NPIMap

Organization Active NPI

Integra Physicians Urgent Care Centers, LLC

  • Urgent Care Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1740319284
Registry record updated Nov 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
R8E05 Issued in MO
Legal business name
INTEGRA PHYSICIANS URGENT CARE CENTERS, LLC
Practice address
12161 Manchester Rd
Saint Louis, MO 63131-4310
Phone
(314) 965-7800
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2007

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

Authorized official

Name
Irwin S. Plisco, MDNPI 1871574525
Title
Owner
Phone
(314) 579-0339

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X R8E05 MO Primary

Addresses

Primary practice location

12161 Manchester Rd
Saint Louis, MO 63131-4310

Mailing address

1836 Lackland Hill Pkwy
Attn Credentialing Department
Saint Louis, MO 63146-3572
Phone (314) 989-0300

Other names 1

  • Des Peres Urgent Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

12161 Manchester Rd
Saint Louis, MO 63131
Phone (314) 821-0755

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194825600000",
    "number": "1740319284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 LACKLAND HILL PKWY",
            "address_2": "ATTN CREDENTIALING DEPARTMENT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463572",
            "telephone_number": "314-989-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12161 MANCHESTER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631314310",
            "telephone_number": "314-965-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRA PHYSICIANS URGENT CARE CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-11-12",
        "status": "A",
        "authorized_official_last_name": "PLISCO",
        "authorized_official_first_name": "IRWIN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-579-0339",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MO",
            "license": "R8E05",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Des Peres Urgent Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 12, 2007; 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.