DES PERES FAMILY MEDICINE (NPI# 1710012729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710012729 |
| Entity Type | Organization |
| Organization Name | DES PERES FAMILY MEDICINE |
| Other Organization Name | DEMETRIOS V POLITIS DO |
| Practice Address |
2325 Dougherty Ferry Rd Suite 104 St Louis MO 63122-3356 |
| Practice Telephone | 3149651965 |
| Practice Fax Number | 3149651700 |
| Mailing Telephone | 3149651965 |
| Mailing Fax Number | 3149651700 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2008-08-11 |
| Authorized Official Name | DR. DEMETRIOS V POLITIS (PHYSICIAN) |
| Authorized Official Telephone | 3149651965 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | R9G32 | MO | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Demetrios V Politis DO | Doing Business As Name - Organization |
| Street Address |
2325 DOUGHERTY FERRY RD SUITE 104 |
| City | ST LOUIS |
| State | MO |
| Zip Code | 63122-3356 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588088157 | Medstaffpc | Family Medicine | 12633 Olive Blvd, St Louis, MO 63141-6313 | 2014-02-18 |
| 1427314046 | Dick (richard) Ralph Brummett | Family Medicine | 711 S Laclede Sta Rd, # 2111, St Louis, MO 63119 | 2012-04-09 |
| 1750401253 | Ellen T Loeffler | Family Medicine | 8670 Big Bend Road, Suite A, St Louis, MO 63119-3730 | 2007-03-29 |
| 1265597397 | Lavert Morrow | Family Medicine | 6826 Natural Bridge, St Louis, MO 63121 | 2006-12-27 |
| 1609960566 | Glennon Joseph Fox | Family Medicine | 777 South New Ballas Rd, 231e, St Louis, MO 63141-8747 | 2006-10-03 |
| 1992802433 | Rc Physician Services, LLC | Family Medicine | 9200 Watson Rd., St Louis, MO 63126 | 2006-09-19 |
| 1659483170 | Shawn Lewis Berkin | Family Medicine | 5524 Telegraph Road, Suite 101, St Louis, MO 63129 | 2006-08-31 |
| 1700870441 | Donald E. Schnurpfeil | Family Medicine | 5701 Delmar Blvd., St Louis, MO 63112-2617 | 2005-09-08 |
| 1881750784 | Horace Newell Marvin Jr. | Family Medicine | 12647 Olive Blvd, Correctional Medical Svcs Inc, St Louis, MO 63141 | 2006-12-28 |
| 1699869461 | Felix Emmanuel Herrera | Family Medicine | 2901 Union Road, Ste 100, St Louis, MO 63125 | 2006-10-03 |
| Find all providers in ST LOUIS | ||||
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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.