MEDICARE: NATIONAL MEDICAL INFORMATION SVCS

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
1	207Q00000X	Family Medicine Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DE3370	OTHER	MO	RAILROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1528046489
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATIONAL MEDICAL INFORMATION SVCS

Provider Business Mailing Address
First Line	:	2331 HAMPTON AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63139-2908
Country	:	US
Telephone Number	:	314-772-1441
Fax Number	:	314-772-0600

Provider Business Practice Location Address
First Line	:	2331 HAMPTON AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63139-2908
Country	:	US
Telephone Number	:	314-772-1441
Fax Number	:	314-772-0600

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DEVON N GOLDING
Credential	:	MD
Telephone Number	:	314-772-1441

Provider Enumeration Date	:	01/02/2006
Last Update Date	:	11/10/2011

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Directions to “NATIONAL MEDICAL INFORMATION SVCS ” Practice Location

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