BALLWIN FAMILY MEDICINE LLC
NPI 1790204311
Family Medicine in Manchester, MO
About Ballwin Family Medicine Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BALLWIN FAMILY MEDICINE LLC (NPI 1790204311) is a healthcare organization registered as a family medicine in Manchester, Missouri and active in the NPI registry since September 2017. The organization holds a CLIA Waiver certificate valid through June 27, 2027 and lists James Snider, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 26D2228560
Ballwin Family Medicine · Ballwin, MOFrequently 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 Ballwin Family Medicine LLC's NPI number?
The NPI number for Ballwin Family Medicine LLC is 1790204311. It was assigned to this organization in the NPPES registry on September 14, 2017.
Where is Ballwin Family Medicine LLC located?
Ballwin Family Medicine LLC is located at 653 Big Bend Rd, Manchester, MO 63021. The listed phone number is (314) 434-1500.
What is Ballwin Family Medicine LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Does Ballwin Family Medicine LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 26D2228560) is associated with this NPI, valid through June 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Ballwin Family Medicine LLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Ballwin Family Medicine 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 Ballwin Family Medicine LLC was last updated on January 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Ballwin Family Medicine Llc · NPI 1790204311
Family Medicine organization in Manchester, Missouri. Organization record, active in the CMS NPPES registry since September 14, 2017.
## Identity
- **NPI:** 1790204311 (Entity type: Organization)
- **Enumerated:** September 14, 2017
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** Yes (part of St. Lukes Medical Group)
- **Authorized official:** James Snider, DIRECTOR
## Practice location
- **Address:** 653 BIG BEND RD, Manchester, MO 63021-7723
- **Phone:** (314) 434-1500
## Record status
- **NPPES last updated:** January 27, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1790204311) · Data from the CMS NPPES public registry.