Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fenton Emergency Group LLC

Organization Emergency Medicine Physician · NPI 1770832792

Fenton Emergency Group LLC is an Emergency Medicine Physician in Fenton, Missouri. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1015 Bowles Ave
Fenton, MO 63026-2394
Phone: (636) 496-2100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1770832792
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisha Falk — Vp Of Contracting · (800) 893-9698
NPI enumeratedSeptember 5, 2012
Last updated in NPPESJanuary 2, 2020
Certification dateJanuary 2, 2020
Mailing address200 Corporate Blvd, Lafayette, LA 70508-3870

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