ASSOCIATED INTERNIST – NPI #1922174150
Clinic/Center

ASSOCIATED INTERNIST is an AHC clinic located in CREVE COEUR, MO. NPPES has assigned the NPI number 1922174150 to ASSOCIATED INTERNIST on November 28, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ASSOCIATED INTERNIST” is a dba name, the actual legal business name for this organization is PHYSICIAN GROUPS LC. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

The NPI profile was previously updated about 18 years ago on Mar 26, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ASSOCIATED INTERNIST below.

NPI Profile for
PHYSICIAN GROUPS LC

NPI Number
1922174150
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PHYSICIAN GROUPS LC
Doing Business As (dba): ASSOCIATED INTERNIST
Primary location
675 OLD BALLAS RD
SUITE 103
CREVE COEUR, MO 63141-7083
Phone: (314) 567-1902 Fax: (314) 991-5347
Mailing address
670 MASON RIDGE CENTER DR
SUITE 300
SAINT LOUIS, MO 63141-8573
Phone: (314) 996-7644 Fax: (314) 996-7658
Organization Subpart
No
Authorized Official
RAYMOND DAVIDSON
PRESIDENT
Phone: (314) 286-2028
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.