NPI Code Details Logo

NPI 1285691063

NPI 1285691063 : CARDIAC SPECIALISTS OF ST LUKE'S, LLC : CHESTERFIELD, MO

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1285691063
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    CARDIAC SPECIALISTS OF ST LUKE'S, LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/27/2006
-----------------------------------------------------
    Last Update Date     |    12/12/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    222 S WOODS MILL RD SUITE 500 NORTH
-----------------------------------------------------
    City                 |    CHESTERFIELD
-----------------------------------------------------
    State                |    MO
-----------------------------------------------------
    Zip                  |    63017-3625
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    314-205-6699
-----------------------------------------------------
    Fax                  |    314-205-6985
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    232 S WOODS MILL RD 
-----------------------------------------------------
    City                 |    CHESTERFIELD
-----------------------------------------------------
    State                |    MO
-----------------------------------------------------
    Zip                  |    63017-3406
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    636-685-7804
-----------------------------------------------------
    Fax                  |    314-576-2473
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CHIEF MEDICAL OFFICER
-----------------------------------------------------
    Name                 |     DARREN R. HASKELL 
-----------------------------------------------------
    Credential           |    M.D
-----------------------------------------------------
    Telephone            |    314-205-6444
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207RC0000X
-----------------------------------------------------
    Taxonomy Name        |    Cardiovascular Disease Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.