Professional Care Providers, LLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

104933 Issued in MO

Legal business name

PROFESSIONAL CARE PROVIDERS, LLC

Practice address

723 1St Capitol Dr
Saint Charles, MO 63301-2729

Phone

(636) 577-1357

NPI assigned

Aug 13, 2006

Organization subpart

No

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

Authorized official

Name

Ray Bartlett, P.A.

Title

President

Phone

(636) 577-1357

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1821001918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 ZUMBEHL RD",
            "address_2": "#45",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633032723",
            "telephone_number": "636-577-1357",
            "fax_number": "636-447-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 1ST CAPITOL DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012729",
            "telephone_number": "636-577-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL CARE PROVIDERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "BARTLETT",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-577-1357",
        "authorized_official_credential": "P.A."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "33327",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "104933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE8055",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Premise Health of Missouri Medical PC (City of St Charles School District)
• Alan Lee Presswood, D.C.
• Jane L Preuss, RN
• Deleena Price, BCBA
• Michael Price
• Stephanie G Prokopf, PHARM.D.
• Promising Home Health Care LLC
• Tim Propeck, M.D.
• Prorehab, PC (Athletico Physical Therapy)
• Prospective Healthcare Consultants

• Physician Assistant in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.