Midwest Hemorrhoid Treatment Center Town & Country LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MIDWEST HEMORRHOID TREATMENT CENTER TOWN & COUNTRY LLC

Practice address

450 N New Ballas Rd
Suite 266
Creve Coeur, MO 63141-6835

Phone

(314) 991-9888

NPI assigned

Jun 29, 2008

Last updated

Dec 5, 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

Betsy F. Clemens, MDNPI 1700850443

Title

MD

Phone

(314) 991-9888

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15607/brand/1/csg/1/fhir/r4

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.

• Betsy F. Clemens, M.D.

  • Family Medicine Physician
  • Creve Coeur, MO
  • NPI 1700850443
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1214697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607126400000",
    "number": "1922260132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 N NEW BALLAS RD STE 266N",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416859",
            "telephone_number": "313-991-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N NEW BALLAS RD",
            "address_2": "SUITE 266",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416835",
            "telephone_number": "314-991-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST HEMORRHOID TREATMENT CENTER TOWN & COUNTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-29",
        "last_updated": "2020-12-05",
        "certification_date": "2020-12-05",
        "status": "A",
        "authorized_official_last_name": "CLEMENS",
        "authorized_official_first_name": "BETSY",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "314-991-9888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.