Provider Demographics
NPI:1083759062
Name:SP EMR MED ASSOCIATES LLC
Entity Type:Organization
Organization Name:SP EMR MED ASSOCIATES LLC
Other - Org Name:NOW EXPRESS CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SHIRIN
Authorized Official - Middle Name:
Authorized Official - Last Name:PINTO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:636-625-1560
Mailing Address - Street 1:1801 SPRINGDALE ACRES LN
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63131-3627
Mailing Address - Country:US
Mailing Address - Phone:636-625-1650
Mailing Address - Fax:636-625-1395
Practice Address - Street 1:7909 HIGHWAY N
Practice Address - Street 2:
Practice Address - City:DARDENNE PRAIRIE
Practice Address - State:MO
Practice Address - Zip Code:63368-7382
Practice Address - Country:US
Practice Address - Phone:636-625-1650
Practice Address - Fax:636-625-1395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2014-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR6D97261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOC51524Medicare UPIN