Organization Active NPI

Long Term Consultants LLC

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1740481258
Registry record updated Jan 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
102417 Issued in MO
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

Updated by the provider on Jan 7, 2016

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.