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

St Anthony's Physician Organization Private Practices Lc

Organization Internal Medicine Physician · NPI 1225225279

St Anthony's Physician Organization Private Practices Lc is an Internal Medicine Physician in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
Specialties on file
2

Practice location Address checks out

10004 Kennerly Rd Ste 364B
Saint Louis, MO 63128-2141
Phone: (314) 543-5911
Fax: (314) 543-5914
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence R8411 (MO)
Gastroenterology Physician Taxonomy 207RG0100X

Record details

NPI number1225225279
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dave Hinkle — Executive Director · (314) 543-5903
Other names St Anthony'S Gastroenterology
NPI enumeratedOctober 3, 2007
Last updated in NPPESAugust 4, 2010
Mailing address10004 Kennerly Rd, Ste. 364b, Saint Louis, MO 63128-2141

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