ST LOUIS UNIVERSITY


Address: 1755 S Grand Blvd, Saint Louis, MO 63104-1540
Phone: 3142563850

ST LOUIS UNIVERSITY (NPI# 1306120183) 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) 1306120183
Entity Type Organization
Organization Name ST LOUIS UNIVERSITY
Other Organization Name SLUCARE DEPT OF FCM SPORTS MEDICINE
Practice Address 1755 S Grand Blvd
Saint Louis
MO 63104-1540
Mailing Address 3691 Rutger St
Saint Louis
MO 63110-2515
Practice Telephone 3142563850
Mailing Telephone 3149776828
Enumeration Date 2011-09-28
Last Update Date 2011-09-28
Authorized Official Name ALYCE LANXON (EXECUTIVE DIRECTOR)
Authorized Official Telephone 3149776828
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QS0010X Family Medicine
Specialization: Sports Medicine
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
SLUCare Dept of FCM Sports Medicine Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1487869863 St Louis University Eyewear Supplier (Equipment, not the service) 1755 South Grand, St Louis, MO 63104 2007-05-11
1194892463 St Louis University Orthopaedic Surgery 1831 Chestnut St Ste 650, Saint Louis, MO 63103 2006-11-29
1093894842 St Louis University Internal Medicine 10 Franklin, Washington, MO 63090 2006-11-03
1417035759 St Louis University Audiologist 3750 Lindell, St Louis, MO 63108 2006-11-02
1992778237 St Louis University Urology 3655 Vista Ave, Saint Louis, MO 63110-2539 2006-02-08
1164495412 St Louis University Pathology 1402 South Grand, St Louis, MO 63104 2006-02-08
1801869136 St Louis University Psychiatry & Neurology 1438 S Grand Blvd, Saint Louis, MO 63104-1027 2006-02-08
1740253095 St Louis University Dermatology 1755 S Grand Blvd, Saint Louis, MO 63104-1540 2006-02-08
1184266413 St Louis University Pediatrics 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2019-10-08
1184908865 St Louis University Urology 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2011-09-29

Office Location

Street Address 1755 S GRAND BLVD
City SAINT LOUIS
State MO
Zip Code 63104-1540

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740253095 St Louis University Dermatology 1755 S Grand Blvd, Saint Louis, MO 63104-1540 2006-02-08
1295363372 Jordan Benjamin Leynes Physician Assistant 1755 S Grand Blvd, Saint Louis, MO 63104-1540 2020-04-01
1366936411 Gabriela Madeleine Morris Internal Medicine 1755 S Grand Blvd, Saint Louis, MO 63104 2018-06-20
1891228425 Madelyn Farrell Oliver Jeter Student in an Organized Health Care Education/Training Program 1755 S Grand Blvd, Saint Louis, MO 63104-1540 2017-04-10
1982079810 Claudia Sophia Morr Verenzuela Dermatology 1755 S Grand Blvd, Saint Louis, MO 63104-1540 2015-12-03
1528447125 Kristin Colleen Smith Dermatology 1755 S Grand Blvd, Saint Louis, MO 63104-1540 2015-05-28
1205213253 Ashley Mcwilliams Student in an Organized Health Care Education/Training Program 1755 S Grand Blvd, Saint Louis, MO 63104-1540 2015-04-29
1154714202 Heidi Elaine Roeder Physician Assistant 1755 S Grand Blvd, Saint Louis, MO 63104-1540 2015-03-13
1134534811 Jennifer Albus Fehlman Dermatology 1755 S Grand Blvd, Saint Louis, MO 63104-1540 2014-06-21
1124446588 Saniya Shaikh Student in an Organized Health Care Education/Training Program 1755 S Grand Blvd, Saint Louis, MO 63104-1540 2014-04-02
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407469570 Family Care Health Centers Clinic/Center 2717 Sidney Street, St. Louis, MO 63104 2020-08-28
1023638038 Laura Ann Humphrey Physician Assistant Allied Health Building 3437 Caroline Street, Room 3015, Saint Louis, MO 63104 2020-04-20
1174187264 Ahsan Ali Student in an Organized Health Care Education/Training Program 1438 South Grand Blvd, Monteleone Hall, St. Louis, MO 63104 2019-04-24
1205359916 Brenda Eve Ladin Behavior Technician 1221 Allen Market Lane Rear, St. Louis, MO 63104 2017-07-25
1841722063 Gustavo G Mendez Student in an Organized Health Care Education/Training Program 1465 South Grand Bulevard Rm 2717, Ssm Health Cardinal Glennon Children's Hospital, Saint Louis, MO 63104 2017-03-28
1053776716 Carmella Harper Respiratory Therapist, Certified 2678 Park Ave, St Louis, MO 63104 2015-12-23
1922485986 Alexander Tremont Internal Medicine 1402 S Grand Blvd Rm M260, Saint Louis, MO 63104 2015-04-29
1306233341 Healthcare R Us Home Health 2859 Sidney St, St Louis, MO 63104 2015-04-16
1396159091 Daniela Hermelin Pathology 1402 South Grane, St. Louis, MO 63104 2014-06-20
1992117881 Kelly Denise Durbin Social Worker 1920 S 7th St, Saint Louis, MO 63104 2014-05-27
Find all providers in zip 63104

Taxonomy Information

Taxonomy Code 207QS0010X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Sports Medicine

Taxonomy Definition

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.
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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871115857 Ben Heimos Family Medicine 1 S Compton Ave, Saint Louis, MO 63103-2001 2020-05-12
1063568640 Christian Verry Family Medicine 12680 Olive Blvd Ste 300, Saint Louis, MO 63141-6322 2007-01-26
1548867963 Elizabeth Savika Liotta Family Medicine 916 Olive St, Saint Louis, MO 63101-1400 2020-10-08
1750872354 Iconic Services Inc Family Medicine 4625 Lindell Blvd Ste 200, Saint Louis, MO 63108-3729 2018-05-21
1780948018 St.. Louis University Family Medicine 1755 S Grand Blvd, Saint Louis, MO 63104-1540 2012-07-02
1619238235 St. Anthony's Physician Organization Family Medicine 2900 Lemay Ferry Rd, Suite 104, Saint Louis, MO 63125-3900 2012-05-30
1376778076 Ha Minh Hoang Family Medicine 3635 Vista Ave, 7th Floor Desloge Towers, Saint Louis, MO 63110-2539 2009-05-26
1497958508 William A. Mitchell IIi Family Medicine 1755 S Grand Blvd, Anheuser Busch Institute - Dept. of Orthopedics, Saint Louis, MO 63104-1540 2007-06-06
1295839702 Kirkwood Diagnostic & Orthopedic Associates, LLC. Family Medicine 333 S Kirkwood Rd, Suite 203, Saint Louis, MO 63122-6161 2006-09-13
1578672341 Steven Stahle Family Medicine 333 S Kirkwood Rd, Suite 103, Saint Louis, MO 63122-6161 2006-08-29
Find all providers in SAINT LOUIS

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City SAINT LOUIS
Zip Code 63104

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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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