Ernesto S. Lam, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

33184 Issued in MO

Practice address

2220 Lemp Ave
Saint Louis, MO 63104-2700

Phone

(314) 814-8688

Fax

(314) 814-8542

NPI assigned

Oct 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Affinia Healthcare

  • Federally Qualified Health Center (FQHC)
  • Saint Louis, MO
  • NPI 1740067719
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1790875615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 BARNBRIDGE RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631313131",
            "telephone_number": "314-340-3242",
            "fax_number": "341-814-8542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 LEMP AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631042700",
            "telephone_number": "314-814-8688",
            "fax_number": "314-814-8542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "ERNESTO",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "33184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20021512",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lal Home Health Agency
• Victoria Lynn Lal, AGNP
• Juliana Lally, LCSW
• Katherine Marie Lally, PHYSICIAN ASSISTANT
• Madison Lally
• Jacob Lam, MD
• Jason Khoa Lam, DO
• Shalu Lama, AGACNP
• Ruth Ann Lamar, LPTA
• Polly Lamartina, ANP-C

• Internal Medicine Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.