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NPI Code Detail

MEDICARE: CHESTERFIELD CARDIOLOGY CARE, LLC

MEDICARE: CHESTERFIELD CARDIOLOGY CARE, 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
1207RC0000XCardiovascular Disease Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134672587
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHESTERFIELD CARDIOLOGY CARE, LLC
Provider Business Mailing Address
First Line : 121 SAINT LUKES CENTER DR
Second Line :
City : CHESTERFIELD
State : MO
Zip : 63017-3518
Country : US
Telephone Number : 636-685-7804
Fax Number : 314-576-2344
Provider Business Practice Location Address
First Line : 222 S WOODS MILL RD STE 560
Second Line :
City : CHESTERFIELD
State : MO
Zip : 63017-3625
Country : US
Telephone Number : 314-485-8788
Fax Number : 314-590-5910
Authorized Official
Title or Position : CHIEF MEDICAL OFFICER
Name : DARREN R. HASKELL
Credential : M.D.
Telephone Number : 314-205-6444
Provider Enumeration Date : 08/02/2016
Last Update Date : 03/05/2026

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Directions to “CHESTERFIELD CARDIOLOGY CARE, LLC ” Practice Location

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