Healthcare Provider Details

I. General information

NPI: 1013414317
Provider Name (Legal Business Name): DIGESTIVE CONSULTANTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2018
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5551 WINGHAVEN BLVD STE 250
O FALLON MO
63368-3630
US

IV. Provider business mailing address

224 S WOODS MILL RD STE 410S
CHESTERFIELD MO
63017-3605
US

V. Phone/Fax

Practice location:
  • Phone: 636-685-7795
  • Fax: 314-590-5959
Mailing address:
  • Phone: 636-685-7795
  • Fax: 314-590-5959

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State

VIII. Authorized Official

Name: DARREN R. HASKELL
Title or Position: CHIEF MEDICAL OFFICER
Credential: M.D.
Phone: 314-205-6444