Active NPI
Cep America LLC
- Emergency Medicine Physician
- Richmond Heights, MO
National Provider Identifier
1942855366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- CEP AMERICA LLC
- Practice address
- 6420 Clayton Rd
Richmond Heights, MO 63117-1811 - Phone
- (314) 468-8000
- NPI assigned
- Aug 2, 2019
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- David Birdsall, M.D
- Title
- C.O.O
- Phone
- (510) 350-2600
Other NPIs on the same Medicare enrollment 9
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Practitioners 66
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- Saint Louis, MO
- NPI 1295312817
Emergency Medicine
-
- Emergency Medicine Physician
- Saint Louis, MO
- NPI 1912925330
Emergency Medicine
-
- Student in an Organized Health Care Education/Training Program
- Florissant, MO
- NPI 1124790142
-
- Nurse Practitioner
- Saint Louis, MO
- NPI 1386094241
-
- Adult Health Nurse Practitioner
- Saint Louis, MO
- NPI 1710902176
-
- Family Nurse Practitioner
- Washington, MO
- NPI 1730631029
-
- Family Nurse Practitioner
- Saint Louis, MO
- NPI 1629516455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150312000325 | MO | Part B Supplier - Clinic/Group Practice | 6608056171 |
Receives reassigned benefits from 337 practitioners 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Saint Charles, MO; Wentzville, MO; Saint Louis, MO; Richmond Heights, MO; Lake Saint Louis, MO; Fenton, MO; Bridgeton, MO |
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
6420 Clayton Rd
Richmond Heights, MO 63117-1811
Mailing address
1601 Cummins Dr Ste D
Modesto, CA 95358-6411
Phone (510) 350-2638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 1, 2020.
{
"created_epoch": "1564704000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585699200000",
"number": "1942855366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 CUMMINS DR STE D",
"city": "MODESTO",
"state": "CA",
"postal_code": "953586411",
"telephone_number": "510-350-2638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6420 CLAYTON RD",
"city": "RICHMOND HEIGHTS",
"state": "MO",
"postal_code": "631171811",
"telephone_number": "314-468-8000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CEP AMERICA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-02",
"last_updated": "2020-04-01",
"certification_date": "2020-04-01",
"status": "A",
"authorized_official_last_name": "BIRDSALL",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "C.O.O",
"authorized_official_telephone_number": "510-350-2600",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond Heights, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.