West County Family Care PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

108833 Issued in MO

Legal business name

WEST COUNTY FAMILY CARE PC

Practice address

1574 Woodlake Dr
Chesterfield, MO 63017-5712

Phone

(314) 542-2077

Fax

(314) 434-1406

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

John Patrick Stein, M.D.NPI 1629143219

Title

President

Phone

(314) 542-2077

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 2

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

• John Patrick Stein, M.D.

  • Family Medicine Physician
  • Chesterfield, MO
  • NPI 1629143219
  Medicare reassignment Authorized official
• Jennifer Louise Keen, APN

  • Adult Health Nurse Practitioner
  • Saint Peters, MO
  • NPI 1114193083
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1780759290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1574 WOODLAKE DR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175712",
            "telephone_number": "314-542-2077",
            "fax_number": "314-434-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1574 WOODLAKE DR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175712",
            "telephone_number": "314-542-2077",
            "fax_number": "314-434-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COUNTY FAMILY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-542-2077",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "108833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG5339",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dakota Werner
• Isaac Wersland
• James R Wessely, M.D.
• West County Adult Medicine, LLC
• West County Dermatology, Inc.
• West County Internal Medicine LLC
• West County Ophthalmology, Inc
• West County Orthodontics-Sharon Lee Mason, DDS, P.C.
• West County Plastic & Reconstructive Surgery, Inc.
• West County Regional Rehab Center, LLC

• Family Medicine Physician in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.