Organization Active NPI

Hakim Nyazee LLC

  • Gastroenterology Physician
  • Saint Louis, MO
National Provider Identifier
1780777664
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
HAKIM NYAZEE LLC
Practice address
11155 Dunn Rd Ste 212E
Saint Louis, MO 63136-6166
Phone
(314) 837-4200
Fax
(314) 972-0402
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Authorized official

Name
Heather Welch
Title
Office Manager
Phone
(636) 928-1231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

11155 Dunn Rd Ste 212E
Saint Louis, MO 63136-6166

Mailing address

6 Jungermann Cir Ste 215
Saint Peters, MO 63376-1626
Phone (636) 928-1231

National Provider Directory

National Provider Directory

Locations

2044 Madison Ave
Ste 28
Granite City, IL 62040
Phone (314) 831-4200

6 Jungermann Cir
Ste 214
Saint Peters, MO 63376
Phone (636) 928-1231

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600646400000",
    "number": "1780777664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 JUNGERMANN CIR STE 215",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761626",
            "telephone_number": "636-928-1231",
            "fax_number": "636-922-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11155 DUNN RD STE 212E",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366166",
            "telephone_number": "314-837-4200",
            "fax_number": "314-972-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAKIM NYAZEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "636-928-1231"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "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 Sep 21, 2020; 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.