MEDICARE: MEDSTAFFPC

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

General Provider Information

NPI Number	:	1588088157
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDSTAFFPC

Provider Business Mailing Address
First Line	:	4500 S 129TH EAST AVE STE 191
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74134-5891
Country	:	US
Telephone Number	:	918-779-7400
Fax Number	:	918-779-7425

Provider Business Practice Location Address
First Line	:	12633 OLIVE BLVD
Second Line	:
City	:	ST LOUIS
State	:	MO
Zip	:	63141-6313
Country	:	US
Telephone Number	:	314-205-1988
Fax Number	:	314-205-1982

Authorized Official
Title or Position	:	CEO
Name	:	PHILIP KURTZ
Credential	:
Telephone Number	:	918-779-7431

Provider Enumeration Date	:	02/18/2014
Last Update Date	:	02/18/2014

Similar Medicare Providers

1619965324 — ADVANCED SURGERY CENTER LLC
Practice Location Address:

12607 OLIVE BLVD
SAINT LOUIS, MO
63141-6313

Practice Phone: 314-205-1610
Practice Fax: 314-205-1233

1376512137 — DR. MARK D. WADE O.D.
Practice Location Address:

12601 OLIVE BLVD
SAINT LOUIS, MO
63141-6313

Practice Phone: 314-336-4690
Practice Fax: 800-432-6004

1700814225 — DR. GREGORY A HILL M.D.
Practice Location Address:

12601 OLIVE BLVD
SAINT LOUIS, MO
63141-6313

Practice Phone: 314-567-7771
Practice Fax: 314-567-7774

1689755209 — ALLAN E. KOLKER, M.D. LLC.
Practice Location Address:

12601 OLIVE BLVD
SAINT LOUIS, MO
63141-6313

Practice Phone: 314-878-7962
Practice Fax: 314-878-7747

1992848212 — PRACTICE OF ROSEMARY CANNISTRARO, LLC
Practice Location Address:

12609 OLIVE BLVD
SAINT LOUIS, MO
63141-6313

Practice Phone: 314-205-8344
Practice Fax: 314-205-0217

1396135992 — NUCROWN, LLC
Practice Location Address:

12607 OLIVE BLVD
SAINT LOUIS, MO
63141-6313

Practice Phone: 314-428-0110
Practice Fax: 314-878-7747

Directions to “MEDSTAFFPC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.