SLUCARE DEPT OF F&CM SPORTS MEDICINE – NPI #1780948018
Family Medicine

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Health Care Provider Taxonomy Code for Family Medicine

SLUCARE DEPT OF F&CM SPORTS MEDICINE is a provider located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1780948018 to SLUCARE DEPT OF F&CM SPORTS MEDICINE on July 02, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SLUCARE DEPT OF F&CM SPORTS MEDICINE” is a dba name, the actual legal business name for this organization is ST.. LOUIS UNIVERSITY. The primary taxonomy selected by this provider is 207QS0010X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Sports Medicine

The NPI profile was previously updated about 5 years ago on Sep 21, 2021. 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 SLUCARE DEPT OF F&CM SPORTS MEDICINE below.

NPI Profile for
ST.. LOUIS UNIVERSITY

NPI Number
1780948018
Enumeration Date

(about 14 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
ST.. LOUIS UNIVERSITY
Doing Business As (dba): SLUCARE DEPT OF F&CM SPORTS MEDICINE
Primary location
1225 SOUTH GRAND, 2L, DOOR 5
SAINT LOUIS, MO 63104
Phone: (314) 977-4700 Fax:
1 Other location(s):
1755 S Grand Blvd
Saint Louis, MO 63104-1540
Phone: (314) 256-3850
Fax: (314) 256-3875
Mailing address
3545 LINDELL BLVD FL 3
SAINT LOUIS, MO 63103-1020
Phone: (314) 977-6828 Fax: (314) 977-6872
Organization Subpart
No
Authorized Official
ALYCE LANXON
EXECUTIVE DIRECTOR
Phone: (314) 977-6828
Updated
Certification Date
Sep 21, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
207QS0010X
- Family Medicine / Sports Medicine (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.