FAMILY MEDICINE OF ST LOUIS
NPI 1538118492
Family Medicine in Saint Louis, MO

NPI Status: Active since May 09, 2006

Contact Information

6125 CLAYTON AVE
STE 222
SAINT LOUIS, MO
ZIP 63139
Phone: (314) 768-3685
Fax: (314) 768-3940

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  • Organization
  • Family Medicine
  • CLIA Number: 14D2083751
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-10-2026

About FAMILY MEDICINE OF ST LOUIS

This page provides the complete NPI Profile along with additional information for Family Medicine Of St Louis, a primary care provider established in Saint Louis, Missouri operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1538118492 assigned on May 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Family Medicine Of St Louis operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Family Medicine Of St Louis. The authorized official of this NPI record is Ms. Jerrie K Weith Fhfma (Business Advisor)

NPI
1538118492
Provider Legal Name
FOREST PARK HOSPITAL CORP #1
Other Organization Name
FAMILY MEDICINE OF ST LOUIS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
6125 CLAYTON AVE STE 222 SAINT LOUIS, MO 63139
Location Phone
(314) 768-3685
Location Fax
(314) 768-3940
Mailing Address
531 PEBBLE BROOK LN HMAI BELLEVILLE, IL 62221
Mailing Phone
(618) 779-5508
Mailing Fax
(314) 768-3940
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-09-2006
Last Update Date
08-22-2020
Code Navigator

A primary care provider (PCP) like Family Medicine Of St Louis sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. JERRIE K WEITH FHFMA

Authorized Official Title
BUSINESS ADVISOR
Authorized Official Phone
(618) 779-5508

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
14D2083751
Facility Type
Physician Office
Certificate Effective Date
September 11, 2024
Certificate Expiration Date
September 10, 2026
Laboratory Director
ERYNN E. ELLEBY
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Family Medicine Of St Louis in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1538118492
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25682116418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 6 + 8 + 2 + 1 + 1 + 6 + 4 + 1 + 8 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1538118492 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1083699359DR. ROBERT P TOMKIEWICZ MD
Individual
Internal Medicine6125 CLAYTON AVE #119
SAINT LOUIS, MO 63139
(314) 645-8823
1346293297DR. ANN LESLEY MCLAREN MD
Individual
Family Medicine6125 CLAYTON AVE STE 222
SAINT LOUIS, MO 63139
(314) 768-3685
1023061926DR. MICHAEL T RAILEY MD
Individual
Family Medicine6125 CLAYTON AVE STE 222
SAINT LOUIS, MO 63139
(314) 768-3685
1225079791M ROBERT HILL MD
Organization
Internal Medicine6125 CLAYTON AVE STE 101
SAINT LOUIS, MO 63139
(314) 768-3220
1740211606DR. H RUSSELL SEARIGHT PHD
Individual
Psychologist (Clinical Child & Adolescent)6125 CLAYTON AVE STE 222
SAINT LOUIS, MO 63139
(314) 768-3685
1316057565WESTEND MEDICAL CENTER PC
Organization
Specialist6125 CLAYTON AVE STE 118
SAINT LOUIS, MO 63139
(314) 367-4044
1407957301DR. JEAN ALFRED THOMAS SR. MD
Individual
Obstetrics & Gynecology6125 CLAYTON AVE SUITE 122
ST LOUIS, MO 63139
(314) 644-4555
1497944094PARKSIDE SURGERY AND MEDICINE
Organization
Surgery6125 CLAYTON AVE SUITE 430
SAINT LOUIS, MO 63139
(314) 768-3634
1326266651BARAKA OBSTETRICS AND GYNECOLOGY
Organization
Specialist6125 CLAYTON AVE STE. 103
SAINT LOUIS, MO 63139
(314) 645-2008

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538118492, enumerated in the NPI registry as an "organization" on May 09, 2006

The provider is located at 6125 Clayton Ave Ste 222 Saint Louis, Mo 63139 and the phone number is (314) 768-3685

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider's CLIA number is 14D2083751 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on May 09, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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