Specialist in Gastroenterology
NPI 1669523270ActiveOrganization· Internal Medicine, Gastroenterology· Creve Coeur, MO
Internal Medicine, Gastroenterology in Creve Coeur, Missouri, registered in NPPES in January 2007. The authorized official on file is Paula D. Willis, Office Administrator.
Overview
| NPI | 1669523270 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 12, 2007 |
| Last updated in NPPES | Apr 25, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | R4F99 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Internal Medicine, Gastroenterology providers in Creve Coeur
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