NPIMap

Organization Active NPI

Primary Healthcare STL, LLC

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1982026019
Registry record updated Jan 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
RN 128513 Issued in MO
Legal business name
PRIMARY HEALTHCARE STL, LLC
Practice address
4464 Greer Ave
Saint Louis, MO 63115-2621
Phone
(314) 571-0272
NPI assigned
Jan 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2014

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

Authorized official

Name
Ms. Arneatrice MyersNPI 1720342744
Title
Adult Nurse Practitioner; President
Phone
(314) 571-0272

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X RN 128513 MO Primary

Addresses

Primary practice location

4464 Greer Ave
Saint Louis, MO 63115-2621

Mailing address

4464 Greer Ave
Saint Louis, MO 63115-2621
Phone (314) 571-0272

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1389139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389139200000",
    "number": "1982026019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4464 GREER AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631152621",
            "telephone_number": "314-571-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4464 GREER AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631152621",
            "telephone_number": "314-571-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY HEALTHCARE STL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-08",
        "last_updated": "2014-01-08",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "ARNEATRICE",
        "authorized_official_title_or_position": "ADULT NURSE PRACTITIONER; PRESIDENT",
        "authorized_official_telephone_number": "314-571-0272",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "RN 128513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; 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.