WEST COUNTY FAMILY MEDICINE, INC (NPI# 1598823478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598823478 |
| Entity Type | Organization |
| Organization Name | WEST COUNTY FAMILY MEDICINE, INC |
| Practice Address |
2355 Dougherty Ferry Rd Ste 320 Saint Louis MO 63122-3325 |
| Practice Telephone | 3148216889 |
| Practice Fax Number | 3148211887 |
| Mailing Telephone | 3148216889 |
| Mailing Fax Number | 3148211887 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2008-05-05 |
| Authorized Official Name | DR. DAVID NORMAN KANTOR (PRESIDENT, PHYSICIAN) |
| Authorized Official Telephone | 3148216889 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
R8687 | MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 240189704 | 05 |
| Street Address |
2355 DOUGHERTY FERRY RD STE 320 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63122-3325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043296494 | Darin Marshall Minkin | Surgery | 2355 Dougherty Ferry Rd, 430, Saint Louis, MO 63122 | 2005-12-19 |
| 1083163570 | Michael Jeffries | Physician Assistant | 2355 Dougherty Ferry Rd, Suite #330, Saint Louis, MO 63122-3325 | 2016-09-26 |
| 1649642349 | Lisa Ann Hunt | Nurse Practitioner | 2355 Dougherty Ferry Rd, Saint Louis, MO 63122-3325 | 2015-10-21 |
| 1346650884 | Matthew T. Ricks Do LLC | Surgery | 2355 Dougherty Ferry Rd, 430, Saint Louis, MO 63122-3325 | 2014-05-06 |
| 1255597738 | Darin M Minkin Inc | Surgery | 2355 Dougherty Ferry Rd, Ste 430, Saint Louis, MO 63122-3356 | 2008-08-04 |
| 1780846196 | Mary Jo Beason | Audiologist | 2355 Dougherty Ferry Rd, Suite 430, Saint Louis, MO 63122-3325 | 2008-06-26 |
| 1780857532 | Sharon Marie Prusaczyk | Audiologist | 2355 Dougherty Ferry Rd, Saint Louis, MO 63122-3325 | 2008-04-11 |
| 1316128846 | Vascular Surgery of St. Louis P.C. | Surgery | 2355 Dougherty Ferry Rd, Suite 440, Saint Louis, MO 63122-3325 | 2007-11-27 |
| 1932226107 | Advanced Urology Associates, LLC | Urology | 2355 Dougherty Ferry Rd, Suite 410, Saint Louis, MO 63122-3325 | 2007-03-23 |
| 1336216902 | Des Peres Medical Specialist | General Acute Care Hospital | 2355 Dougherty Ferry Rd, Suite 408, Saint Louis, MO 63122-3325 | 2006-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659933174 | Keela Rushing | Physical Therapist | 439 S Kirkwood Rd Ste 200, Kirkwood, MO 63122 | 2019-07-04 |
| 1730643461 | Kirkwood Family Dental | Dentist | 333 S Kirkwood Road, Suite 105, Kirkwood, MO 63122 | 2019-01-28 |
| 1477061166 | Total Access Urgent Care, PC | Clinic/Center | 2980 Dougherty Ferry Rd, Saint Louis, MO 63122 | 2018-01-16 |
| 1760933469 | Missouri Cvs Pharmacy, L.l.c | Durable Medical Equipment & Medical Supplies | 10820 Manchester Rd, Kirkwood, MO 63122 | 2016-10-18 |
| 1518321041 | M. Kathleen Blanchard | Counselor | 11042 Manchester Rd., Kirkwood, MO 63122 | 2016-04-11 |
| 1265801914 | Kim Grega | Counselor | 700 S Kirkwood Rd, Kirkwood, MO 63122 | 2015-09-23 |
| 1245617943 | Mark Edward Taylor | Dentist | 610 North Geyer, Kirkwood, MO 63122 | 2015-05-01 |
| 1467843094 | Mary Elizabeth Boomgarden | Physical Therapist | 9645 Big Bend Boulevard, Saint Louis, MO 63122 | 2015-02-18 |
| 1760725717 | Michael Diller Counseling | Counselor | 144 W Madison Avenue, Kirkwood, MO 63122 | 2013-03-28 |
| 1427309954 | Anne Marie Delaplain | Dentist | 725 Laclede Station Road, Webster Groves, MO 63122 | 2012-09-24 |
| Find all providers in zip 63122 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154665248 | Institute for Research and Education In Family Medicine | Clinic/Center | 3401 Arsenal St, Saint Louis, MO 63118-2001 | 2012-11-15 |
| 1477867034 | Md2u Missouri LLC | Clinic/Center | 111 W Port Plz, 6th Floor, Saint Louis, MO 63146-3011 | 2010-08-05 |
| 1871817726 | Cornerstone Chiropractic | Clinic/Center | 2115 Barrett Station Rd, Saint Louis, MO 63131-1606 | 2010-03-22 |
| 1124293790 | Z. A. Dalu M.d.,inc | Clinic/Center | 6744 Clayton Rd Ste 305, Saint Louis, MO 63117-1639 | 2008-04-24 |
| 1992721260 | David A Parks, Md, PC | Clinic/Center | 3960 Lindell Blvd, Saint Louis, MO 63108-3204 | 2006-07-13 |
| 1013533181 | Centralwest Immunologic Research Foundation | Clinic/Center | 3960 Lindell Blvd, Saint Louis, MO 63108-3204 | 2020-06-24 |
| 1104441302 | Mi Primary Care, Pllc | Clinic/Center | 224 N Mill St, Saint Louis, MI 48880-1523 | 2020-06-12 |
| 1467089037 | Sure Healthcare Group, LLC | Clinic/Center | 2880 Netherton Dr, Saint Louis, MO 63136-4698 | 2020-03-24 |
| 1326524604 | Daniel D Bekele LLC | Clinic/Center | 6113 Ridge Ave, Saint Louis, MO 63133 | 2018-07-19 |
| 1285160382 | Dr Robin A Kundra Inc | Clinic/Center | 555 N New Ballas Rd, Suite 110, Saint Louis, MO 63141-6825 | 2017-05-10 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63122 |
Please comment or provide details below to improve the information on WEST COUNTY FAMILY MEDICINE, INC.
| 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.