Physician Groups Lc in Saint Louis - Primary Care
Physician Groups Lc - NPI 1043386147
Physician Groups Lc is a Primary Care in Saint Louis, Missouri. Physician Groups Lc practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Physician Groups Lc is 1043386147. The last update date is 2008-03-26.
Physician Groups Lc's current location address is 670 Mason Ridge Center Dr, Saint Louis, Missouri. You can contact this provider via phone number 3149967644 and fax number 3149967658. The mailing address for Physician Groups Lc is 670 Mason Ridge Center Dr, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Physician Groups Lc |
|---|---|
| Address | 670 Mason Ridge Center Dr, Saint Louis, Missouri |
| Phone Number | 3149967644 |
| Fax Number | 3149967658 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Davidson P Raymond |
| Credentials | MD |
| Telephone Number | 3142862028 |
NPI Number Detail
| NPI Number | 1043386147 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2008-03-26 |
Provider Mailing Address Detail
| Address | 670 Mason Ridge Center Dr |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631418573 |
| Phone Number | 3149967644 |
| Fax Number | 3149967658 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
|
Definition: Serves as the first point of contact for comprehensive healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CN1994 | MO | MEDICARE RAILRAOD |
Post Comment/ Review Below
What is the unique identifier code issued to Physician Groups Lc by the Centers for Medicare & Medicaid Services (CMS)?
The Physician Groups Lc has been assigned the NPI (National Provider Identifier) 1043386147. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Physician Groups Lc's facilities are geographically located?
The facilities of Physician Groups Lc are physically situated at the following location: 670 Mason Ridge Center Dr, Saint Louis, MO, 631418573.
What is the area of specialization for Physician Groups Lc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Physician Groups Lc is Primary Care, and the corresponding taxonomy code that categorizes this area of expertise is 261Qp2300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1043386147 to Physician Groups Lc?
The Centers for Medicare & Medicaid Services originally issued the 1043386147 to Physician Groups Lc on 2006-11-28.
As of what date was the information regarding Physician Groups Lc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Physician Groups Lc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-03-26.