MRT MEDICAL GROUP.PC (NPI# 1467613125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467613125 |
| Entity Type | Organization |
| Organization Name | MRT MEDICAL GROUP.PC |
| Other Organization Name | COUNTY MEDICAL SPECIALISTS |
| Practice Address |
2325 Dougherty Ferry Rd Suite# 206 St Louis MO 63122 |
| Mailing Address |
Po Box 411397 Saint Louis MO 63141-1397 |
| Practice Telephone | 3142653033 |
| Practice Fax Number | 3148210952 |
| Mailing Telephone | 3142653033 |
| Mailing Fax Number | 3148210952 |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2008-06-24 |
| Authorized Official Name | DR. VENKATA R PANTE (DIRECTOR) |
| Authorized Official Telephone | 3142653033 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 2000174352 | MO | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 2000174352 | MO | Allopathic & Osteopathic Physicians |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
2000174352 | MO | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| County Medical Specialists | Doing Business As Name - Organization |
| Street Address |
2325 DOUGHERTY FERRY RD, SUITE# 206 |
| City | ST LOUIS |
| State | MO |
| Zip Code | 63122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659933174 | Keela Rushing | Physical Therapist | 439 S Kirkwood Rd Ste 200, Kirkwood, MO 63122 | 2019-07-04 |
| 1730643461 | Kirkwood Family Dental | Dentist | 333 S Kirkwood Road, Suite 105, Kirkwood, MO 63122 | 2019-01-28 |
| 1477061166 | Total Access Urgent Care, PC | Clinic/Center | 2980 Dougherty Ferry Rd, Saint Louis, MO 63122 | 2018-01-16 |
| 1760933469 | Missouri Cvs Pharmacy, L.l.c | Durable Medical Equipment & Medical Supplies | 10820 Manchester Rd, Kirkwood, MO 63122 | 2016-10-18 |
| 1518321041 | M. Kathleen Blanchard | Counselor | 11042 Manchester Rd., Kirkwood, MO 63122 | 2016-04-11 |
| 1265801914 | Kim Grega | Counselor | 700 S Kirkwood Rd, Kirkwood, MO 63122 | 2015-09-23 |
| 1245617943 | Mark Edward Taylor | Dentist | 610 North Geyer, Kirkwood, MO 63122 | 2015-05-01 |
| 1467843094 | Mary Elizabeth Boomgarden | Physical Therapist | 9645 Big Bend Boulevard, Saint Louis, MO 63122 | 2015-02-18 |
| 1760725717 | Michael Diller Counseling | Counselor | 144 W Madison Avenue, Kirkwood, MO 63122 | 2013-03-28 |
| 1427309954 | Anne Marie Delaplain | Dentist | 725 Laclede Station Road, Webster Groves, MO 63122 | 2012-09-24 |
| Find all providers in zip 63122 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750454484 | Hector Ocampo Pineda | Internal Medicine | 4460 Chippewa St, St Louis, MO 63116 | 2006-11-17 |
| 1053322685 | Syed H Tariq | Internal Medicine | 3660 Vista, St Louis, MO 63110 | 2006-08-10 |
| 1851302418 | John E Morley | Internal Medicine | 3660 Vista, St Louis, MO 63110 | 2006-08-10 |
| 1518975366 | Julie K Gammack | Internal Medicine | 3660 Vista, St Louis, MO 63110 | 2006-08-04 |
| 1023026804 | Chantri Trinh | Internal Medicine | 3660 Vista, St Louis, MO 63110 | 2006-08-04 |
| 1710995568 | Joseph H Flaherty | Internal Medicine | 3660 Vista, St Louis, MO 63110 | 2006-08-04 |
| 1336157106 | David R Thomas | Internal Medicine | 3660 Vista, St Louis, MO 63110 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164037875 | Visiting Physicians LLC | Internal Medicine | 108 E Green Meadows Rd Ste 3, Columbia, MO 65203-3633 | 2020-09-10 |
| 1023572690 | Specialist In Aging Successfully LLC | Internal Medicine | 12255 De Paul Dr Ste 260, Bridgeton, MO 63044-2510 | 2019-01-28 |
| 1023592946 | Institute of Medicine LLC | Internal Medicine | 6824 Balson Ave, Saint Louis, MO 63143-2603 | 2018-09-17 |
| 1104235241 | Generation Clinical Partners LLC | Internal Medicine | 11500 Olive Blvd Ste 235, Saint Louis, MO 63141-7141 | 2014-08-02 |
| 1477967883 | Medical Directors of The Ozarks LLC | Internal Medicine | 302 Veterans Blvd, Branson, MO 65616-2091 | 2014-06-13 |
| 1306133012 | Karen Markeisha Sobers | Internal Medicine | 901 Patients First Dr Ste 3881, Washington, MO 63090-4700 | 2011-07-01 |
| 1285881912 | Gopal K Nair, Md, PC | Internal Medicine | 1023 Arlington Oaks Ter, Chesterfield, MO 63017-5936 | 2008-08-25 |
| 1154577799 | Stanley Sharp Md Lc | Internal Medicine | 1310 Carondelet Dr Ste 230, Kansas City, MO 64114-4853 | 2008-08-14 |
| 1558563890 | Hassan Dawoud Elsiddig | Internal Medicine | 3660 Vista Ave # 204, Saint Louis, MO 63110-2540 | 2007-05-31 |
| 1871795104 | Shehla Sadiq | Internal Medicine | 3660 Vista Ave # 2104, Saint Louis, MO 63110-2540 | 2007-05-31 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.