Organization
MID-COUNTY PHYSICIANS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L OHLMS M.D. (PRESIDENT)
(314) 909-0211
Entity
Organization
Contact information
Practice address
12166 OLD BIG BEND RD, SUITE 100, KIRKWOOD, MO 63122-6844
(314) 909-0211
(314) 909-0323
Mailing address
12166 OLD BIG BEND RD, SUITE 100, KIRKWOOD, MO 63122-6844
(314) 909-0211
(314) 909-0323
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP9113
RR MEDICARE GROUP ID
MO
Enumeration date
02/08/2007
Last updated
09/11/2025
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