Provider Demographics
NPI:1922243385
Name:JAMES E. BELCHER MD ,INC
Entity Type:Organization
Organization Name:JAMES E. BELCHER MD ,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:BELCHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:313-361-6500
Mailing Address - Street 1:1110 HIGHLANDS PLZ DR.
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ST.LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1340
Mailing Address - Country:US
Mailing Address - Phone:314-361-6500
Mailing Address - Fax:314-361-3446
Practice Address - Street 1:1110 HIGHLANDS PLZ DR.
Practice Address - Street 2:SUITE 200
Practice Address - City:ST.LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1340
Practice Address - Country:US
Practice Address - Phone:314-361-6500
Practice Address - Fax:314-361-3446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-12
Last Update Date:2008-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR4B50207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO0000001603Medicare PIN