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DOCTOR'S CLINICAL GROUP NPI 1871762385


NPI Information

NPI: 1871762385
Provider Name: DOCTOR'S CLINICAL GROUP
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
12255 DEPAUL DRIVE SUITE 865
BRIDGETON, MO
ZIP 63044
Phone: (314) 291-0505
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DOCTOR'S CLINICAL GROUP is a family medicine in Bridgeton, MO. The provider is 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. DOCTOR'S CLINICAL GROUP NPI is 1871762385. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12255 DEPAUL DRIVE SUITE 865
BRIDGETON, MO
ZIP 63044
Phone: (314) 291-0505
Fax: (314) 291-0747

The provider's authorized official is Robert P. Poetz .
The authorized official title is Owner and has the following contact phone number (314) 291-0505.

The enumeration date for this NPI number is 2/28/2008 and was last updated on 5/22/2008.


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
1363L00000XNurse Practitioner152467MISSOURINo
2207Q00000XFamily Medicine29351MISSOURIYes

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
1D92011OTHERMISSOURIEXCLUSIVE CHOICE
2080130617OTHERMISSOURIMEDICARE RAILROAD
32064OTHERMISSOURIHEALTHCARE USA
40004255603OTHERMISSOURIAETNA
5D92011OTHERMISSOURIHUMANA
677072OTHERMISSOURIWELLCARE
701-00207OTHERMISSOURIUNITED HEALTH CARE
8000005579MEDICARE PINMISSOURI
9103753OTHERMISSOURIHEALTHLINK
10489409703OTHERMISSOURICOMMUNITY CARE
11240407908MEDICAIDMISSOURI
12100805OTHERMISSOURIANTHEM BC/BS
133065209001OTHERMISSOURICIGNA
14123036OTHERMISSOURIGHP
15250759OTHERMISSOURIHARMONY
16557905626MEDICARE PIN
171940001OTHERMISSOURIPARTNERS
18489409703OTHERMISSOURIMERCYCARE PLUS
19100805OTHERMISSOURIBC/BS
201013577OTHERMISSOURICARE PARTNERS
21000015626MEDICARE PINMISSOURI

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
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All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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