MEDICARE: CREVE COEUR FAMILY MEDICINE, 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
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1801146766
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CREVE COEUR FAMILY MEDICINE, 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	:	11550 OLIVE BLVD STE 120
Second Line	:
City	:	CREVE COEUR
State	:	MO
Zip	:	63141-7111
Country	:	US
Telephone Number	:	314-523-2590
Fax Number	:	314-590-5943

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

Provider Enumeration Date	:	09/18/2012
Last Update Date	:	12/12/2025

Similar Medicare Providers

1114339470 — CARRIE LYN NOONAN NP-C
Practice Location Address:

11560 OLIVE BLVD , MINUTECLINIC
CREVE COEUR, MO
63141-7111

Practice Phone: 314-995-7128
Practice Fax:

1790739241 — DR. ROSEMARY LOUISE CANNISTRARO M.D. PHD
Practice Location Address:

11550 OLIVE BLVD , STE 140
CREVE COEUR, MO
63141-7111

Practice Phone: 314-205-8344
Practice Fax: 314-590-5931

1508802976 — DIVYA CHAUHAN M.D.
Practice Location Address:

11550 OLIVE BLVD , STE 120
CREVE COEUR, MO
63141-7111

Practice Phone: 314-523-2590
Practice Fax: 314-590-5943

1619167483 — RUPINDERJIT SINGH DHILLON MD
Practice Location Address:

11550 OLIVE BLVD , STE 140
CREVE COEUR, MO
63141-7111

Practice Phone: 314-205-8344
Practice Fax: 314-590-5931

1154760163 — DR. ALLISON CLAIRE FLAMMANG D.O.
Practice Location Address:

11550 OLIVE BLVD STE 120
CREVE COEUR, MO
63141-7111

Practice Phone: 314-525-2590
Practice Fax: 314-590-5943

1124447677 — KIMBERLY MILLER FNP
Practice Location Address:

11560 OLIVE BLVD
CREVE COEUR, MO
63141-7111

Practice Phone: 314-995-7128
Practice Fax:

Directions to “CREVE COEUR FAMILY MEDICINE, LLC ” 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.