PHYSICIAN CORRECTIONAL USA (MO.), LLC
NPI 1548061294
General Practice in Saint Louis, MO

Q: What is Physician Correctional Usa (mo.), LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since March 20, 2025

200 S TUCKER BLVD, SAINT LOUIS, MO 63102(812) 499-3023(207) 419-6186 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Physician Correctional Usa (mo.), Llc NPPES

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

PHYSICIAN CORRECTIONAL USA (MO.), LLC (NPI 1548061294) is a healthcare organization registered as a general practice in Saint Louis, Missouri and active in the NPI registry since March 2025. The organization lists James R Martin, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1548061294

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NamePHYSICIAN CORRECTIONAL USA (MO.), LLC

Location Address200 S TUCKER BLVDSaint Louis, MO 63102-1152

Mailing Address1650 Se 17th St Ste 408Ft Lauderdale, FL 33316-1740 · (812) 499-3023 · Fax (207) 419-6186

Phone(812) 499-3023

Fax(207) 419-6186

Organization SubpartNo

Authorized OfficialJames R MartinChief Operating Officer · (812) 499-3023

Enumeration DateMarch 20, 2025

NPPES CertifiedMarch 20, 2025

✔ NPI 1548061294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedInternal MedicineTaxonomy 207R00000X

200 S TUCKER BLVD, Saint Louis, MO 63102

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Other Identifiers 1

OtherLC14503852MO · Missouri Charter #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES

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

CARLY PAIGE VOGT

Social Worker

200 S TUCKER BLVD
SAINT LOUIS, MO 63102

St. Louis City (314) 422-0882

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 Physician Correctional Usa (mo.), LLC's NPI number?

The NPI number for Physician Correctional Usa (mo.), LLC is 1548061294. It was assigned to this organization in the NPPES registry on March 20, 2025.

Where is Physician Correctional Usa (mo.), LLC located?

Physician Correctional Usa (mo.), LLC is located at 200 S Tucker Blvd, Saint Louis, MO 63102. The listed phone number is (812) 499-3023.

What is Physician Correctional Usa (mo.), LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

What insurance does Physician Correctional Usa (mo.), LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Physician Correctional Usa (mo.), LLC 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 Physician Correctional Usa (mo.), LLC was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.