Organization Active NPI

Nephrology and Hypertension Consultants LLC

  • Nephrology Physician
  • Saint Louis, MO
National Provider Identifier
1811154206
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NEPHROLOGY AND HYPERTENSION CONSULTANTS LLC
Practice address
621 S New Ballas Rd
Mercy Doctors BLDG Tower B Suite 5003
Saint Louis, MO 63141-8232
Phone
(636) 527-7278
Fax
(636) 527-7201
NPI assigned
May 22, 2008
Last updated
Aug 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Dr. Graeme Mindel, MD
Title
Owner
Phone
(636) 928-0078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

621 S New Ballas Rd
Mercy Doctors BLDG Tower B Suite 5003
Saint Louis, MO 63141-8232

Mailing address

140 Jungermann Rd
Saint Peters, MO 63376-1698
Phone (636) 928-0078

Other identifiers 1

IdentifierTypeStateIssuer
205685910MedicaidMO

National Provider Directory

National Provider Directory

Locations

621 S New Ballas Rd
Ste 5003
Saint Louis, MO 63141
Phone (314) 569-6507

140 Jungermann Rd
Saint Peters, MO 63376
Phone (636) 229-5697

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1811154206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 JUNGERMANN RD",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761698",
            "telephone_number": "636-928-0078",
            "fax_number": "636-928-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD",
            "address_2": "MERCY DOCTORS BLDG TOWER B SUITE 5003",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418232",
            "telephone_number": "636-527-7278",
            "fax_number": "636-527-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY AND HYPERTENSION CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "MINDEL",
        "authorized_official_first_name": "GRAEME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-928-0078",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205685910",
            "state": "MO"
        }
    ],
    "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 Aug 12, 2008; 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.