Individual provider Active NPI

Linda Therkildsen, DO

  • Family Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1902909278
Registry record updated May 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2006025334 Issued in MO
Practice address
8710 Manchester Rd
Saint Louis, MO 63144-2724
Phone
(314) 961-3570
Fax
(314) 961-6450
NPI assigned
Sep 5, 2006
Last updated
May 5, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2006025334 MO Primary

Addresses

Primary practice location

8710 Manchester Rd
Saint Louis, MO 63144-2724

Mailing address

PO Box 1239
Troy, MI 48099-1239
Phone (248) 824-6600

Other identifiers 1

IdentifierTypeStateIssuer
206288904MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070524000442 MO Practitioner - Family Practice 8729071030 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy East Ambulatory Services LLCGroup PAC ID 2365739240, 102 clinicians

Practice addresses (Care Compare)

11445 Olive Blvd
Creve Coeur, MO 63141-7108
Phone (314) 428-9543

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospitals East Communities Family Medicine CurrentSince Mar 7, 2016 Accepting new patients
Vpa PC Family Medicine CurrentSince May 12, 2014 Accepting new patients
Vpa PC Family Medicine CurrentSince Apr 28, 2024 Accepting new patients
Vpa PC Family Medicine CurrentSince May 12, 2014 Accepting new patients
Mercy Hospitals East Communities CurrentSince Mar 7, 2016 Accepting new patients
Jesse Dwayne Helton Family Medicine Past Accepting new patients
Jesse D Helton Family Medicine Past Accepting new patients

Locations

4150 N Mulberry Dr
Kansas City, MO 64116
Phone (816) 214-4364

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

8706 Manchester Rd
Ste 106
Saint Louis, MO 63144
Phone (314) 961-3570

8710 Manchester Rd
Saint Louis, MO 63144
Phone (314) 961-3570

901 Patients First Dr
Ste 1200
Washington, MO 63090
Phone (636) 390-1777

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399248000000",
    "number": "1902909278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1239",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480991239",
            "telephone_number": "248-824-6600",
            "fax_number": "248-324-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8710 MANCHESTER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631442724",
            "telephone_number": "314-961-3570",
            "fax_number": "314-961-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THERKILDSEN",
        "first_name": "LINDA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2014-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2006025334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206288904",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.