Endoscopy Center Of St. Louis in Lake Saint Louis - Endoscopy
Endoscopy Center Of St. Louis - NPI 1023094836
Endoscopy Center Of St. Louis is a Endoscopy in Lake Saint Louis, Missouri. Endoscopy Center Of St. Louis practices all healthcare services and medical treatments related to Endoscopy. The NPI Number for Endoscopy Center Of St. Louis is 1023094836. The last update date is 2007-11-27.
Endoscopy Center Of St. Louis's current location address is 200 Brevco Plz, Lake Saint Louis, Missouri. You can contact this provider via phone number 6365615450 and fax number 6365615451. The mailing address for Endoscopy Center Of St. Louis is 200 Brevco Plz, Lake Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Endoscopy Center Of St. Louis |
|---|---|
| Address | 200 Brevco Plz, Lake Saint Louis, Missouri |
| Phone Number | 6365615450 |
| Fax Number | 6365615451 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Petersen H. James |
| Credentials | M.D. |
| Telephone Number | 6365615450 |
NPI Number Detail
| NPI Number | 1023094836 |
|---|---|
| Provider Enumeration Date | 2005-12-22 |
| Last Updated Date | 2007-11-27 |
Provider Mailing Address Detail
| Address | 200 Brevco Plz |
|---|---|
| City | Lake Saint Louis |
| State | Missouri (MO) |
| Post Code | 633672947 |
| Phone Number | 6365615450 |
| Fax Number | 6365615451 |
Provider's Primary Taxonomy Detail
| Speciality | Endoscopy |
|---|---|
| Taxonomy | 261Qe0800X |
| Licence No | 152-0 |
|
Definition: Examines internal organs and cavities using an endoscope inserted through small incisions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00214935 | MO | RAIL ROAD MEDICARE | |
| 195965 | MO | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Endoscopy Center Of St. Louis by the Centers for Medicare & Medicaid Services?
The Endoscopy Center Of St. Louis has been assigned the NPI (National Provider Identifier) 1023094836. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Endoscopy Center Of St. Louis located?
The Endoscopy Center Of St. Louis is located at 200 Brevco Plz, Lake Saint Louis, MO 633672947.
What is Endoscopy Center Of St. Louis's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Endoscopy Center Of St. Louis is Endoscopy, and the taxonomy classification code that categorizes this area of expertise is 261Qe0800X.
On what date did Endoscopy Center Of St. Louis receive its 1023094836 assignment from the Centers for Medicare & Medicaid Services?
The Endoscopy Center Of St. Louis was assigned its 1023094836 on 2005-12-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Endoscopy Center Of St. Louis last refreshed?
The information related to the Endoscopy Center Of St. Louis, including its address, specialty, and other relevant details, was last updated on 2007-11-27.