ICONIC SERVICES INC
NPI 1750872354
Family Medicine - Sports Medicine in Saint Louis, MO

NPI Status: Active since May 21, 2018

Contact Information

4625 LINDELL BLVD STE 200
SAINT LOUIS, MO
ZIP 63108
Phone: (314) 437-8932
Fax: (888) 749-2228

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  • Organization
  • Family Medicine
  • Sports Medicine

About ICONIC SERVICES INC

This page provides the complete NPI Profile along with additional information for Iconic Services Inc, a primary care provider established in Saint Louis, Missouri operating as a Family Medicine, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1750872354 assigned on May 2018. The practitioner's primary taxonomy code is 207QS0010X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Christine B Cordero (Manager)

NPI
1750872354
Provider Name
ICONIC SERVICES INC
Entity Type
Organization
Location Address
4625 LINDELL BLVD STE 200 SAINT LOUIS, MO 63108
Location Phone
(314) 437-8932
Location Fax
(888) 749-2228
Mailing Address
4625 LINDELL BLVD STE 200 SAINT LOUIS, MO 63108
Mailing Phone
(314) 437-8932
Mailing Fax
(888) 749-2228
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-21-2018
Last Update Date
05-21-2018
Code Navigator

A primary care provider (PCP) like Iconic Services Inc 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 Sports Medicine

Taxonomy Code
207QS0010X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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

CHRISTINE B CORDERO

Authorized Official Title
MANAGER
Authorized Official Phone
(314) 437-8932

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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.
1750872354
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271001674310
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 6 + 7 + 4 + 3 + 1 + 0 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1750872354 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1487295085 SIERRA COURTNEY
Individual
Home Health4625 LINDELL BLVD STE 200
SAINT LOUIS, MO 63108
(314) 707-7301
1174119861ALL N BLOOM LLC
Organization
Home Health4625 LINDELL BLVD STE 200
SAINT LOUIS, MO 63108
(618) 919-3219
1750977195A HAND AT HOME LLC
Organization
Home Health4625 LINDELL BLVD STE 200
SAINT LOUIS, MO 63108
(314) 334-4705
1245804665YOUR PLACE HOME HEALTH CARE LLC
Organization
Home Health4625 LINDELL BLVD STE 200
SAINT LOUIS, MO 63108
(314) 456-5651
1851961247DOSS HELPING HANDS
Organization
In Home Supportive Care4625 LINDELL BLVD STE 200
SAINT LOUIS, MO 63108
(314) 379-2386
1104374271 AMANDA DARBY FNP
Individual
Nurse Practitioner (Family)4625 LINDELL BLVD STE 200
SAINT LOUIS, MO 63108
(866) 949-0108
1720752744PURE HEART HOME HEALTH LLC
Organization
Home Health4625 LINDELL BLVD STE 200
SAINT LOUIS, MO 63108
(314) 361-9482
1083917330MRS. ANNEKA KAFI PILLOW FNP-BC
Individual
Nurse Practitioner (Family)4625 LINDELL BLVD STE 200
SAINT LOUIS, MO 63108
(866) 949-0108
1568100915 VALLE ANNE DIEBOLD
Individual
Social Worker (Clinical)4625 LINDELL BLVD STE 200
SAINT LOUIS, MO 63108
(636) 387-9589
1770201816VENICARE MOBILE PHLEBOTOMY SERVICE LLC
Organization
Technician, Pathology (Phlebotomy)4625 LINDELL BLVD STE 200
SAINT LOUIS, MO 63108
(314) 201-3425
1811633308HDJ ANGELS HOME CARE SERVICES LLC
Organization
In Home Supportive Care4625 LINDELL BLVD STE 200
SAINT LOUIS, MO 63108
(314) 532-3768
1861035115EMPOWERED CARE, LLC
Organization
In Home Supportive Care4625 LINDELL BLVD STE 200
SAINT LOUIS, MO 63108
(314) 794-4115
1376175828 JENNIFER MARIE YIM
Individual
Marriage & Family Therapist4625 LINDELL BLVD STE 200
SAINT LOUIS, MO 63108
(844) 888-9355
1659069326BLOSSOM THERAPY
Organization
Behavior Analyst4625 LINDELL BLVD STE 200
SAINT LOUIS, MO 63108
(732) 534-2823
1548949241CONCORD COUNSELING STL, LLC
Organization
Counselor (Professional)4625 LINDELL BLVD STE 200
SAINT LOUIS, MO 63108
(314) 594-4266
1376312173HEART TO HEART CONSOLIDATED HOME CARE SERVCIE 2 LLC
Organization
Home Health4625 LINDELL BLVD STE 200
SAINT LOUIS, MO 63108
(314) 396-8127
1215427349HEART TO HEART CONSOLIDATED HOME CARE SERVICE
Organization
In Home Supportive Care4625 LINDELL BLVD STE 200
SAINT LOUIS, MO 63108
(314) 396-8127
1043059413 SARA K BLACKWOOD
Individual
Counselor (Mental Health)4625 LINDELL BLVD STE 200
SAINT LOUIS, MO 63108
(314) 967-3972
1790525079HEART TO HEART CONSOLIDATED LLC
Organization
In Home Supportive Care4625 LINDELL BLVD STE 200
SAINT LOUIS, MO 63108
(314) 396-8127
1881377786FAMILY SUPPORT SERVICES,LLC
Organization
Case Manager/Care Coordinator4625 LINDELL BLVD STE 200
SAINT LOUIS, MO 63108
(833) 888-2166

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750872354, enumerated in the NPI registry as an "organization" on May 21, 2018

The provider is located at 4625 Lindell Blvd Ste 200 Saint Louis, Mo 63108 and the phone number is (314) 437-8932

This medical organization specializes in Family Medicine with taxonomy code 207QS0010X with a focus in Sports Medicine

This NPI record was last updated on May 21, 2018. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.