Unknown Individual – Family Medicine Physician, NPI 1659483170
Family Medicine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
5524, Telegraph Road, Oakville, Saint Louis County, Missouri, 63129, United States
SUITE 101
ST LOUIS, MO 63129
Phone: (314) 894-0000
Fax: (314) 894-3718
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63129)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | MO | 82270 | Stool analysis for blood to screen for colon tumors | 16 | 16 |
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