NORTH COUNTY INTERNISTS, LLC (NPI# 1699879122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699879122 |
| Entity Type | Organization |
| Organization Name | NORTH COUNTY INTERNISTS, LLC |
| Practice Address |
4585 Washington St Suite A1 Florissant MO 63033-5858 |
| Mailing Address |
Po Box 504346 Saint Louis MO 63150-0001 |
| Practice Telephone | 3148393200 |
| Practice Fax Number | 3143446066 |
| Mailing Telephone | 3148393200 |
| Mailing Fax Number | 3143446066 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GURCHARAN SINGH (OWNER) |
| Authorized Official Telephone | 3148393200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
36108 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
4585 WASHINGTON ST SUITE A1 |
| City | FLORISSANT |
| State | MO |
| Zip Code | 63033-5858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386636009 | Kim L Mcdonald | Internal Medicine | 4585 Washington St, Suite C4, Florissant, MO 63033-5858 | 2005-08-18 |
| 1730433566 | Joyce Lynn Dubea | Counselor | 4585 Washington St, Florissant, MO 63033-5858 | 2012-10-31 |
| 1972886836 | Cory Scanlon Glowczewski | Dentist | 4585 Washington St, Suite A-3, Florissant, MO 63033-5858 | 2011-09-27 |
| 1124324140 | Administrative Support Services Group Inc | Health Maintenance Organization | 4585 Washington St, Suite A1, Florissant, MO 63033-5858 | 2011-02-09 |
| 1942504105 | Angela M Bryant | Social Worker | 4585 Washington St, Suite A4, Florissant, MO 63033-5858 | 2011-01-03 |
| 1912220096 | Paul Stanley Mace | Dentist | 4585 Washington St, Suite A 5, Florissant, MO 63033-5858 | 2010-03-03 |
| 1023348489 | Mark Hilton | Dentist | 4585 Washington St, C-3, Florissant, MO 63033-5858 | 2010-01-07 |
| 1164666178 | Brenda L Grant | Licensed Practical Nurse | 4585 Washington St, Suite A-4, Florissant, MO 63033-5858 | 2009-04-22 |
| 1801069463 | Alternative Options Counseling & Wellness Center Inc | Community/Behavioral Health | 4585 Washington St, Suite A4, Florissant, MO 63033-5858 | 2008-04-03 |
| 1184892028 | Gateway Oral and Maxillofacial Surgeons of St Louis, P.C. | Dentist | 4585 Washington St, Suite B4, Florissant, MO 63033-5858 | 2008-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376191841 | Victoria Crews | Technician | 13114 Tree's Edge Ct, Black Jack, MO 63033 | 2019-08-28 |
| 1275195976 | Herbal Envy Spa LLC | Home Health Aide | 12630 Shoreside Drive, Florissant, MO 63033 | 2019-07-02 |
| 1689231169 | Patrice Edora Hall | Clinic/Center | 500 Greenway Manor, Florissant, MO 63033 | 2019-05-21 |
| 1689153082 | Sew St. Louis LLC | Specialist | 2172 N Waterford Dr, Florissant, MO 63033 | 2018-08-07 |
| 1508344706 | Rekendra Farmer | Home Health | 3070 Kingsley Dr, Florissant, MO 63033 | 2018-07-31 |
| 1033616594 | B & J Consumer Directed Services | Home Health | 5 Farm Country Ct, Florissant, MO 63033 | 2018-04-11 |
| 1245740265 | Trusting Hands Home Health Services LLC | Home Health | 2430 Dresden Dr, Florissant, MO 63033 | 2017-10-04 |
| 1194243477 | Betty Moore | Registered Nurse | 2875 Devonshire Dr, Florissant, MO 63033 | 2017-09-06 |
| 1467976118 | Imperial Home Care, LLC | Home Health | 11674 Arroyo Dr, Florissant, MO 63033 | 2017-08-02 |
| 1194248492 | Apex Home Health Care Services LLC | Home Health | 3145 Kingsley Dr, Florissant, MO 63033 | 2017-07-19 |
| Find all providers in zip 63033 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1346342581 | Chandra S Kaup | Internal Medicine | 1224 Graham Road, Ste 2006, Florissant, MO 63031-8078 | 2006-09-01 |
| 1235157876 | Yogesh R Patel | Internal Medicine | 1225 Graham Rd Ste C-2310, Florissant, MO 63031-8023 | 2006-07-18 |
| 1265431399 | Antonio R Penilla | Internal Medicine | 1225 Graham Rd, Ste 2310c, Florissant, MO 63031-8012 | 2005-07-20 |
| 1023218807 | Rita Mukerji | Internal Medicine | 1225 Graham Rd Ste C-2310, Florissant, MO 63031 | 2007-07-20 |
| 1417155672 | Deepak Koul | Internal Medicine | 1225 Graham Rd, Bld C, Ste 2310, Florissant, MO 63031-8012 | 2007-07-10 |
| 1821131806 | Fairview Heights Medical Group Sc | Internal Medicine | 201 Dunn Rd, Florissant, MO 63031-7928 | 2007-02-15 |
| 1326187352 | Matthew Alan Fraley | Internal Medicine | 1225 Graham Rd Ste C-2310, Florissant, MO 63031-8023 | 2007-02-06 |
| 1467532267 | Walter Aaron Dimmitt | Internal Medicine | 1225 Graham Rd Ste C-2310, Florissant, MO 63031-8023 | 2006-10-16 |
| 1366441339 | Erica L. Uppstrom | Internal Medicine | 1225 Graham Rd, Ste 2310c, Florissant, MO 63031-8012 | 2005-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689128019 | Midwest Heart Institute | Internal Medicine | 1439 Us Highway 61, Ste A, Festus, MO 63028-4153 | 2016-08-15 |
| 1477984292 | Robert A. Brinkman, M.d., LLC. | Internal Medicine | 1040 N Mason Rd Ste 211, Creve Coeur, MO 63141 | 2013-12-04 |
| 1528407822 | Justin Patrick Sheehy | Internal Medicine | 4401 Wornall Rd Fl 9, Kansas City, MO 64111-3220 | 2013-06-19 |
| 1952643520 | Meritas Health Corporation | Internal Medicine | 5501 Nw 62nd Ter Ste 201, Kansas City, MO 64151-2408 | 2013-03-21 |
| 1043557150 | Ronald Nathan Riner | Internal Medicine | 9847 Waterbury Drive, St. Louis, MO 63124 | 2013-01-09 |
| 1427315423 | Paul Larsen | Internal Medicine | 1027 Bellevue Ave Ste 200, Saint Louis, MO 63117-1851 | 2012-04-13 |
| 1275899718 | Bradley Carl Witbrodt | Internal Medicine | 3023 N Ballas Rd Ste 200, Saint Louis, MO 63131-2330 | 2012-04-10 |
| 1194004952 | Jad Raffoul | Internal Medicine | 1402 S Grand Blvd Fl 14, Saint Louis, MO 63104-1004 | 2011-08-11 |
| 1376839894 | Chetan P Huded | Internal Medicine | 5844 Nw Barry Rd Ste 230, Kansas City, MO 64154-1421 | 2011-06-22 |
| 1982999462 | Philip L Mar | Internal Medicine | 3635 Vista Ave Fl 15, Saint Louis, MO 63110-2539 | 2011-06-13 |
| Find all providers with the same taxonomy | ||||
| City | FLORISSANT |
| Zip Code | 63033 |
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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.