Celso Ferreira Rodrigues, M.D.
Individual provider Active NPI Internal Medicine Physician · Imperial, MO
NPI 1861403628 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1861403628
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 2001012442 (MO)
- Practice address
- 2674 Fox Run Dr
Imperial, MO 63052-2024 - Phone
- (636) 461-2711
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2001012442 | MO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forest Park Emergency Physicians LLC | Past | Accepting new patients | |
| Generations Family Medicine PC | Past | Accepting new patients | |
| Cardiology Consultants LTD | Internal Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2001012442 | MO | Yes |
Addresses
Primary practice location
2674 Fox Run Dr
Imperial, MO 63052-2024
Mailing address
2674 Fox Run Dr
Imperial, MO 63052-2024
Phone (636) 461-2711
Other providers in Imperial, MO
- Thea Renick
- Brooke Lauren Reynolds
- Ride on St Louis, Inc.
- Tracy M. Riordan
- Riversedge Psychological Services
- Emily Rodriguez
- Schmitz Chiropractic, LLC
- Gerald Charles Schmitz
- Kyle G Schmitz
- Mark Ryan Schmitz
All providers in Imperial, MO · Internal Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.