Individual provider Active NPI

Bev Fingerhood, M.D.

  • Internal Medicine Physician
  • Saint Charles, MO
National Provider Identifier
1952403487
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
100875 Issued in MO
Practice address
2127 Bluestone Dr
Suite 203
Saint Charles, MO 63303-6709
Phone
(636) 916-5575
NPI assigned
Sep 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 100875 MO Primary

Addresses

Primary practice location

2127 Bluestone Dr
Suite 203
Saint Charles, MO 63303-6709

Mailing address

2127 Bluestone Dr
Suite 203
Saint Charles, MO 63303-6709
Phone (636) 916-5575

Other identifiers 1

IdentifierTypeStateIssuer
100875OtherMOLICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120328000057 MO Practitioner - Internal Medicine 5890955991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
100875MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bev Fingerhood, LTD CurrentSince Mar 28, 2012 Accepting new patients

Locations

2127 Bluestone Dr
Ste 203
Saint Charles, MO 63303
Phone (314) 916-5575

Interoperability endpoints

  • Direct secure messaging: bfingerhood3357@direct-ehr-ssmhc.com

Organizations & group practices 1

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": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952403487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 BLUESTONE DR",
            "address_2": "SUITE 203",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633036709",
            "telephone_number": "636-916-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 BLUESTONE DR",
            "address_2": "SUITE 203",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633036709",
            "telephone_number": "636-916-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINGERHOOD",
        "first_name": "BEV",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "100875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "100875",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

Verify at the official NPI Registry.