St. Charles County Cardiology, LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

R9F84 Issued in MO

Legal business name

ST. CHARLES COUNTY CARDIOLOGY, LLC

Practice address

300 1St Capitol Dr
Saint Charles, MO 63301-2844

Phone

(636) 947-5000

NPI assigned

Feb 2, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Taber, MD

Title

Physician

Phone

(636) 947-5000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801934609",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 1ST CAPITOL DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012844",
            "telephone_number": "636-947-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CHARLES COUNTY CARDIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TABER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "636-947-5000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "R9F84",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Charles Opco LLC (Windsor Estates of St. Charles)
• St Charles Optical Company
• St Charles Orthopaedic Surgery Associates Inc.
• St Charlescodept of Commhealth & the Env
• St. Charles Comprehensive Counseling Services, LLC
• St. Charles County Dept of Community Health
• St. Charles Physician Services, LLP
• St. Charles R-VI School District
• St. Charles Sports&Physical Therapy, Inc.
• St. Charles Sports&Physical Therapy, Inc.

• Cardiovascular Disease Physician in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Cardiovascular Disease Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.