Organization Active NPI

Paul Stein, M.D., Inc.

  • Internal Medicine Physician
  • Creve Coeur, MO
National Provider Identifier
1952524548
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PAUL STEIN, M.D., INC.
Practice address
555 N New Ballas Rd
Suite 110
Creve Coeur, MO 63141-6825
Phone
(314) 872-8470
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Paul M. Stein, M.D.
Title
President
Phone
(314) 872-8470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

555 N New Ballas Rd
Suite 110
Creve Coeur, MO 63141-6825

Mailing address

530 Vance Rd
Valley Park, MO 63088-1527
Phone (636) 225-5445

Other identifiers 2

IdentifierTypeStateIssuer
1682OtherMOBNDD
26D1069810OtherCLIA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1952524548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 VANCE RD",
            "city": "VALLEY PARK",
            "state": "MO",
            "postal_code": "630881527",
            "telephone_number": "636-225-5445",
            "fax_number": "636-225-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N NEW BALLAS RD",
            "address_2": "SUITE 110",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416825",
            "telephone_number": "314-872-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL STEIN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-872-8470",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BNDD",
            "identifier": "1682",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "26D1069810",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.