<Unavail>

LBN: St. Anthony'S Physician Organization
<Unavail> is an health care organization with primary practice located at 10012 Kennerly Rd Suite 406, Saint Louis MO 63128-2197. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. St. Anthony'S Physician Organization can be contacted via phone (314) 525-1224, or through Matejka, Cheryl via phone (314) 251-1958.

Contact Information

Primary practice address
10012 Kennerly Rd Suite 406 Saint Louis MO 63128-2197
Fax: (314) 525-4957
Website:
Authorized official contact:
Name: Matejka, Cheryl

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1902228414
LBN Legal business name St. Anthony'S Physician Organization
DBA Doing business as <Unavail>
Authorized official Matejka, Cheryl
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2014
Last updated Jan 4th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902228414 NPPES
Missouri Other 000015644 MEDICARE PTAN

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