PRO PHYSICIANS CLINIC PA
NPI 1467824649
Radiology - Radiation Oncology in Saint Louis, MO

Active since October 27, 2015
450 N NEW BALLAS RD STE 70W, SAINT LOUIS, MO 63141(314) 665-3096 Get Directions Write a Review

NPPES record last updated: October 27, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pro Physicians Clinic Pa NPPES

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

PRO PHYSICIANS CLINIC PA (NPI 1467824649) is a healthcare organization registered as a radiation oncology in Saint Louis, Missouri and active in the NPI registry since October 2015. The organization lists Jon Tryggestad, Ceo, as its authorized official.

NPPES Registry Identity

NPI1467824649
Entity TypeOrganization
Primary Taxonomy2085R0001X
Legal Business NamePRO PHYSICIANS CLINIC PA
Location Address450 N NEW BALLAS RD STE 70WSaint Louis, MO 63141-6833
Mailing AddressPo Box 678234Dallas, TX 75267-8234 · (512) 583-0205
Organization SubpartNo
Authorized OfficialJon TryggestadCeo · (972) 573-4611
Enumeration DateOctober 27, 2015
NPI 1467824649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
450 N NEW BALLAS RD STE 70W, Saint Louis, MO 63141

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Radiology (Radiation Oncology)
450 N NEW BALLAS RD STE 70W
SAINT LOUIS, MO 63141
Clinic/Center (Oncology, Radiation)
450 N NEW BALLAS RD STE 70W
SAINT LOUIS, MO 63141
Radiology (Radiation Oncology)
450 N NEW BALLAS RD STE 70W
SAINT LOUIS, MO 63141

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 Pro Physicians Clinic PA's NPI number?

The NPI number for Pro Physicians Clinic PA is 1467824649. It was assigned to this organization in the NPPES registry on October 27, 2015.

Where is Pro Physicians Clinic PA located?

Pro Physicians Clinic PA is located at 450 N New Ballas Rd Ste 70W, Saint Louis, MO 63141. The listed phone number is (314) 665-3096.

What is Pro Physicians Clinic PA's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

What insurance does Pro Physicians Clinic PA accept?

Health plans from Anthem Blue Cross and Blue Shield list Pro Physicians Clinic PA 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 Pro Physicians Clinic PA was last updated on October 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.