ICONIC SERVICES INC
NPI 1750872354
Family Medicine - Sports Medicine in Saint Louis, MO

NPI Status: Active since May 21, 2018

Contact Information

4625 LINDELL BLVD STE 200
SAINT LOUIS, MO
ZIP 63108
Phone: (314) 437-8932
Fax: (888) 749-2228

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Family Medicine
Sports Medicine

About ICONIC SERVICES INC

This page provides the complete NPI Profile along with additional information for Iconic Services Inc, a primary care provider established in Saint Louis, Missouri operating as a Family Medicine, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1750872354 assigned on May 2018. The practitioner's primary taxonomy code is 207QS0010X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Christine B Cordero (Manager)

NPI: 1750872354
Provider Name: ICONIC SERVICES INC
Entity Type: Organization
Location Address: 4625 LINDELL BLVD STE 200 SAINT LOUIS, MO 63108
Location Phone: (314) 437-8932
Location Fax: (888) 749-2228
Mailing Address: 4625 LINDELL BLVD STE 200 SAINT LOUIS, MO 63108
Mailing Phone: (314) 437-8932
Mailing Fax: (888) 749-2228
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 05-21-2018
Last Update Date: 05-21-2018
Code Navigator

A primary care provider (PCP) like Iconic Services Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Family Medicine Sports Medicine
Taxonomy Code: 207QS0010X
Type: Allopathic & Osteopathic Physicians
Taxonomy Description: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: CHRISTINE B CORDERO
Authorized Official Title: MANAGER
Authorized Official Phone: (314) 437-8932

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	7	5	0	8	7	2	3	5	4
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	7	10	0	16	7	4	3	10
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 6 + 7 + 4 + 3 + 1 + 0 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 4									4

The NPI number 1750872354 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

SIERRA COURTNEY

Home Health

4625 LINDELL BLVD STE 200
SAINT LOUIS, MO
ZIP 63108

About ICONIC SERVICES INC

Location Map

Specialty - Primary Taxonomy

Family Medicine Sports Medicine

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

Authorized Official

CHRISTINE B CORDERO

Reviews for ICONIC SERVICES INC

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is ICONIC SERVICES INC's NPI number?

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