ST. LOUIS NEPHROLOGY AND HYPERTENSION
NPI 1174601124
Internal Medicine - Nephrology in Maryville, IL

Active since November 01, 2006
2102 VADALABENE DR, MARYVILLE, IL 62062(618) 288-1196 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About St. Louis Nephrology And Hypertension NPPES

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

ST. LOUIS NEPHROLOGY AND HYPERTENSION (NPI 1174601124) is a healthcare organization registered as a nephrology in Maryville, Illinois and active in the NPI registry since November 2006. The organization maintains 2 additional practice locations and lists Henry E Purcell, President, as its authorized official.

NPPES Registry Identity

NPI1174601124
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameST. LOUIS NEPHROLOGY AND HYPERTENSION
Location Address2102 VADALABENE DRMaryville, IL 62062-5632
Mailing AddressPo Box 797021Saint Louis, MO 63179-7000 · (314) 644-3535
Organization SubpartNo
Authorized OfficialHenry E PurcellPresident · (314) 276-7664
Enumeration DateNovember 1, 2006
Last NPPES UpdateSeptember 10, 2024
NPPES CertifiedSeptember 10, 2024
NPI 1174601124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in MO · R9H62
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
2102 VADALABENE DR, Maryville, IL 62062

Secondary Practice Locations 2

Location 19 American VlgGranite City, IL 62040-3706 · Phone (618) 452-5858
Location 2101 Lanter CtCollinsville, IL 62234-6124 · Phone (618) 344-2080

Other Identifiers 1

OtherDG8471MO · Railroad Medicare

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 SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Internal Medicine (Endocrinology, Diabetes & Metabolism)
2102 VADALABENE DR
MARYVILLE, IL 62062
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
2102 VADALABENE DR, STE 1
MARYVILLE, IL 62062

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 Nephrology And Hypertension's NPI number?

The NPI number for St. Louis Nephrology And Hypertension is 1174601124. It was assigned to this organization in the NPPES registry on November 1, 2006.

Where is St. Louis Nephrology And Hypertension located?

St. Louis Nephrology And Hypertension is located at 2102 Vadalabene Dr, Maryville, IL 62062. The listed phone number is (618) 288-1196.

What is St. Louis Nephrology And Hypertension's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

What insurance does St. Louis Nephrology And Hypertension accept?

Health plans from Anthem Blue Cross and Blue Shield list St. Louis Nephrology And Hypertension as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for St. Louis Nephrology And Hypertension was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.