ADDERLEY MEDICAL GROUP, L.L.C. – NPI #1134433659
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

ADDERLEY MEDICAL GROUP, L.L.C. is a provider located in FESTUS, MO. NPPES has assigned the NPI number 1134433659 to ADDERLEY MEDICAL GROUP, L.L.C. on July 27, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was last updated on Jun 12, 2024. 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 ADDERLEY MEDICAL GROUP, L.L.C. below.

NPI Profile for
ADDERLEY MEDICAL GROUP, L.L.C.

NPI Number
1134433659
Enumeration Date

(about 16 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
ADDERLEY MEDICAL GROUP, L.L.C.
Primary location
1400 US HIGHWAY 61
FESTUS, MO 63028-4100
Phone: (314) 288-9161 Fax:
Mailing address
4770 OLD SCHOOL TRL
HILLSBORO, MO 63050-4929
Phone: (314) 288-9161 Fax:
Organization Subpart
No
Authorized Official
MARK ADDERLEY
MEMBER
Phone: (314) 288-9161
Updated
Certification Date
Sep 02, 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
208D00000X
- General Practice (Primary)		 MO 2007032281

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.