ENDOCRINE CONSULTATNS, LLC


Address: 2 Progress Point Parkway, Suite 101c, O'fallon, MO 63368
Phone: 6364417174

ENDOCRINE CONSULTATNS, LLC (NPI# 1235326190) 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) 1235326190
Entity Type Organization
Organization Name ENDOCRINE CONSULTATNS, LLC
Practice Address 2 Progress Point Parkway
Suite 101c
O'fallon
MO 63368
Practice Telephone 6364417174
Mailing Telephone 6364417174
Enumeration Date 2007-09-25
Last Update Date 2007-09-26
Authorized Official Name DR. STANLEY MATHEW (PRESIDENT)
Authorized Official Telephone 6364417174
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 302F00000X Exclusive Provider Organization Managed Care Organizations

Office Location

Street Address 2 PROGRESS POINT PARKWAY
SUITE 101C
City O'FALLON
State MO
Zip Code 63368

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205051778 Midwest Acute Care Consultants PC Internal Medicine 2 Progress Point Parkway, Ste J, O'fallon, MO 63368 2007-04-17
1164553590 Physician Groups Lc Surgery 2 Progress Point Parkway, Suite 101c, O'fallon, MO 63368 2007-03-08
1760513196 Physician Groups Lc Obstetrics & Gynecology 2 Progress Point Parkway, Suite 101d, O'fallon, MO 63368 2007-03-08

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Taxonomy Information

Taxonomy Code 302F00000X
Grouping Managed Care Organizations
Classification Exclusive Provider Organization

Taxonomy Definition

(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

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Competitor

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City O'FALLON
Zip Code 63368

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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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