Organization
PHYSICIAN SPECIALISTS OF ST LUKES LLC
Active
Parent organization
ST. LUKE'S HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. LUKE'S HOSPITAL
Authorized official
SCOTT JOHNSON (EXEC. VP CFO)
(314) 205-6301
Entity
Organization
Contact information
Practice address
232 S WOODS MILL RD, CHESTERFIELD, MO 63017-3406
(314) 434-1500
Mailing address
232 S WOODS MILL RD, CHESTERFIELD, MO 63017-3417
(314) 576-2490
(314) 576-2473
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
506278308
—
MO
01
—
DF0124
RR MEDICARE
MO
Enumeration date
07/01/2006
Last updated
03/05/2026
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