ADVANCED GASTROENTEROLOGY & COLON CANCER SCREENING CENTER LLC


Address: 763 S New Ballas Rd # 265, Saint Louis, MO 63141-8704
Phone: 6182070900

ADVANCED GASTROENTEROLOGY & COLON CANCER SCREENING CENTER LLC (NPI# 1215359484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215359484
Entity Type Organization
Organization Name ADVANCED GASTROENTEROLOGY & COLON CANCER SCREENING CENTER LLC
Practice Address 763 S New Ballas Rd # 265
Saint Louis
MO 63141-8704
Mailing Address 14803 Straub Hill Ln
Chesterfield
MO 63017-7965
Practice Telephone 6182070900
Mailing Telephone 6182070900
Enumeration Date 2014-01-07
Last Update Date 2014-01-07
Authorized Official Name TARIK FIROZI (PRESIDENT)
Authorized Official Telephone 6182070900
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
2008030945 MO Allopathic & Osteopathic Physicians

Office Location

Street Address 763 S NEW BALLAS RD # 265
City SAINT LOUIS
State MO
Zip Code 63141-8704

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679102842 Noor Ramadan Pharmacist 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 2020-04-08
1497381206 Washington University Durable Medical Equipment & Medical Supplies 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 2020-03-13
1154956498 Ashleigh Clendenny Physician Assistant Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 2020-03-06
1801429410 Emili Lou Haley Registered Nurse 650 Maryville Drive, St Louis, MO 63141 2020-02-21
1629553110 Rebecca Kathleen Pike Social Worker West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 2018-10-01
1649756099 River City Sedation Associates, LLC Nurse Anesthetist, Certified Registered 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 2018-07-18
1205333952 Ear Care and Hearing of St. Louis Hearing Aid Equipment 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 2018-04-10
1659897486 Erin Goodman Physical Therapist 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 2017-08-14
1093230450 Center for Urologic Surgery LLC Clinic/Center 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 2017-08-07
1871016105 Jacob Farley Tanner Specialist/Technologist 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 2017-07-19
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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689014276 Antonio Ricardo Cheesman Rocca Internal Medicine 1225 S Grand Blvd Fl 3, Saint Louis, MO 63104-1016 2013-06-27
1720346729 Kayci Renee Huff-hardy Internal Medicine 621 S New Ballas Rd Ste 437a, Saint Louis, MO 63141-8259 2012-04-26
1750676664 Parul Gor Internal Medicine 615 S New Ballas Rd Ste 1200, Saint Louis, MO 63141 2011-06-20
1902034499 Giao Vuong Internal Medicine 6400 Clayton Rd Ste 216, Saint Louis, MO 63117-1850 2009-06-23
1790908820 Kishore Maganty Internal Medicine 522 N New Ballas Rd Ste 210, Saint Louis, MO 63141-6829 2007-04-10
1043309792 Robert M Mcmahon Internal Medicine 1610 Des Peres Rd Ste 150, Saint Louis, MO 63131-1863 2006-10-12
1154418119 Hugo A Villarreal Internal Medicine 13276 Manchester Rd, Saint Louis, MO 63131-1706 2006-10-09
1952494932 Muhammad A. Nyazee Internal Medicine 11155 Dunn Rd Ste 212e, Saint Louis, MO 63136-6166 2006-10-02
1487745360 David J Costigan Internal Medicine 10007 Kennerly Rd, Saint Louis, MO 63128-2179 2006-09-27
1508800582 Damon C Clines Internal Medicine 4510 Delmar Blvd, Saint Louis, MO 63108-1702 2006-06-16
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City SAINT LOUIS
Zip Code 63141

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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