Geromed, Llc

LBN: Geromed, Llc
Geromed, Llc is an health care organization with primary practice located at 4675 S Grand Blvd , Saint Louis MO 63111-1462. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as the primary health care specialty. Geromed, Llc can be contacted via phone (314) 752-8600, or through Tang, Tony Thien via phone (314) 752-8600.

Contact Information

Primary practice address
4675 S Grand Blvd Saint Louis MO 63111-1462
Phone: (314) 752-8600
Fax: (314) 752-8601
Website:
Map and Directions
Authorized official contact:
Name: Tang, Tony Thien Doctor of Medicine (MD)
Phone: (314) 752-8600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X

Profile Details

NPI number 1184755118
LBN Legal business name Geromed, Llc
DBA Doing business as
Authorized official Tang, Tony Thien Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2007
Last updated May 27th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184755118 NPPES
Missouri MEDICAID 208442400
Missouri MEDICAID 508753001
Missouri MEDICAID 208393702
Missouri Other 1023026804
Missouri Other 1417040114

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