Active NPI
Steven C Zenisek, M.D.
- Medical Oncology Physician
- Wildwood, MO
National Provider Identifier
1932191087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- R7758
- Practice address
- 835 Wild Horse Creek Rd
Wildwood, MO 63005-3917 - Phone
- (314) 607-9281
- NPI assigned
- Aug 16, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | R7758 | MO | Primary |
Addresses
Primary practice location
835 Wild Horse Creek Rd
Wildwood, MO 63005-3917
Mailing address
835 Wild Horse Creek Rd
Wildwood, MO 63005-3917
Phone (314) 607-9281
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201260320 | Medicaid | MO |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Louis Cancer Care, L.L.P. | Current | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
10004 Kennerly Rd
Ste 137A
Saint Louis, MO 63128
Phone (314) 842-7301
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hematology & Oncology Physician
- Saint Louis, MO
- NPI 1932156726
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384905600000",
"number": "1932191087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "835 WILD HORSE CREEK RD",
"city": "WILDWOOD",
"state": "MO",
"postal_code": "630053917",
"telephone_number": "314-607-9281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 WILD HORSE CREEK RD",
"city": "WILDWOOD",
"state": "MO",
"postal_code": "630053917",
"telephone_number": "314-607-9281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZENISEK",
"first_name": "STEVEN",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-16",
"last_updated": "2013-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "MO",
"license": "R7758",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201260320",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wildwood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.