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

Physician Correctional USA (Mo ), LLC

Organization Internal Medicine Physician · NPI 1548061294

Physician Correctional USA (Mo ), LLC is an Internal Medicine Physician in Saint Louis, Missouri. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
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

200 S Tucker Blvd
Saint Louis, MO 63102-1152
Phone: (812) 499-3023
Fax: (207) 419-6186
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1548061294
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Martin — Chief Operating Officer · (812) 499-3023
NPI enumeratedMarch 20, 2025
Last updated in NPPESMarch 20, 2025
Certification dateMarch 20, 2025
Mailing address1650 Se 17th St Ste 408, Ft Lauderdale, FL 33316-1740

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