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GREAT PLAINS RADIOLOGY LLC
NPI 1780707877
Radiology - Diagnostic Radiology in Saint Louis, MO

Active since April 06, 2007
12639 OLD TESSON RD, SUITE 115, SAINT LOUIS, MO 63128(314) 842-8655(314) 842-2972 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 22, 2020, Jun 21, 2018 (2 updates tracked since 2018).

About Great Plains Radiology Llc NPPES

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

GREAT PLAINS RADIOLOGY LLC (NPI 1780707877) is a healthcare organization registered as a diagnostic radiology in Saint Louis, Missouri and active in the NPI registry since April 2007. The organization lists Edward Rene Habert, Director, as its authorized official.

NPPES Registry Identity

NPI1780707877
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameGREAT PLAINS RADIOLOGY LLC
Location Address12639 OLD TESSON RD, SUITE 115Saint Louis, MO 63128-2786
Mailing Address125 E Clinton Pl Apt 2aKirkwood, MO 63122-6172 · (314) 822-0690 · Fax (314) 842-2972
Phone(314) 842-8655
Fax(314) 842-2972
Organization SubpartNo
Authorized OfficialEdward Rene HabertDirector · (314) 822-0690
Enumeration DateApril 6, 2007
Last NPPES UpdateAugust 22, 20202 updates tracked since enumeration
✔ NPI 1780707877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
12639 OLD TESSON RD, Saint Louis, MO 63128
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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.

MRS. LOUISE M HILDEBOLT PA-C
Physician Assistant
12639 OLD TESSON RD, SUITE 115
SAINT LOUIS, MO 63128
St. Louis County (314) 849-0311
NATHANAEL OLSON
Orthopaedic Surgery (Hand Surgery)
12639 OLD TESSON RD
SAINT LOUIS, MO 63128
St. Louis County (314) 849-0311
BRIAN ANTHONY FISSEL M.D.
Orthopaedic Surgery
12639 OLD TESSON RD, SUITE 115
SAINT LOUIS, MO 63128
St. Louis County (314) 849-0311
MRS. THERESA A BOXDORFER FNP
Nurse Practitioner (Family)
12639 OLD TESSON RD, SUITE 115
SAINT LOUIS, MO 63128
St. Louis County (314) 849-0311
DR. DENNIS A DUSEK M.D.
Orthopaedic Surgery
12639 OLD TESSON RD, SUITE 115
SAINT LOUIS, MO 63128
St. Louis County (314) 849-0311
OLD TESSON SURGERY CENTER, L.P.
Clinic/Center (Ambulatory Surgical)
12639 OLD TESSON RD, STE 130
SAINT LOUIS, MO 63128
St. Louis County (314) 729-0785
MEDICAL IMPLANT SLOUTIONS, LLC
Durable Medical Equipment & Medical Supplies
12639 OLD TESSON RD, 116
SAINT LOUIS, MO 63128
St. Louis County (303) 840-2388
MRS. MOLLY KAY CRAWFORD OT
Occupational Therapist
12639 OLD TESSON RD, SUITE 120
SAINT LOUIS, MO 63128
St. Louis County (314) 842-3968

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 Great Plains Radiology LLC's NPI number?

The NPI number for Great Plains Radiology LLC is 1780707877. It was assigned to this organization in the NPPES registry on April 6, 2007.

Where is Great Plains Radiology LLC located?

Great Plains Radiology LLC is located at 12639 Old Tesson Rd Suite 115, Saint Louis, MO 63128. The listed phone number is (314) 842-8655.

What is Great Plains Radiology LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Great Plains Radiology LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.