SPECIALTY AND PRIMARY CARE LLC
NPI 1174742720
Internal Medicine - Gastroenterology in Saint Louis, MO

Active since April 24, 2007
10004 KENNERLY RD, 257 A, SAINT LOUIS, MO 63128(314) 842-6333(314) 543-5271 Get Directions Write a Review

NPPES record last updated: October 20, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Specialty And Primary Care Llc NPPES

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

SPECIALTY AND PRIMARY CARE LLC (NPI 1174742720) is a healthcare organization registered as a gastroenterology in Saint Louis, Missouri and active in the NPI registry since April 2007. The organization lists Zafar Quader, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1174742720
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameSPECIALTY AND PRIMARY CARE LLC
Location Address10004 KENNERLY RD, 257 ASaint Louis, MO 63128-2141
Mailing Address10004 Kennerly Rd, 257 ASaint Louis, MO 63128-2141 · (314) 842-6333 · Fax (314) 543-5271
Fax(314) 543-5271
Organization SubpartNo
Authorized OfficialZafar QuaderMedical Director · (314) 842-6333
Enumeration DateApril 24, 2007
Last NPPES UpdateOctober 20, 2015
NPI 1174742720 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.

10004 KENNERLY RD, Saint Louis, MO 63128

Other Identifiers 5

Medicaid208721902MO
Medicare PIN205765IL
OtherDA8910MO · Railroad Medicare
Medicaid361744184IL
Medicare PIN000012699MO

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

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.

Dentist (General Practice)
10004 KENNERLY RD, SUITE 240
ST LOUIS, MO 63128
Psychiatry & Neurology (Psychiatry)
10004 KENNERLY RD, STE 364B
SAINT LOUIS, MO 63128
Internal Medicine
10004 KENNERLY RD, 255A
SAINT LOUIS, MO 63128
Durable Medical Equipment & Medical Supplies
10004 KENNERLY RD, SUITE 250A
SAINT LOUIS, MO 63128
Surgery
10004 KENNERLY RD, STE 137A
SAINT LOUIS, MO 63128
Pharmacy (Community/Retail Pharmacy)
10004 KENNERLY RD, SUITE 130
SAINT LOUIS, MO 63128
Internal Medicine (Cardiovascular Disease)
10004 KENNERLY RD, SUITE 283B
SAINT LOUIS, MO 63128
Specialist
10004 KENNERLY RD, SUITE 259B
SAINT LOUIS, MO 63128

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 And Primary Care LLC's NPI number?

The NPI number for Specialty And Primary Care LLC is 1174742720. It was assigned to this organization in the NPPES registry on April 24, 2007.

Where is Specialty And Primary Care LLC located?

Specialty And Primary Care LLC is located at 10004 Kennerly Rd 257 A, Saint Louis, MO 63128. The listed phone number is (314) 842-6333.

What is Specialty And 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 And Primary Care LLC was last updated on October 20, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.