MEDCARE PHYSICIAN LLC – NPI #1417079377
Family Medicine

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.

MEDCARE PHYSICIAN LLC is a provider located in FENTON, MO. NPPES has assigned the NPI number 1417079377 to MEDCARE PHYSICIAN LLC on April 04, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. MEDCARE PHYSICIAN LLC is also known by the name VICTORIA L ALLEN DO. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 16 years ago on Oct 26, 2010. 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 MEDCARE PHYSICIAN LLC below.

NPI Profile for
MEDCARE PHYSICIAN LLC

NPI Number
1417079377
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
MEDCARE PHYSICIAN LLC
Other Name: VICTORIA L ALLEN DO
Primary location
2117 BENTLEY PLAZA
FENTON, MO 63026
Phone: (636) 225-2273 Fax: (636) 225-2275
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
VICTORIA ALLEN
PHYSICIAN
Phone: (636) 225-2273
Updated
Identifiers

Identifiers for MEDCARE PHYSICIAN LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAETNA5538116
OTHERBCBS116943
OTHERGHP52993
OTHERHEALTHLINK205957
OTHERMERCYE96534
OTHERUHC0105047
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
207Q00000X
- Family Medicine (Primary)
MO R7P15

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.