Healthcare Provider Details

I. General information

NPI: 1942121926
Provider Name (Legal Business Name): ROBERT N/A HITE JR. MAADC II
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2027 CAMPUS DR
SAINT CHARLES MO
63301-1047
US

IV. Provider business mailing address

2027 CAMPUS DR
SAINT CHARLES MO
63301-1047
US

V. Phone/Fax

Practice location:
  • Phone: 636-321-7600
  • Fax: 636-757-3728
Mailing address:
  • Phone: 636-321-7600
  • Fax: 636-757-3728

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: