Active NPI
Jiri Soupal, MD
- Anesthesiology Physician
- Saint Louis, MO
National Provider Identifier
1922024231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 2005001167
- Practice address
- 1 Barnes Jewish Hospital PLZ
Saint Louis, MO 63110-1003 - Phone
- (314) 362-6973
- Fax
- (314) 362-1185
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 2005001167 | MO | Primary |
Addresses
Primary practice location
1 Barnes Jewish Hospital PLZ
Saint Louis, MO 63110-1003
Mailing address
PO Box 8221
7425 Forsyth
Saint Louis, MO 63156-8221
Phone (314) 935-0770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184630400000",
"number": "1922024231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8221",
"address_2": "7425 FORSYTH",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631568221",
"telephone_number": "314-935-0770",
"fax_number": "314-935-0575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BARNES JEWISH HOSPITAL PLZ",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101003",
"telephone_number": "314-362-6973",
"fax_number": "314-362-1185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUPAL",
"first_name": "JIRI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2007-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MO",
"license": "2005001167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.