St. Anthony'S Physician Organization Private Practices LC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ST. ANTHONY'S PHYSICIAN ORGANIZATION PRIVATE PRACTICES LC

Practice address

12700 Southfork Rd
Ste. 255
Saint Louis, MO 63128-3201

Phone

(314) 525-1800

NPI assigned

Jun 5, 2009

Organization subpart

Yes

Parent organization

ST. ANTHONY'S PHYSICIAN ORGANIZATIONAs reported in NPPES

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

Authorized official

Name

Mr. Dave Hinkle

Title

Executive Director

Phone

(314) 543-5903

Specialties & licenses 1

Addresses

Other names 1

• New Specialists Doing business as

Tax ID family

New Specialists2 organizations share this tax ID, including this one

Part of

St Anthonys Physician Organ

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• St. Anthony'S Physician Organization Private Practices LC

  • Surgery Physician
  • St. Louis, MO
  • NPI 1295963940
  NPD tax ID

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251072000000",
    "number": "1992931885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 SOUTHFORK RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283201",
            "telephone_number": "314-525-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 SOUTHFORK RD",
            "address_2": "STE. 255",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283201",
            "telephone_number": "314-525-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. ANTHONY'S PHYSICIAN ORGANIZATION PRIVATE PRACTICES LC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. ANTHONY'S PHYSICIAN ORGANIZATION",
        "enumeration_date": "2009-06-05",
        "last_updated": "2009-08-24",
        "status": "A",
        "authorized_official_last_name": "HINKLE",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-543-5903",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St. Anthony'S Physician Organization
• St. Anthony'S Physician Organization
• St. Anthony'S Physician Organization Private Practices LC
• St. Anthony'S Physician Organization Private Practices LC
• St. Anthony'S Physician Organization Private Practices LC
• St. Anthony'S Physician Organization Private Practices, L.C.
• St. Anthony'S Physician Organizaton
• St. Elizabeth Adult Day Care Center, Inc.
• St. Elizabeth Adult Day Care Center, Inc.
• St. Gerard Obstetrics and Gynecology, LLC

• General Practice Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• General Practice Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; 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.