INTERNAL MEDICINE & GASTROENTEROLOGY LLC


Address: 10121 W Florissant Ave, Saint Louis, MO 63136-2103
Phone: 3145221834

INTERNAL MEDICINE & GASTROENTEROLOGY LLC (NPI# 1932358421) 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) 1932358421
Entity Type Organization
Organization Name INTERNAL MEDICINE & GASTROENTEROLOGY LLC
Practice Address 10121 W Florissant Ave
Saint Louis
MO 63136-2103
Mailing Address Po Box 21549
Saint Louis
MO 63132-0549
Practice Telephone 3145221834
Practice Fax Number 3145226149
Mailing Telephone 3145221834
Mailing Fax Number 3145226149
Enumeration Date 2008-09-09
Last Update Date 2011-10-11
Authorized Official Name MACK E MCCAIN (PRESIDENT)
Authorized Official Telephone 3145221834
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 302F00000X Exclusive Provider Organization R6F90 MO Managed Care Organizations

Office Location

Street Address 10121 W FLORISSANT AVE
City SAINT LOUIS
State MO
Zip Code 63136-2103

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871580068 James Edward Belcher Obstetrics & Gynecology 10121 W Florissant Ave, Saint Louis, MO 63136-2103 2005-10-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518565993 Dorothy Smith Home Health 2531 Nathan Drive, St Louis, MO 63136 2020-10-16
1538784459 Rita D Wilson Technician 9597 Jacobi Ave Bldg 33 Apt 7, Saint Louis, MO 63136 2020-06-16
1922646728 Eduhealth Personal Care Services Technician 5843 Eagle Valley Dr Saint Louis Mo 63136, Saint Louis, MO 63136 2019-12-12
1558912964 Homers Haven Home Care LLC Home Health 5636 Pamplin Pl, St Louis, MO 63136 2019-09-26
1366096703 Chloe Suzanne Datillo Nurse Practitioner 2865 Netherton Dr., St Louis, MO 63136 2019-07-24
1053976431 U Auto Be Quik LLC Non-emergency Medical Transport (VAN) 10352 Castle Drive, St. Louis, MO 63136 2019-05-01
1164945895 A Plus Home Health Services LLC Home Health 9517 Wilson Bridge Drive, Saint Louis, MO 63136 2017-07-25
1184150302 Fairview Village Adult Day Care LLC Clinic/Center 8449 Jennings Station Rd, Fairview Village Adult Day Care, Saint Louis, MO 63136 2017-05-08
1023541182 Lots of Love Home Health Services In Home Supportive Care 4144 Lindell Blvd. Suite 218, Saint Louis, MO 63136 2017-04-06
1912440876 Carestl Health Clinic/Center 7047 Emma Ave, Jennings, MO 63136 2016-11-28
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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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1821493545 Red Eye LLC Exclusive Provider Organization 9717 Clayton Rd, Saint Louis, MO 63124-1503 2014-10-23
1144596263 Genesis Adult Care, LLC Exclusive Provider Organization 8420 Olive Blvd, Saint Louis, MO 63132-2816 2012-03-23
1770886897 Makeover for Life Outreach Exclusive Provider Organization 4730 Margaretta Ave Fl 2, Saint Louis, MO 63115-2151 2010-12-10
1093092413 Pamela Jean Weber Exclusive Provider Organization 9890 Clayton Rd, Saint Louis, MO 63124-1685 2011-11-14
1639456064 Susan K Boyer, Md LLC Exclusive Provider Organization 9890 Clayton Rd, Suite 100, Saint Louis, MO 63124-1685 2011-11-14
1225314248 John Rabun, Md, LLC Exclusive Provider Organization 9890 Clayton Rd, Saint Louis, MO 63124-1685 2011-10-24
1902121171 Back-in-line Wellness Center Exclusive Provider Organization 14 Ronnies Plz, Saint Louis, MO 63126-3552 2010-03-31
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City SAINT LOUIS
Zip Code 63136

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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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