St. Louis Gastroenterology Associates, P.C.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

114046 Issued in MO

Legal business name

ST. LOUIS GASTROENTEROLOGY ASSOCIATES, P.C.

Practice address

2880 Netherton Dr
Suite 200
Saint Louis, MO 63136-4649

Phone

(314) 355-5400

Fax

(314) 355-1177

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Olayiwola Charles Olagbegi, M.D.

Title

President

Phone

(314) 355-5400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• North County Medical Specialists Doing business as

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1992822274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 NETHERTON DR",
            "address_2": "SUITE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631364649",
            "telephone_number": "314-355-5400",
            "fax_number": "314-355-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 NETHERTON DR",
            "address_2": "SUITE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631364649",
            "telephone_number": "314-355-5400",
            "fax_number": "314-355-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LOUIS GASTROENTEROLOGY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "OLAGBEGI",
        "authorized_official_first_name": "OLAYIWOLA",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-355-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MO",
            "license": "114046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "505987008",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North County Medical Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St. Louis Eye Clinic
• St. Louis Eye Clinic
• St. Louis Eye Clinic
• St. Louis Eye Clinic
• St. Louis Family Therapy
• St. Louis General Hospital
• St. Louis Healthcare Solutions LLC
• St. Louis Heart & Vascular, P.C.
• St. Louis Home Care Providers Inc.
• St. Louis Home Care Providers LLC

• Gastroenterology Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Gastroenterology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.