Institute for Research and Education in Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R1H15 Issued in MO

Legal business name

INSTITUTE FOR RESEARCH AND EDUCATION IN FAMILY MEDICINE

Doing business as

IFM Community Medicine

Practice address

9417 S Broadway
Saint Louis, MO 63125-2009

Phone

(314) 833-4030

Fax

(314) 833-4031

NPI assigned

Apr 14, 2006

Last updated

Dec 11, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David C Campbell, MDNPI 1801872254

Title

Ceo

Phone

(314) 833-4030

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• IFM Community Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations (25 of 47)

Practitioners 55

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David C Campbell, M.D.

  • Family Medicine Physician
  • Saint Louis, MO
  • NPI 1801872254
  Medicare reassignment NPD Authorized official
• Teresa Dumaine

  • Family Nurse Practitioner
  • Saint Louis, MO
  • NPI 1356500300
  Medicare reassignment Care Compare group NPD
• Mary Vatterott Hastings, MD

  • Family Medicine Physician
  • Saint Louis, MO
  • NPI 1932365665
  Medicare reassignment Care Compare group NPD
• Lynelle Lois Hinden, DC, DNP-FNP-BC

  • Family Nurse Practitioner
  • Saint Louis, MO
  • NPI 1255464939
  Medicare reassignment Care Compare group NPD
• Jessica Marie Knobbe, CPNP

  • Pediatric Nurse Practitioner
  • Saint Louis, MO
  • NPI 1780409805
  Medicare reassignment Care Compare group NPD
• Stacy L Lobello, FNP-BC

  • Family Nurse Practitioner
  • Saint Louis, MO
  • NPI 1902211063
  Medicare reassignment Care Compare group NPD
• Lauren Elizabeth Woll, DNP, FNP-C

  • Family Nurse Practitioner
  • Saint Louis, MO
  • NPI 1265210066
  Medicare reassignment Care Compare group NPD
• Dena L Williams, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Alton, IL
  • NPI 1417648825

  MO

  Medicare reassignment Care Compare group NPD
• Denise L Buck, M. D.

  • Family Medicine Physician
  • Saint Louis, MO
  • NPI 1083760599
  Medicare reassignment Care Compare group
• Brook Raye

  • Family Nurse Practitioner
  • Saint Louis, MO
  • NPI 1710252176
  Medicare reassignment Care Compare group
• Paige Bernau, FNP-C

  • Family Nurse Practitioner
  • Bridgeton, MO
  • NPI 1447122197
  Medicare reassignment NPD
• Seth Joseph Bland

  • Family Nurse Practitioner
  • Saint Louis, MO
  • NPI 1932067121
  Medicare reassignment NPD

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1972567923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 DELMAR BLVD STE B560",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631123084",
            "telephone_number": "314-833-4030",
            "fax_number": "314-833-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9417 S BROADWAY",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631252009",
            "telephone_number": "314-833-4030",
            "fax_number": "314-833-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE FOR RESEARCH AND EDUCATION IN FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-14",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-833-4030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R1H15",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "506012806",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IFM Community Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.