BOONSLICK MEDICAL GROUP INC
NPI 1972666162
Radiology - Diagnostic Radiology in Saint Charles, MO
- Organization
- Radiology
- Diagnostic Radiology
About BOONSLICK MEDICAL GROUP INC
This page provides the complete NPI Profile along with additional information for Boonslick Medical Group Inc, a provider established in Saint Charles, Missouri operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1972666162 assigned on December 2006. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Boonslick Medical Group Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Robert B Cusworth Md (President, Boonslick Med. Group Inc)
- NPI
- 1972666162 Verify this NPI
- Provider Name
- BOONSLICK MEDICAL GROUP INC
- Entity Type
- Organization
- Location Address
- 1301 BOONES LICK RD SAINT CHARLES, MO 63301
- Location Phone
- (636) 916-8228
- Location Fax
- (636) 946-5774
- Mailing Address
- 1301 BOONES LICK RD SAINT CHARLES, MO 63301
- Mailing Phone
- (636) 916-8228
- Mailing Fax
- (636) 946-5774
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-18-2006
- Last Update Date
- 07-21-2022
- Code Navigator
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
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- License State
- MO
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972666162, enumerated as an "organization" on December 18, 2006.
The provider is located at 1301 BOONES LICK RD SAINT CHARLES, MO 63301 and the phone number is (636) 916-8228.
Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.
