Internal Medicine Consultants II, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

R6A89 Issued in MO

Legal business name

INTERNAL MEDICINE CONSULTANTS II, LLC

Practice address

456 N New Ballas Rd
Suite 299
Saint Louis, MO 63141-6831

Phone

(314) 569-1090

Fax

(314) 569-1424

NPI assigned

Jan 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Bosner, MDNPI 1922088749

Title

Delegated Official

Phone

(314) 569-1090

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

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

• Matthew S Bosner, MD

  • Cardiovascular Disease Physician
  • Ste. Genevieve, MO
  • NPI 1922088749

  Internal Medicine

  NPD (past) Authorized official
• Jennifer E Benoist, NP

  • Adult Health Nurse Practitioner
  • Saint Louis, MO
  • NPI 1124250816
  NPD (past)
• Carl A. Lyss, MD

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1669452496
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1992776801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 LACKLAND HILL PKWY",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463572",
            "telephone_number": "314-989-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 N NEW BALLAS RD",
            "address_2": "SUITE 299",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416831",
            "telephone_number": "314-569-1090",
            "fax_number": "314-569-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE CONSULTANTS II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2011-09-27",
        "status": "A",
        "authorized_official_last_name": "BOSNER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "314-569-1090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "R6A89",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "501466205",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP#",
            "identifier": "CP7862",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Intergrity Consumer Directed Services
• Intermed Associates, Inc.
• Intermed Medical Consultants Inc
• Internal Medicine & Gastroenterology LLC
• Internal Medicine Associates of West County P C
• Internal Medicine, LLC
• International Institute of Metropolitan Saint Louis
• International Mosaic Therapy
• Interstaff, Inc
• Interventional Center for Pain

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; 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.