MEDICARE: AMERICAN MULTISPECIALTY GROUP INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	208000000X	Pediatrics Physician
2	2084P0804X	Child & Adolescent Psychiatry Physician
3	133V00000X	Registered Dietitian
4	363LP0200X	Pediatric Nurse Practitioner
5	363L00000X	Nurse Practitioner
6	208800000X	Urology Physician
7	207X00000X	Orthopaedic Surgery Physician
8	207Q00000X	Family Medicine Physician
9	207RG0100X	Gastroenterology Physician
10	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician
11	363LF0000X	Family Nurse Practitioner
12	363LA2200X	Adult Health Nurse Practitioner
13	207K00000X	Allergy & Immunology Physician
14	363A00000X	Physician Assistant
15	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1972559532
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN MULTISPECIALTY GROUP INC.

Provider Business Mailing Address
First Line	:	PO BOX 419052
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63141-9052
Country	:	US
Telephone Number	:	314-851-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	555 MARYVILLE UNIVERSITY DR STE 240
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63141-5822
Country	:	US
Telephone Number	:	314-851-1000
Fax Number	:	314-851-4445

Authorized Official
Title or Position	:	CEO
Name	:	DAVID KEARNEY
Credential	:
Telephone Number	:	314-851-1000

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	09/20/2025

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