PHYSICIAN GROUPS LC (NPI# 1790978757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790978757 |
| Entity Type | Organization |
| Organization Name | PHYSICIAN GROUPS LC |
| Other Organization Name | DIGESTIVE DISORDERS CENTER O'FALLON |
| Practice Address |
2 Progress Point Ct Suite 101c O Fallon MO 63368-2208 |
| Mailing Address |
670 Mason Ridge Center Dr Suite 300 Saint Louis MO 63141-8573 |
| Practice Telephone | 6369169080 |
| Practice Fax Number | 6363443103 |
| Mailing Telephone | 3149967644 |
| Mailing Fax Number | 3149967658 |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2008-01-04 |
| Authorized Official Name | RAYMOND P DAVIDSON II (PRESIDENT) |
| Authorized Official Telephone | 3142862028 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Digestive Disorders Center O'Fallon | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033236948 | Physician Groups Lc | Allergy & Immunology | 301 West Washington Street, Suite 5, Farmington, MO 63640-1921 | 2007-03-23 |
| 1144357278 | Physician Groups Lc | Family Medicine | 1110 Wolfrum Rd, Weldon Spring, MO 63304-7796 | 2007-02-27 |
| 1427114990 | Physician Groups Lc | Clinic/Center | 1103 W Liberty, Farmington, MO 63640-1921 | 2006-12-29 |
| 1770650020 | Physician Groups Lc | Clinic/Center | 6 Jungermann Road, Suite 108, Saint Peters, MO 63376 | 2006-11-30 |
| 1679640007 | Physician Groups Lc | Clinic/Center | 3528 Patterson Rd, Florissant, MO 63031-1311 | 2006-11-29 |
| 1285664268 | Physician Groups Lc | Clinic/Center | 670 Mason Ridge Center Dr, Suite 300, Saint Louis, MO 63141-8573 | 2006-07-04 |
| 1750562542 | Physician Groups Lc | Obstetrics & Gynecology | 1 Barnes Jewish Hospital Plz, Ste. 16312, Saint Louis, MO 63110-1003 | 2007-11-20 |
| 1043403009 | Physician Groups Lc | Obstetrics & Gynecology | 70 Jungermann Cir, Suite 101, Saint Peters, MO 63376-1622 | 2007-08-23 |
| 1598958787 | Physician Groups Lc | Colon & Rectal Surgery | 11155 Dunn Rd, Ste. 312e Bldg. 1, Saint Louis, MO 63136-6150 | 2007-08-22 |
| 1316130503 | Physician Groups Lc | Orthopaedic Surgery | 2630 Highway K, O Fallon, MO 63368-6624 | 2007-08-22 |
| Street Address |
2 PROGRESS POINT CT SUITE 101C |
| City | O FALLON |
| State | MO |
| Zip Code | 63368-2208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255310959 | Christine Meyer | Nurse Anesthetist, Certified Registered | 2 Progress Point Ct, O Fallon, MO 63368-2208 | 2006-01-11 |
| 1811236433 | Erica Louise Stevens | Nurse Anesthetist, Certified Registered | 2 Progress Point Ct, O Fallon, MO 63368-2208 | 2013-02-01 |
| 1669744694 | Becky K Varvera | Nurse Anesthetist, Certified Registered | 2 Progress Point Ct, O Fallon, MO 63368-2208 | 2012-02-07 |
| 1306140579 | Andrea N Atkins | Nurse Anesthetist, Certified Registered | 2 Progress Point Ct, O Fallon, MO 63368-2208 | 2011-01-03 |
| 1023258332 | Kris L Gallina | Nurse Anesthetist, Certified Registered | 2 Progress Point Ct, O Fallon, MO 63368-2208 | 2009-02-26 |
| 1730342023 | Brian Douglas Meek | Anesthesiology | 2 Progress Point Ct, O Fallon, MO 63368-2208 | 2008-07-07 |
| 1487840450 | Sandra M Habermaas-herold | Nurse Anesthetist, Certified Registered | 2 Progress Point Ct, O Fallon, MO 63368-2208 | 2007-09-24 |
