SPECIALIST IN AGING SUCCESSFULLY LLC – NPI #1023572690
Internal Medicine

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Health Care Provider Taxonomy Code for Internal Medicine

SPECIALIST IN AGING SUCCESSFULLY LLC is a provider located in BRIDGETON, MO. NPPES has assigned the NPI number 1023572690 to SPECIALIST IN AGING SUCCESSFULLY LLC on January 28, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RG0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Geriatric Medicine

The NPI profile was previously updated about 5 years ago on Mar 15, 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 SPECIALIST IN AGING SUCCESSFULLY LLC below.

NPI Profile for
SPECIALIST IN AGING SUCCESSFULLY LLC

NPI Number
1023572690
Enumeration Date

(more than 7 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
SPECIALIST IN AGING SUCCESSFULLY LLC
Primary location
3466 BRIDGELAND DR STE 105
BRIDGETON, MO 63044-2606
Phone: (314) 209-5100 Fax:
Mailing address
PO BOX 8356
SAINT LOUIS, MO 63132-0356
Phone: (314) 209-5100 Fax:
Organization Subpart
No
Authorized Official
ASIF BHUTTO
MEMBER
Phone: (314) 209-5100
Updated
Certification Date
Mar 15, 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
207RG0300X
- Internal Medicine / Geriatric 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.