BOONSLICK MEDICAL GROUP INC
NPI 1972666162
Radiology - Diagnostic Radiology in Saint Charles, MO

Active since December 18, 2006
1301 BOONES LICK RD, SAINT CHARLES, MO 63301(636) 916-8228(636) 946-5774 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Boonslick Medical Group Inc NPPES

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

BOONSLICK MEDICAL GROUP INC (NPI 1972666162) is a healthcare organization registered as a diagnostic radiology in Saint Charles, Missouri and active in the NPI registry since December 2006. The organization lists Robert B Cusworth, President, Boonslick Med. Group Inc, as its authorized official.

NPPES Registry Identity

NPI1972666162
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameBOONSLICK MEDICAL GROUP INC
Location Address1301 BOONES LICK RDSaint Charles, MO 63301-2463
Mailing Address1301 Boones Lick RdSaint Charles, MO 63301-2463 · (636) 916-8228 · Fax (636) 946-5774
Fax(636) 946-5774
Organization SubpartNo
Authorized OfficialRobert B CusworthPresident, Boonslick Med. Group Inc · (636) 947-3392
Enumeration DateDecember 18, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1972666162 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.
1301 BOONES LICK RD, Saint Charles, MO 63301

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Obstetrics & Gynecology
1301 BOONES LICK RD
SAINT CHARLES, MO 63301

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 Boonslick Medical Group Inc's NPI number?

The NPI number for Boonslick Medical Group Inc is 1972666162. It was assigned to this organization in the NPPES registry on December 18, 2006.

Where is Boonslick Medical Group Inc located?

Boonslick Medical Group Inc is located at 1301 Boones Lick Rd, Saint Charles, MO 63301. The listed phone number is (636) 916-8228.

What is Boonslick Medical Group Inc'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 Boonslick Medical Group Inc was last updated on July 21, 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.