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ST LOUIS KIDNEY, LLC
NPI 1114344348
Clinic/Center - Medical Specialty in Saint Louis, MO

Active since March 26, 2014
12855 N 40 DR, SUITE 205, SAINT LOUIS, MO 63141(314) 720-0900(314) 579-0108 Get Directions Write a Review

NPPES record last updated: March 26, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About St Louis Kidney, Llc NPPES

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

ST LOUIS KIDNEY, LLC (NPI 1114344348) is a healthcare organization registered as a medical specialty in Saint Louis, Missouri and active in the NPI registry since March 2014. The organization lists Jay Seltzer, Authorized Member, as its authorized official.

NPPES Registry Identity

NPI1114344348
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameST LOUIS KIDNEY, LLC
Location Address12855 N 40 DR, SUITE 205Saint Louis, MO 63141-8657
Mailing Address12855 N 40 Dr, Suite 205Saint Louis, MO 63141-8657 · (314) 720-0900 · Fax (314) 579-0108
Phone(314) 720-0900
Fax(314) 579-0108
Organization SubpartNo
Authorized OfficialJay SeltzerAuthorized Member · (314) 825-0361
Enumeration DateMarch 26, 2014
✔ NPI 1114344348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
12855 N 40 DR, Saint Louis, MO 63141
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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.

TRUE RESULTS MISSOURI, LLC
Clinic/Center (Medical Specialty)
12855 N 40 DR, SUITE 275
SAINT LOUIS, MO 63141
St. Louis County (214) 850-5377
DR. NOEL FRANCIS WEYERICH MD
Internal Medicine
12855 N 40 DR, SUITE 280
SAINT LOUIS, MO 63141
St. Louis County (314) 432-4415
KESHAV SHIVRAM JOSHI M.D.
Anesthesiology
12855 N 40 DR, SUITE 275
SAINT LOUIS, MO 63141
St. Louis County (314) 469-6200
MRS. MARYBETH KUHLMANN R.N.
Registered Nurse
12855 N 40 DR, SUITE 100
SAINT LOUIS, MO 63141
St. Louis County (314) 878-7150
JAMES DENNIS SAFFA M.D.
Internal Medicine
12855 N 40 DR, SUITE 280
SAINT LOUIS, MO 63141
St. Louis County (314) 432-4415
DR. DANIEL JAMES BAUER MD
Internal Medicine
12855 N 40 DR, SUITE 280
SAINT LOUIS, MO 63141
St. Louis County (314) 432-4415
DR. MICHAEL JAY WALDEN M.D.
Internal Medicine
12855 N 40 DR, SUITE 280
SAINT LOUIS, MO 63141
St. Louis County (314) 432-4415
MRS. DEBRA BUBACK RN, MSN, ANP
Clinical Nurse Specialist (Medical-Surgical)
12855 N 40 DR, SUITE 375
SAINT LOUIS, MO 63141
St. Louis County (314) 567-6071

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 St Louis Kidney, LLC's NPI number?

The NPI number for St Louis Kidney, LLC is 1114344348. It was assigned to this organization in the NPPES registry on March 26, 2014.

Where is St Louis Kidney, LLC located?

St Louis Kidney, LLC is located at 12855 N 40 Dr Suite 205, Saint Louis, MO 63141. The listed phone number is (314) 720-0900.

What is St Louis Kidney, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for St Louis Kidney, LLC was last updated on March 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.