Active NPI
Stan L London Medical LLC
- Surgery Physician
- Saint Louis, MO
National Provider Identifier
1801806112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 24858
- Legal business name
- STAN L LONDON MEDICAL LLC
- Practice address
- 1040 N Mason Rd
Ste G03
Saint Louis, MO 63141-6399 - Phone
- (314) 878-7899
- Fax
- (314) 205-1020
- NPI assigned
- Aug 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stanley L. London, MD
- Title
- Owner
- Phone
- (314) 569-2294
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 24858 | MO | Primary |
Addresses
Primary practice location
1040 N Mason Rd
Ste G03
Saint Louis, MO 63141-6399
Mailing address
1836 Lackland Hill Pkwy
Attnt: Credentialing Dept
Saint Louis, MO 63146-3572
Phone (314) 989-0300
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1274918400000",
"number": "1801806112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1836 LACKLAND HILL PKWY",
"address_2": "ATTNT: CREDENTIALING DEPT",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631463572",
"telephone_number": "314-989-0300",
"fax_number": "314-810-1399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 N MASON RD",
"address_2": "STE G03",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631416399",
"telephone_number": "314-878-7899",
"fax_number": "314-205-1020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAN L LONDON MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-09",
"last_updated": "2010-05-27",
"status": "A",
"authorized_official_last_name": "LONDON",
"authorized_official_first_name": "STANLEY",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "314-569-2294",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "MO",
"license": "24858",
"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 May 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.