SPECIALTY & PRIMARY CARE LLC
NPI 1104954692
Internal Medicine - Gastroenterology in Saint Louis, MO

Q: What is Specialty & Primary Care LLC's NPI number?

The NPI number for Specialty & Primary Care LLC is 1104954692. It was assigned to this organization in the NPPES registry on February 28, 2007.

Q: What is Specialty & Primary Care LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Active since February 28, 2007

3009 N BALLAS RD, SUITE 229A, SAINT LOUIS, MO 63131(314) 432-5144(314) 432-2400 Get Directions Write a Review

NPPES record last updated: March 17, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Specialty & Primary Care Llc NPPES

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

SPECIALTY & PRIMARY CARE LLC (NPI 1104954692) is a healthcare organization registered as a gastroenterology in Saint Louis, Missouri and active in the NPI registry since February 2007. The organization lists Nayyer Ibrahim, Administrator, as its authorized official.

NPPES Registry Identity

NPI1104954692

Entity TypeOrganization

Primary Taxonomy207RG0100X

Legal Business NameSPECIALTY & PRIMARY CARE LLC

Location Address3009 N BALLAS RD, SUITE 229ASaint Louis, MO 63131-2322

Mailing Address3009 N Ballas Rd, Suite 229aSaint Louis, MO 63131-2322 · (314) 432-5144 · Fax (314) 432-2400

Phone(314) 432-5144

Fax(314) 432-2400

Organization SubpartNo

Authorized OfficialNayyer IbrahimAdministrator · (314) 432-5144

Enumeration DateFebruary 28, 2007

Last NPPES UpdateMarch 17, 2009

✔ NPI 1104954692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in MO · 109425

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

3009 N BALLAS RD, Saint Louis, MO 63131

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Other Identifiers 5

Medicare UPING18528MO

Medicaid208721902MO

Medicare ID-Type Unspecified000012699MO

Medicare PIN205765IL

Medicaid361744184IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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.

LEE S. PORTNOFF, M.D., P.C.

Dermatology (MOHS-Micrographic Surgery)

3009 N BALLAS RD, STE 235A
SAINT LOUIS, MO 63131

St. Louis County (314) 993-2909

BRYON LUCAS BECK PA-C

Physician Assistant

3009 N BALLAS RD, BUILDING B, SUITE 202
SAINT LOUIS, MO 63131

St. Louis County (314) 995-6893

TOWN AND COUNTRY PRIMARY CARE LLC

Internal Medicine

3009 N BALLAS RD, SUITE 300A
SAINT LOUIS, MO 63131

St. Louis County (314) 872-8999

MIDWEST MEDICAL ASSOCIATES, INC

Internal Medicine

3009 N BALLAS RD, SUITE 300A
SAINT LOUIS, MO 63131

St. Louis County (314) 872-9900

PHYSICIAN GROUPS LC

Clinic/Center (Primary Care)

3009 N BALLAS RD, SUITE 315A
SAINT LOUIS, MO 63131

St. Louis County (314) 996-5900

DR. DAVID JOHN WRIGHT MD

Surgery (Surgery of the Hand)

3009 N BALLAS RD, DEPT ORTHOPAEDIC SURGERY, STE 320
SAINT LOUIS, MO 63131

St. Louis County (314) 514-3500

DR. BENJAMIN ALLEN VOSS MD

Internal Medicine

3009 N BALLAS RD, SUITE 227A
SAINT LOUIS, MO 63131

St. Louis County (314) 996-7800

ANSTEY INTERNAL MEDICINE PC

Specialist

3009 N BALLAS RD, STE 215B
SAINT LOUIS, MO 63131

St. Louis County (314) 432-1964

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Specialty & Primary Care LLC's NPI number?

The NPI number for Specialty & Primary Care LLC is 1104954692. It was assigned to this organization in the NPPES registry on February 28, 2007.

Where is Specialty & Primary Care LLC located?

Specialty & Primary Care LLC is located at 3009 N Ballas Rd Suite 229A, Saint Louis, MO 63131. The listed phone number is (314) 432-5144.

What is Specialty & Primary Care LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Specialty & Primary Care LLC was last updated on March 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.