PHYSICIAN GROUPS LC (NPI# 1952594145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952594145 |
| Entity Type | Organization |
| Organization Name | PHYSICIAN GROUPS LC |
| Other Organization Name | SITEMAN CANCER CENTER MED ONC |
| Practice Address |
150 Entrance Way Saint Peters MO 63376-1645 |
| Mailing Address |
670 Mason Ridge Center Dr Suite 300 Saint Louis MO 63141-8573 |
| Practice Telephone | 6369169923 |
| Practice Fax Number | 6369169176 |
| Mailing Telephone | 3149967644 |
| Mailing Fax Number | 3149967658 |
| Enumeration Date | 2007-08-22 |
| 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 | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Siteman Cancer Center Med Onc | 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 |
150 ENTRANCE WAY |
| City | SAINT PETERS |
| State | MO |
| Zip Code | 63376-1645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124081799 | Anna Roshal | Internal Medicine | 150 Entrance Way, Saint Peters, MO 63376-1645 | 2006-04-06 |
| 1366989592 | Scott Thomas Kloeppel | Nurse Practitioner | 150 Entrance Way, Saint Peters, MO 63376-1645 | 2017-01-26 |
| 1003281619 | Washington University | Pharmacy | 150 Entrance Way, Saint Peters, MO 63376-1645 | 2015-12-08 |
| 1053698969 | Laura Ann Benack | Nurse Practitioner | 150 Entrance Way, Saint Peters, MO 63376-1645 | 2011-11-05 |
| 1659592152 | Tanya Marya Wildes | Internal Medicine | 150 Entrance Way, Saint Peters, MO 63376-1645 | 2007-05-01 |
| 1407903826 | Caron Elizabeth Rigden | Internal Medicine | 150 Entrance Way, Saint Peters, MO 63376-1645 | 2007-01-05 |
| 1184791535 | Physician Groups Lc | Clinic/Center | 150 Entrance Way, Saint Peters, MO 63376-1645 | 2006-11-29 |
| 1235227794 | Brian Andrew Van Tine | Internal Medicine | 150 Entrance Way, Saint Peters, MO 63376-1645 | 2006-10-10 |
| 1558472514 | Lannis E Hall | Radiology | 150 Entrance Way, Saint Peters, MO 63376-1645 | 2006-08-31 |
| 1861449332 | Viki Sue Longfield | Clinical Nurse Specialist | 150 Entrance Way, Saint Peters, MO 63376-1645 | 2006-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275047946 | Nicholas Christian Schultz | Dentist | 100 Piper Hill Dr Ste A, Saint Peters, MO 63376 | 2017-11-16 |
| 1982120093 | Carol Weber | Speech-Language Pathologist | 166 Boone Hills Dr., St Peters, MO 63376 | 2017-08-21 |
| 1619424744 | Forefront Dermatology, S.c. | Dermatology | 5700 Mexico Rd, Suite 14, Saint Peters, MO 63376 | 2016-09-07 |
| 1508310632 | Preferred Family Healthcare, Inc. | Counselor | 2120 Parkway Dr, Saint Peters, MO 63376 | 2016-08-05 |
| 1598130676 | Delta Center Personal Attendant Services | In Home Supportive Care | 3833 Mcclay, Suite 61, St. Peters, MO 63376 | 2015-12-01 |
| 1427420314 | Barbara Marlene Edelman | Counselor | 1286 Jungerman Rd. Suite G, St. Peters, MO 63376 | 2015-10-30 |
| 1255740247 | Claire Williams | Dentist | 340 Mid Rivers Mall Drive, Suite E, St. Peters, MO 63376 | 2014-08-05 |
| 1184042855 | Keith Wickenhauser | Internal Medicine | 201 Bjc Saint Peters Dr Ste 100, Saint Peters, MO 63376 | 2014-03-31 |
| 1821415233 | Abby Link | Physician Assistant | 107 Piper Parkway, #150, St. Peters, MO 63376 | 2014-03-24 |
| 1225452105 | Ashley Gagel | Physical Therapist | 7055 Mexico Rd Suite 1601, St. Peters, MO 63376 | 2014-02-12 |
| Find all providers in zip 63376 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124081799 | Anna Roshal | Internal Medicine | 150 Entrance Way, Saint Peters, MO 63376-1645 | 2006-04-06 |
| 1659592152 | Tanya Marya Wildes | Internal Medicine | 150 Entrance Way, Saint Peters, MO 63376-1645 | 2007-05-01 |
| 1407903826 | Caron Elizabeth Rigden | Internal Medicine | 150 Entrance Way, Saint Peters, MO 63376-1645 | 2007-01-05 |
| 1235227794 | Brian Andrew Van Tine | Internal Medicine | 150 Entrance Way, Saint Peters, MO 63376-1645 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558670265 | Ken Kobayashi | Internal Medicine | 1412 Se 7th Pl, Lees Summit, MO 64063-8509 | 2010-09-29 |
| 1659546240 | Amandeep Kalra | Internal Medicine | 2330 E Meyer Blvd Ste 401, Kansas City, MO 64132-1132 | 2008-04-24 |
| 1255544680 | Mark Andrew Schroeder | Internal Medicine | 10 Barnes West Dr Ste 100, Ste 100, Saint Louis, MO 63141-6350 | 2007-05-08 |
| 1669573077 | Virginia M Herrmann | Internal Medicine | 11155 Dunn Rd Ste 101e, Ste 101e, Saint Louis, MO 63136-6148 | 2006-09-26 |
| 1962410829 | Timothy Patrick Rearden | Internal Medicine | 11125 Dunn Rd Ste 100, Ste 100, Saint Louis, MO 63136-6132 | 2006-08-04 |
| 1023034261 | Ramaswamy Govindan | Internal Medicine | 4921 Parkview Pl Ste 7a, Ste 7a, Saint Louis, MO 63110-1032 | 2006-07-14 |
| 1639140288 | Shalina D. Gupta-burt | Internal Medicine | 2750 Clay Edwards Dr Lowr Level010, North Kansas City, MO 64116-3237 | 2006-01-31 |
| 1043292246 | Peter Westervelt | Internal Medicine | 4921 Parkview Pl Fl 7, 7th Fl, Saint Louis, MO 63110-1032 | 2005-11-15 |
| 1295727493 | Juan Daniel Cuevas | Internal Medicine | 3440 De Paul Ln Ste 201, Bridgeton, MO 63044-3546 | 2005-08-16 |
| 1932191087 | Steven C Zenisek | Internal Medicine | 835 Wild Horse Creek Rd, Wildwood, MO 63005-3917 | 2005-08-16 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PETERS |
| Zip Code | 63376 |
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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.