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NPI Code Detail

MEDICARE: CARDIO-PULMONARY ASSOCIATES, LLC

MEDICARE: CARDIO-PULMONARY ASSOCIATES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RP1001XPulmonary Disease Physician
2207R00000XInternal Medicine Physician
3207RC0000XCardiovascular Disease Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DD6428OTHERMORR MEDICARE

General Provider Information

NPI Number : 1275621070
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARDIO-PULMONARY ASSOCIATES, LLC
Provider Business Mailing Address
First Line : 232 S WOODS MILL RD
Second Line :
City : CHESTERFIELD
State : MO
Zip : 63017-3406
Country : US
Telephone Number : 636-685-7804
Fax Number : 314-576-2473
Provider Business Practice Location Address
First Line : 222 S WOODS MILL RD STE 310N
Second Line :
City : CHESTERFIELD
State : MO
Zip : 63017-3478
Country : US
Telephone Number : 314-682-3630
Fax Number : 314-682-3647
Authorized Official
Title or Position : CHIEF MEDICAL OFFICER
Name : DARREN HASKELL
Credential : M.D.
Telephone Number : 314-205-6444
Provider Enumeration Date : 10/10/2006
Last Update Date : 03/05/2026

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Directions to “CARDIO-PULMONARY ASSOCIATES, LLC ” Practice Location

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