| 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 | Darren R. Haskell (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 3142056444 |
| 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 | 03/05/2026 |
| Certification Date | 03/05/2026 |
| 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 | Jeanne M Ritchie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235477647 PECOS PAC ID: 5698917383 Enrollment ID: I20130808000584 |
| Provider Name | Abby N Link |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821415233 PECOS PAC ID: 5597982116 Enrollment ID: I20140805002561 |
| Provider Name | Daniel M Marion |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275875908 PECOS PAC ID: 8729380548 Enrollment ID: I20160719001380 |
| Provider Name | Elizabeth a Howard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649665118 PECOS PAC ID: 9436479383 Enrollment ID: I20181214000066 |
| Provider Name | Lindsey Rachelle Bender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649958703 PECOS PAC ID: 1456705755 Enrollment ID: I20230920001545 |
| Provider Name | Adnan Manzoor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013536267 PECOS PAC ID: 8325465289 Enrollment ID: I20260320000462 |
| Provider Name | Maryam Riaz Cheema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306716048 PECOS PAC ID: 8921577115 Enrollment ID: I20260518000644 |
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