NPIMap

Organization Active NPI

Doctors Group , PC

  • Internal Medicine Physician
  • Bridgeton, MO
National Provider Identifier
1730259888
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DOCTORS GROUP , PC
Practice address
12800 Boenker LN
Bridgeton, MO 63044-2438
Phone
(314) 551-0338
Fax
(314) 551-0336
NPI assigned
Nov 8, 2006
Last updated
Apr 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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

Authorized official

Name
Dr. Khaled R Hassan, MDNPI 1841303310
Title
Owner
Phone
(314) 551-0338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

12800 Boenker LN
Bridgeton, MO 63044-2438

Mailing address

12800 Boenker LN
Bridgeton, MO 63044-2438
Phone (314) 551-0338

National Provider Directory

National Provider Directory

Locations

433 Lynn Haven Ln
Hazelwood, MO 63042
Phone (314) 551-0338

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1730259888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12800 BOENKER LN",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442438",
            "telephone_number": "314-551-0338",
            "fax_number": "314-551-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 BOENKER LN",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442438",
            "telephone_number": "314-551-0338",
            "fax_number": "314-551-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS GROUP , PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "KHALED",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-551-0338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.