| 1073715702 | Betty Rachel Varghese | Emergency Medicine | 2 Progress Point Ct, O Fallon, MO 63368-2208 | 2007-06-04 |
| 1215068655 | Physician Groups Lc | Internal Medicine | 2 Progress Point Ct, Suite 101e, O Fallon, MO 63368-2208 | 2007-03-08 |
| 1063542793 | Sunita Dharmavarapu | Anesthesiology | 2 Progress Point Ct, O Fallon, MO 63368-2208 | 2007-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720329 | Come As You Are Counseling LLC | Counselor | 1001 Boardwalk Springs Place, Suite 111, O Fallon, MO 63368 | 2020-11-04 |
| 1770124802 | Lisa N. Greer | Technician | 6911 Brassel Dr., Ofallon, MO 63368 | 2019-09-30 |
| 1770145716 | Halie Faye Gulley | Dentist | 3009 Hwy K, O'fallon, MO 63368 | 2019-06-29 |
| 1972079556 | Erin Corsi Fraundorf | Dentist | 3009 State Hwy K, O'fallon, MO 63368 | 2018-10-22 |
| 1427579960 | Air Evac Ems, Inc. | Ambulance | 1001 Boardwalk Springs Pl Ste 250, O Fallon, MO 63368 | 2017-07-06 |
| 1528507472 | Washeck Manual Therapy LLC | Clinic/Center | 3074 Winghaven Blvd, O'fallon, MO 63368 | 2017-02-13 |
| 1639618457 | Brittany Hogan | Physical Therapist | 7412 South Outer 364, Suite B, Dardenne Prairie, MO 63368 | 2017-02-13 |
| 1124561469 | Cardinal Home Care LLC | Home Health | 18 Convent Garden Ct, O'fallon, MO 63368 | 2016-11-18 |
| 1336509272 | Sarah Marie Mudd | Counselor | 1654 Bryan Road, O'fallon, MO 63368 | 2016-03-04 |
| 1588023956 | Price-bourisaw Family Chiropractic | Chiropractor | 2917 State Highway K, O Fallon, MO 63368 | 2016-02-15 |
| Find all providers in zip 63368 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477717080 | Milton Oludhe Ochieng' | Internal Medicine | 20 Progress Point Pkwy, Ste 108, O Fallon, MO 63368-2206 | 2008-07-12 |
| 1649252461 | Chaudhary Mobin Khan | Internal Medicine | 20 Progress Point Pkwy, Ste 108, O Fallon, MO 63368-2206 | 2005-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316589708 | Gastroenterology of The Four States,llc | Internal Medicine | 2024 S Maiden Ln Ste 204, Joplin, MO 64804-0319 | 2019-10-17 |
| 1013414317 | Digestive Consultants LLC | Internal Medicine | 222 S Woods Mill Rd Ste 410, Chesterfield, MO 63017 | 2018-04-12 |
| 1184038788 | Prianka Radhika Chilukuri | Internal Medicine | 3635 Vista Avenue, Fdt 9 South, St. Louis, MO 63110 | 2014-06-12 |
| 1871911149 | Sean Doran | Internal Medicine | 2521 Glenn Hendren Dr Ste 408, Liberty, MO 64068-3388 | 2014-04-02 |
| 1215359484 | Advanced Gastroenterology & Colon Cancer Screening Center LLC | Internal Medicine | 763 S New Ballas Rd # 265, Saint Louis, MO 63141-8704 | 2014-01-07 |
| 1689014276 | Antonio Ricardo Cheesman Rocca | Internal Medicine | 1225 S Grand Blvd Fl 3, Saint Louis, MO 63104-1016 | 2013-06-27 |
| 1578805610 | Paul Edmond St. Romain | Internal Medicine | 2115 S Fremont Ave Ste 3300, Springfield, MO 65804-2246 | 2013-03-26 |
| 1114285947 | Samuel Wieland Schowengerdt | Internal Medicine | 5330 N Oak Trfy Ste 102, Kansas City, MO 64118 | 2012-04-30 |
| 1720346729 | Kayci Renee Huff-hardy | Internal Medicine | 621 S New Ballas Rd Ste 437a, Saint Louis, MO 63141-8259 | 2012-04-26 |
| 1649542713 | Robert Earl Stufflebam | Internal Medicine | 3895 E Pond Apple Dr, Springfield, MO 65809-3752 | 2012-02-03 |
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| 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.