Active NPI
Long Term Consultants LLC
- Internal Medicine Physician
- Saint Louis, MO
National Provider Identifier
1740481258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 102417
- Legal business name
- LONG TERM CONSULTANTS LLC
- Practice address
- 1 Meadow Acres
Saint Louis, MO 63124-1460 - Phone
- (314) 308-6965
- Fax
- (314) 801-8700
- NPI assigned
- May 31, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Poonam Jain, MD
- Title
- Owner
- Phone
- (314) 308-6965
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 102417 | MO | Primary |
Addresses
Primary practice location
1 Meadow Acres
Saint Louis, MO 63124-1460
Mailing address
PO Box 31637
Saint Louis, MO 63131-0637
Phone (314) 308-6965
National Provider Directory
National Provider DirectoryLocations
605 Coeur de Ville Dr
Saint Louis, MO 63141
Phone (314) 453-7311
3009 N Ballas Rd
Ste 126
Saint Louis, MO 63131
Phone (314) 395-8442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1452124800000",
"number": "1740481258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31637",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631310637",
"telephone_number": "314-308-6965",
"fax_number": "314-801-8700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEADOW ACRES",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631241460",
"telephone_number": "314-308-6965",
"fax_number": "314-801-8700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LONG TERM CONSULTANTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-31",
"last_updated": "2016-01-07",
"status": "A",
"authorized_official_last_name": "JAIN",
"authorized_official_first_name": "POONAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "314-308-6965",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MO",
"license": "102417",
"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 Jan 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.