ST LOUIS CARDIOLOGY CONSULTANTS LTD NPI 1801831045

NPI Information

NPI: 1801831045
Provider Name: ST LOUIS CARDIOLOGY CONSULTANTS LTD
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
2 MEMORIAL DR STE 106
ALTON, IL
ZIP 62002
Phone: (618) 433-1861
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ST LOUIS CARDIOLOGY CONSULTANTS LTD is a cardiovascular disease internal medicine in Alton, IL. The provider is 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. ST LOUIS CARDIOLOGY CONSULTANTS LTD NPI is 1801831045. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2 MEMORIAL DR STE 106
ALTON, IL
ZIP 62002-723
Phone: (618) 433-1861
Fax: (618) 433-9274

The provider's authorized official is Samer Thanavaro .
The authorized official title is Md and has the following contact phone number (618) 433-1861.

The enumeration date for this NPI number is 6/19/2006 and was last updated on 8/11/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RI0011X	Internal Medicine	Interventional Cardiology			No
2	207RC0000X	Internal Medicine	Cardiovascular Disease			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	219678300	OTHER		OWCP
2	3831	OTHER		CMR / GHP
3	CJ3315	OTHER	ILLINOIS	ILRRMCR
4	2629958	OTHER	ILLINOIS	BC/BS
5	500347406	MEDICAID	MISSOURI
6	8816	OTHER		HC USA
7	30946	OTHER		HEALTH PARTNERS
8	1020549	OTHER		CAREPARTNERS
9	C50434	OTHER	MISSOURI	MORRMCR

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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