1144373341 NPI number — WILLIAM FEINSTEIN M.D.

Table of content: WILLIAM FEINSTEIN M.D. (NPI 1144373341)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144373341 NPI number — WILLIAM FEINSTEIN M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FEINSTEIN
Provider First Name:
WILLIAM
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144373341
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/23/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1050 OLD DES PERES RD
Provider Second Line Business Mailing Address:
SUITE 100
Provider Business Mailing Address City Name:
SAINT LOUIS
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
63131-1873
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
314-569-0612
Provider Business Mailing Address Fax Number:
314-569-0618

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1050 OLD DES PERES RD
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
SAINT LOUIS
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63131-1873
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
314-569-0612
Provider Business Practice Location Address Fax Number:
314-569-0618
Provider Enumeration Date:
01/19/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207XS0106X , with the licence number:  2000155783 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0900420 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 482AA1 . This is a "WAL MART ALLIANCE HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 576341 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: G99956 . This is a "MERCY HEALTH PLANS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 129574 . This is a "BCBS OF MO (ANTHEM)" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 39253 . This is a "GROUP HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 200041166 . This is a "RR MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 140194000 . This is a "DEPARTMENT OF LABOR" identifier . This identifiers is of the category "OTHER".
  • Identifier: 430617 . This is a "HEALTHLINK" identifier . This identifiers is of the category "OTHER".
  • Identifier: 43092556563080A001 . This is a "WPS TRICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 205676406 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3876797002 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".




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