NPIMap

Organization Active NPI

Intensivist Group of Missouri Inc

  • Critical Care Medicine (Internal Medicine) Physician
  • Fenton, MO
National Provider Identifier
1902122211
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
Legal business name
INTENSIVIST GROUP OF MISSOURI INC
Practice address
1015 Bowles Ave
Fenton, MO 63026-2394
Phone
(866) 344-0543
Fax
(866) 344-3934
NPI assigned
Apr 12, 2010
Last updated
Jul 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2010

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

Authorized official

Name
Dr. Jay S. Cowen, M.D.NPI 1497710388
Title
President
Phone
(866) 344-0543

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X Primary

Addresses

Primary practice location

1015 Bowles Ave
Fenton, MO 63026-2394

Mailing address

830 W Il Route 22
Suite 50
Lake Zurich, IL 60047-2560
Phone (866) 344-0543

National Provider Directory

National Provider Directory

Locations

Carol Stream, IL 60122

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279584000000",
    "number": "1902122211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 W IL ROUTE 22",
            "address_2": "SUITE 50",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472560",
            "telephone_number": "866-344-0543",
            "fax_number": "866-344-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 BOWLES AVE",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262394",
            "telephone_number": "866-344-0543",
            "fax_number": "866-344-3934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTENSIVIST GROUP OF MISSOURI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-12",
        "last_updated": "2010-07-20",
        "status": "A",
        "authorized_official_last_name": "COWEN",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "866-344-0543",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; 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.