PHYSICIAN GROUPS LC (NPI# 1790851731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790851731 |
| Entity Type | Organization |
| Organization Name | PHYSICIAN GROUPS LC |
| Other Organization Name | UNION CLINIC |
| Practice Address |
1780 Old Us Highway 50 E Suite 102 Union MO 63084-3330 |
| Mailing Address |
670 Mason Ridge Center Dr Suite 300 Saint Louis MO 63141-8573 |
| Practice Telephone | 6365838686 |
| Practice Fax Number | 6365831765 |
| Mailing Telephone | 3149967644 |
| Mailing Fax Number | 3149967658 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2008-01-04 |
| Authorized Official Name | RAYMOND P DAVIDSON II (PRESIDENT) |
| Authorized Official Telephone | 3142862028 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Union Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033236948 | Physician Groups Lc | Allergy & Immunology | 301 West Washington Street, Suite 5, Farmington, MO 63640-1921 | 2007-03-23 |
| 1144357278 | Physician Groups Lc | Family Medicine | 1110 Wolfrum Rd, Weldon Spring, MO 63304-7796 | 2007-02-27 |
| 1427114990 | Physician Groups Lc | Clinic/Center | 1103 W Liberty, Farmington, MO 63640-1921 | 2006-12-29 |
| 1770650020 | Physician Groups Lc | Clinic/Center | 6 Jungermann Road, Suite 108, Saint Peters, MO 63376 | 2006-11-30 |
| 1679640007 | Physician Groups Lc | Clinic/Center | 3528 Patterson Rd, Florissant, MO 63031-1311 | 2006-11-29 |
| 1285664268 | Physician Groups Lc | Clinic/Center | 670 Mason Ridge Center Dr, Suite 300, Saint Louis, MO 63141-8573 | 2006-07-04 |
| 1750562542 | Physician Groups Lc | Obstetrics & Gynecology | 1 Barnes Jewish Hospital Plz, Ste. 16312, Saint Louis, MO 63110-1003 | 2007-11-20 |
| 1790978757 | Physician Groups Lc | Internal Medicine | 2 Progress Point Ct, Suite 101c, O Fallon, MO 63368-2208 | 2007-08-23 |
| 1043403009 | Physician Groups Lc | Obstetrics & Gynecology | 70 Jungermann Cir, Suite 101, Saint Peters, MO 63376-1622 | 2007-08-23 |
| 1598958787 | Physician Groups Lc | Colon & Rectal Surgery | 11155 Dunn Rd, Ste. 312e Bldg. 1, Saint Louis, MO 63136-6150 | 2007-08-22 |
| Street Address |
1780 OLD US HIGHWAY 50 E SUITE 102 |
| City | UNION |
| State | MO |
| Zip Code | 63084-3330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932211802 | Renex Dialysis Clinic of Union, Inc. | Clinic/Center | 1780 Old Us Highway 50 E, Suite 111, Union, MO 63084-3397 | 2006-08-31 |
| 1699834739 | Stephanie Diane Bauerle | Internal Medicine | 1780 Old Us Highway 50 E, Suite 115, Union, MO 63084-3397 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407490915 | Megan N Pruett | Counselor | 107 Chesire Lane, Union, MO 63084 | 2019-10-29 |
| 1093297152 | Community Care Center of Union Inc | Skilled Nursing Facility | 1080 Marie Lane, Union, MO 63084 | 2018-09-05 |
| 1437697844 | Sally Lavigne | Behavioral Analyst | 1281 Hwy 47, Union, MO 63084 | 2017-02-06 |
| 1275912107 | Ralph B Smith | Social Worker | 1780 Old Highway 50 E Ste 113, Union, MO 63084 | 2015-05-26 |
| 1659771707 | Whitney Paige Scanlon | Speech-Language Pathologist | 770 Independence Drive, Union, MO 63084 | 2014-08-26 |
| 1487066775 | Helen Overstreet | Massage Therapist | 302 Us Highway 50 West, Suite B, Union, MO 63084 | 2014-05-21 |
| 1093152332 | Katie Henry | Counselor | 1 Par Court, Union, MO 63084 | 2013-05-28 |
| 1437402336 | Rainbow Abilities Center, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 306 W Hwy 50, Union, MO 63084 | 2012-10-17 |
| 1962761866 | George Howard Bergevin | Chiropractor | 405 Us Hwy 50, Ste. 200, Union, MO 63084 | 2012-05-11 |
| 1336478866 | Kristine Marie Posinski | Physical Therapist | 770 Independence Dr, Union, MO 63084 | 2009-12-11 |
| Find all providers in zip 63084 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871972729 | Grande Ronde Hospital, Inc | Clinic/Center | 142 E Dearborn St, Union, OR 97883 | 2015-05-26 |
| 1952349532 | Lifecare Family Doctors, PC | Clinic/Center | 940 Stuyvesant Ave, Suite 2, Union, NJ 07083-6906 | 2006-06-03 |
| 1275973372 | Anna Chernyak, Md LLC | Clinic/Center | 2401 Morris Ave, Union, NJ 07083-5745 | 2013-07-03 |
| 1922361054 | Union Medihealth LLC | Clinic/Center | 1050 Galloping Hill Rd Ste 204, Union, NJ 07083-7980 | 2012-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145668 | Essential Benefit Offerings, LLC | Clinic/Center | 1417 N Mount Auburn Rd Ste A2, Cape Girardeau, MO 63701-2171 | 2020-05-07 |
| 1114483468 | Your Optimal Healthcare LLC | Clinic/Center | 300 W 4th St Ste H, Eureka, MO 63025-1839 | 2019-02-12 |
| 1306313051 | Country Care Family Clinic, LLC | Clinic/Center | 3 E Cleveland Ave, Ellsinore, MO 63937 | 2018-10-31 |
| 1285118950 | Vera Whole Health, Wa PC | Clinic/Center | 8350 N. Church Road, Kansas City, MO 64158 | 2018-09-19 |
| 1003324542 | Quad/med, LLC | Clinic/Center | 2015 Ne Jefferson Street, Grain Valley, MO 64029 | 2018-01-18 |
| 1093267601 | Careatc-saint Peter | Clinic/Center | 4601 Executive Centre Pkwy, Saint Peters, MO 63376-1683 | 2016-10-30 |
| 1407303480 | Kerns Family Health Care LLC | Clinic/Center | 1335 Vilage Dr B, St. Joseph, MO 64506-2457 | 2016-09-07 |
| 1316491020 | Wecare Tlc - Wwt Mo Family Health Center | Clinic/Center | 58 Weldon Pkwy, Bldg 58, Maryland Heights, MO 63043-3237 | 2016-08-10 |
| 1255703500 | Community Hospital Association | Clinic/Center | 101 South Washington Street, Oregon, MO 64473 | 2015-10-27 |
| 1023485752 | Dennis E. Robinson D.o. | Clinic/Center | 487 Pomme De Terre Dr., Marshfield, MO 65706 | 2015-08-28 |
| 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.