Individual provider Active NPI

Steven C Zenisek, M.D.

  • Medical Oncology Physician
  • Wildwood, MO
National Provider Identifier
1932191087
Registry record updated Nov 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
R7758 Issued in MO
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

Updated by the provider on Nov 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
201260320MedicaidMO

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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.