Organization
VAN AMBURG & BUSIEK MDS, LLC
Active
Parent organization
ST. LUKES MEDICAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. LUKES MEDICAL GROUP
Authorized official
DARREN R. HASKELL MD. (CHIEF MEDICAL OFFICER)
(314) 205-6444
Entity
Organization
Contact information
Practice address
232 S WOODS MILL RD STE 330E, CHESTERFIELD, MO 63017-3467
(314) 205-6737
(314) 576-2378
Mailing address
232 S WOODS MILL RD, CHESTERFIELD, MO 63017-3406
(636) 685-7804
(314) 576-2344
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
207RH0003X
Hematology & Oncology Physician
Primary
—
—
207RX0202X
Medical Oncology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507202505
—
MO
01
—
57201
GHP GROUP NUMBER
MO
01
—
DD9058
RR MEDICARE GROUP NUMBER
MO
Enumeration date
09/20/2006
Last updated
03/05/2026
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