Organization Active NPI

Scott Cologne MD LLC

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Saint Louis, MO
National Provider Identifier
1730315326
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
License
2006005276 Issued in MO
Legal business name
SCOTT COLOGNE MD LLC
Practice address
727 Craig Rd
Ste 101
Saint Louis, MO 63141-7175
Phone
(402) 672-2163
NPI assigned
Jun 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

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

Authorized official

Name
Scott Cologne, MD
Title
Owner/Sole Member
Phone
(402) 672-2163

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 2006005276 MO
Sleep Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084S0012X 2006005276 MO Primary

Addresses

Primary practice location

727 Craig Rd
Ste 101
Saint Louis, MO 63141-7175

Mailing address

PO Box 23478
San Diego, CA 92193-3478
Phone (402) 672-2163

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354492800000",
    "number": "1730315326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23478",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921933478",
            "telephone_number": "402-672-2163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 CRAIG RD",
            "address_2": "STE 101",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417175",
            "telephone_number": "402-672-2163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT COLOGNE MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-09",
        "last_updated": "2012-12-03",
        "status": "A",
        "authorized_official_last_name": "COLOGNE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/SOLE MEMBER",
        "authorized_official_telephone_number": "402-672-2163",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2006005276",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "MO",
            "license": "2006005276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.