St. Luke's Breast Care Center

Primary specialty

SpecialistTaxonomy code 174400000X

License

27431 Issued in MO

Legal business name

ST. LUKE'S BREAST CARE CENTER

Practice address

232 S Woods Mill Rd Ste 200E
Chesterfield, MO 63017-3417

Phone

(314) 205-6491

Fax

(314) 205-6492

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David P Krajcovic, M.D.

Title

Director

Phone

(314) 205-6491

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962554758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 S WOODS MILL RD STE 200E",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173417",
            "telephone_number": "314-205-6491",
            "fax_number": "314-205-6492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 S WOODS MILL RD STE 200E",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173417",
            "telephone_number": "314-205-6491",
            "fax_number": "314-205-6492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKE'S BREAST CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRAJCOVIC",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-205-6491",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MO",
            "license": "27431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Louis Laser & Vein Center
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• St. Louis Physical Therapy, LLC
• St. Louis Surgical Group, LLC
• St. Luke's Aco, LLC
• St. Luke's Episcopal Presbyterian Hospital (St. Luke's Workplace Health)
• St. Luke's Hospital-Department of Pediatrics
• St. Luke's Physicians/Hospital Organization of St. Louis, Inc.
• St. Luke's Rehabilitation Hospital, L.L.C. (St. Luke's Rehabilitation Hospital)
• St. Luke's Surgery Center of Chesterfield, LLC

• Specialist in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.