1346248739 NPI number — MRS. MARSHA VICTORIA THOMAS-ROBERTS DIRECTOR

Table of content: MRS. MARSHA VICTORIA THOMAS-ROBERTS DIRECTOR (NPI 1346248739)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346248739 NPI number — MRS. MARSHA VICTORIA THOMAS-ROBERTS DIRECTOR

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
THOMAS-ROBERTS
Provider First Name:
MARSHA
Provider Middle Name:
VICTORIA
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
DIRECTOR
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1346248739
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/01/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
23 N OAKS PLZ
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAINT LOUIS
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
63121-2917
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
314-382-9700
Provider Business Mailing Address Fax Number:
314-385-2500

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
23 N OAKS PLZ
Provider Second Line Business Practice Location Address:
SUITE 250
Provider Business Practice Location Address City Name:
SAINT LOUIS
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63121-2917
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
314-382-9700
Provider Business Practice Location Address Fax Number:
314-385-2500
Provider Enumeration Date:
07/11/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163W00000X , with the licence number:  26D0921638 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 588648501 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".




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