Physician Groups Lc
NPI 1760558829ActiveOrganization· Clinic/Center, Multi-Specialty· Creve Coeur, MO
Clinic/Center, Multi-Specialty in Creve Coeur, Missouri, registered in NPPES in November 2006. The authorized official on file is Raymond P. Davidson, MD, President.
Overview
| NPI | 1760558829 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 28, 2006 |
| Last updated in NPPES | Mar 26, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Multi-Specialty Primary | 261QM1300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 Clinic/Center, Multi-Specialty providers in Creve Coeur
- 1215643622
- 1295404283
- 1437690336
- 1508363946
- 1518694892
- 1770356289