Cao, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151105001210 | MO | Part B Supplier - Clinic/Group Practice | 6204146137 |
Receives reassigned benefits from 5 practitioners Practice locations: Festus, MO; Saint Louis, MO; Crystal City, MO |
National Provider Directory
Locations
1000 N Truman Blvd
Ste A
Crystal City, MO 63019
Phone (636) 931-2320
Interoperability endpoints
- https://api.platform.athenahealth.com/18488/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician |
207RG0100X | 2012003969 | MO | Yes |
Addresses
Primary practice location
420 W Main St
Festus, MO 63028-1800
Mailing address
PO Box 31385
Saint Louis, MO 63131-0385
Phone (636) 931-2320
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2012003969 | Other | MO | MISSOURI STATE LICENSE NUMBER |
| 036128913 | Other | IL | ILLINOIS STATE LICENSE NUMBER |
Other providers in Festus, MO
All providers in Festus, MO · Gastroenterology Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.