Provider Demographics
NPI:1235135310
Name:APPRILL, PHILLIP G (MD)
Entity Type:Individual
Prefix:DR
First Name:PHILLIP
Middle Name:G
Last Name:APPRILL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12855 N 40 DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-8657
Mailing Address - Country:US
Mailing Address - Phone:314-880-6100
Mailing Address - Fax:314-997-3248
Practice Address - Street 1:1027 BELLEVUE AVE
Practice Address - Street 2:STE 200
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63117-1851
Practice Address - Country:US
Practice Address - Phone:314-645-6450
Practice Address - Fax:314-645-2560
Is Sole Proprietor?:No
Enumeration Date:2005-06-23
Last Update Date:2020-11-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO36145207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO207725524Medicaid
MO207725508Medicaid
MO207725524Medicaid
MOA12696Medicare UPIN
MO014012206Medicare ID - Type UnspecifiedAREA 1
MO207725508Medicaid
ILL29212Medicare PIN
MO045050166Medicare PIN