Healthcare Provider Details

I. General information

NPI: 1366400608
Provider Name (Legal Business Name): CHARLOTTE HOPE ALBINSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

660 MASON RIDGE CENTER DR
SAINT LOUIS MO
63141-8557
US

IV. Provider business mailing address

PO BOX 959203
SAINT LOUIS MO
63195-8512
US

V. Phone/Fax

Practice location:
  • Phone: 314-273-6481
  • Fax: 314-747-4153
Mailing address:
  • Phone: 314-273-6481
  • Fax: 314-747-4153

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number036112887
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number2024011375
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number036112887
License Number StateIL
# 4
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number2024011375
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: