South County Internal Medicine Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

106241 Issued in MO

Legal business name

SOUTH COUNTY INTERNAL MEDICINE INC.

Practice address

2900 Lemay Ferry Rd
Suite 226
Saint Louis, MO 63125-3900

Phone

(314) 892-3380

NPI assigned

May 10, 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

Dr. Tahir Qayum, M.DNPI 1306907738

Title

President

Phone

(314) 892-3380

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tahir Qayum, M.D.

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1306907738
  NPD (past) Authorized official

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861606493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 LEMAY FERRY RD",
            "address_2": "SUITE 226",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631253900",
            "telephone_number": "314-892-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 LEMAY FERRY RD",
            "address_2": "SUITE 226",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631253900",
            "telephone_number": "314-892-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COUNTY INTERNAL MEDICINE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QAYUM",
        "authorized_official_first_name": "TAHIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-892-3380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "106241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South County Dental Imaging Center
• South County Endocrinology and Obesity Medicine LLC
• South County Eye Care
• South County Family Dental, Inc
• South County Imaging Center LLC
• South County Orthopedics and Sports Medicine Inc
• South County Outpatient Surgery Center LP
• South County Pain Institute LLC
• South County Pain Institute LLC
• South County Pediatric Associates PC

• Internal Medicine Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Internal Medicine 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.