1992938245 NPI number — WILLIAM M GEE, MD, PC

Table of content: (NPI 1992938245)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992938245 NPI number — WILLIAM M GEE, MD, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WILLIAM M GEE, MD, PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1992938245
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/05/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
307 ARBOR LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAINT LOUIS
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
63119-2424
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
314-961-6832
Provider Business Mailing Address Fax Number:
314-961-6832

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
307 ARBOR LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAINT LOUIS
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63119-2424
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
314-961-6832
Provider Business Practice Location Address Fax Number:
314-961-6832
Provider Enumeration Date:
09/02/2009

Additional Information

Authorized Official

Authorized Official Last Name:
GEE
Authorized Official First Name:
WILLIAM
Authorized Official Middle Name:
M
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
314-961-6832

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  R7F57 , 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: DP6965 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 100484 . This is a "HEALTHLINK" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 202556205 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 24863 . This is a "ANTHEM BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".




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