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CENTRAL MEDICAL GROUP
NPI 1053487132
Clinic/Center - Primary Care in Saint Louis, MO

Active since November 28, 2006CLIA 26D2217429 · Waiver
4921 PARKVIEW PL, SUITE 14A, SAINT LOUIS, MO 63110(314) 454-8778(314) 454-5298 Get Directions Write a Review

NPPES record last updated: March 26, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Central Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTRAL MEDICAL GROUP (NPI 1053487132) is a healthcare organization registered as a primary care in Saint Louis, Missouri and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through March 21, 2027 and lists Raymond P Davidson, President, as its authorized official.

NPPES Registry Identity

NPI1053487132
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePHYSICIAN GROUPS LC
Location Address4921 PARKVIEW PL, SUITE 14ASaint Louis, MO 63110-1032
Mailing Address670 Mason Ridge Center Dr, Suite 300Saint Louis, MO 63141-8573 · (314) 996-7644 · Fax (314) 996-7658
Phone(314) 454-8778
Fax(314) 454-5298
Organization SubpartNo
Authorized OfficialRaymond P DavidsonPresident · (314) 286-2028
Enumeration DateNovember 28, 2006
Last NPPES UpdateMarch 26, 2008
✔ NPI 1053487132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
4921 PARKVIEW PL, Saint Louis, MO 63110
Open in Google Maps ↗

Other Names 1

Doing Business AsCentral Medical Group

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2217429

Central Medical Group/Bjc Medical Group At The Highlands · Saint Louis, MO
Active · expires Mar 21, 2027
CLIA Number26D2217429
Laboratory TypePhysician Office
Certificate Effective DateMarch 22, 2025
Certificate Expiration DateMarch 21, 2027
Laboratory DirectorStephen W. Cohen
Laboratory Phone(314) 273-0195
Laboratory LocationCentral Medical Group/Bjc Medical Group At The Highlands1110 Highlands Plaza Drive East, Suite 220, Saint Louis, MO 63110
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THE RETINA INSTITUTE LLC
Ophthalmology
4921 PARKVIEW PL, STE 12B
SAINT LOUIS, MO 63110
St. Louis City (314) 367-1181
DR. RAJESH N KESWANI MD
Internal Medicine (Gastroenterology)
4921 PARKVIEW PL, 8TH FLOOR SUITE C
SAINT LOUIS, MO 63110
St. Louis City (314) 747-2066
DR. RANDY B. SILVERSTEIN M.D.
Internal Medicine
4921 PARKVIEW PL, SUITE 14 E
SAINT LOUIS, MO 63110
St. Louis City (314) 367-4800
DR. SHABBIR H SAFDAR M.D
Internal Medicine (Hematology & Oncology)
4921 PARKVIEW PL, SUITE 14C
SAINT LOUIS, MO 63110
St. Louis City (314) 290-7555
AMY RACKERS RPH
Pharmacist
4921 PARKVIEW PL
SAINT LOUIS, MO 63110
St. Louis City (314) 454-7666
MRS. JUDITH ANN MCCLEW
Pharmacist
4921 PARKVIEW PL
SAINT LOUIS, MO 63110
St. Louis City (314) 747-9930
K THERESE TWOMEY R.PH., J.D.
Pharmacist
4921 PARKVIEW PL
SAINT LOUIS, MO 63110
St. Louis City (314) 747-9921
ANITA L SUSANKA RPH
Pharmacist
4921 PARKVIEW PL
SAINT LOUIS, MO 63110
St. Louis City (314) 454-7666

Frequently Asked Questions

What is PHYSICIAN GROUPS LC's NPI number?

The NPI number assigned to this healthcare provider is 1053487132, enumerated as an "organization" on November 28, 2006.

Where is the provider located?

The provider is located at 4921 PARKVIEW PL SUITE 14A SAINT LOUIS, MO 63110 and the phone number is (314) 454-8778.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.