NPIMap

Organization Active NPI

Generation Clinical Partners Aco, LLC

Doing business as Generation Clinical Partners ACO

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1740969120
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GENERATION CLINICAL PARTNERS ACO, LLC
Doing business as
Generation Clinical Partners ACO
Practice address
723 S Laclede Station Rd
Saint Louis, MO 63119-4911
Phone
(314) 925-0903
NPI assigned
Jul 13, 2023
Last updated
Jul 18, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
GENERATION CLINICAL PARTNERS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Authorized official

Name
Walter Lin, MDNPI 1952481913
Title
Chief Executive Officer
Phone
(314) 925-0903

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 PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

723 S Laclede Station Rd
Saint Louis, MO 63119-4911

Mailing address

10426 Baur Blvd
Saint Louis, MO 63132-1905
Phone (314) 925-0903

Other names 1

  • Generation Clinical Partners ACO Doing business as

National Provider Directory

National Provider Directory
Part of
Generation Clinical Partners LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 21

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 21

NPI Registry JSON

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1740969120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10426 BAUR BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631321905",
            "telephone_number": "314-925-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 S LACLEDE STATION RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631194911",
            "telephone_number": "314-925-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATION CLINICAL PARTNERS ACO, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENERATION CLINICAL PARTNERS LLC",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "314-925-0903",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Generation Clinical Partners ACO",
            "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 Jul 18, 2023; 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.