| Conway Internists, Llc | |
| 
					121 Saint Lukes Center Dr Ste 402 Chesterfield MO 63017-3519  | |
| (314) 205-6160 | |
| (314) 590-5918 | 
| Full Name | Conway Internists, Llc | 
|---|---|
| Speciality | Internal Medicine | 
| Location | 121 Saint Lukes Center Dr Ste 402, Chesterfield, Missouri | 
| Authorized Official Name and Position | James Snider (VP PHYSICIAN NETWORK) | 
| Authorized Official Contact | 6366857804 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Conway Internists, Llc 232 S Woods Mill Rd Chesterfield MO 63017-3406 Ph: (636) 685-7804  | Conway Internists, Llc 121 Saint Lukes Center Dr Ste 402 Chesterfield MO 63017-3519 Ph: (314) 205-6160  | 
| NPI Number | 1992816391 | 
|---|---|
| Provider Enumeration Date | 08/31/2006 | 
| Last Update Date | 04/06/2021 | 
| Medicare PECOS PAC ID | 5294751152 | 
|---|---|
| Medicare Enrollment ID | O20051020000022 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1992816391 | NPI | - | NPPES | 
| CJ3880 | Other | MO | RR MEDICARE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 108578 (Missouri) | Primary | 
| Provider Name | Kevin L Threlkeld | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1295703445 PECOS PAC ID: 5395745798 Enrollment ID: I20070109000406  | 
| Provider Name | Tina Louise Valentine | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1356337224 PECOS PAC ID: 6608856935 Enrollment ID: I20110803000786  | 
| Provider Name | Daniel M Marion | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1275875908 PECOS PAC ID: 8729380548 Enrollment ID: I20160719001380  | 
Physician Affiliates Of St. Luke's Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Saint Lukes Center Dr, Chesterfield, MO 63017 Phone: 314-576-2475  | |
Digestive Consultants Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 222 S Woods Mill Rd Ste 410, Chesterfield, MO 63017 Phone: 636-685-7795 Fax: 314-590-5959  | |
Wuca - Woodsmill Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 226 S Woods Mill Rd, Suite 36w, Chesterfield, MO 63017 Phone: 314-453-9666  | |
Palm Valley Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1095 Nooning Tree Dr, Chesterfield, MO 63017 Phone: 314-800-6980  | |
Diagnostic Internists, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 224 S Woods Mill Rd, 410 S, Chesterfield, MO 63017 Phone: 314-878-7220 Fax: 314-878-0047  | |
County Internal Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 224 S Woods Mill Rd, Suite 370 South, Chesterfield, MO 63017 Phone: 314-628-9994  | |
Chesterfield Medcenter Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1751 Clarkson Rd, Chesterfield, MO 63017 Phone: 636-537-0377 Fax: 636-537-2655  |