| Ladue Internal Medicine, LLC | |
|
8857b Ladue Rd Saint Louis MO 63124-2058 | |
| (314) 682-3626 | |
| (314) 590-5954 |
| Full Name | Ladue Internal Medicine, LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 8857b Ladue Rd, Saint Louis, 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 |
|---|---|
| Ladue Internal Medicine, LLC 8857 Ladue Rd Ste B Saint Louis MO 63124-2045 Ph: (314) 682-3626 | Ladue Internal Medicine, LLC 8857b Ladue Rd Saint Louis MO 63124-2058 Ph: (314) 682-3626 |
| NPI Number | 1689072324 |
|---|---|
| Provider Enumeration Date | 12/11/2014 |
| Last Update Date | 03/05/2026 |
| Certification Date | 03/05/2026 |
| Medicare PECOS PAC ID | 3870818784 |
|---|---|
| Medicare Enrollment ID | O20150218000985 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689072324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 208000000X | Pediatrics | () | Secondary |
| Provider Name | David Kantor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801994926 PECOS PAC ID: 3375620909 Enrollment ID: I20080408000088 |
| Provider Name | Michele Neudecker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851381206 PECOS PAC ID: 6305973538 Enrollment ID: I20100420000943 |
| Provider Name | Terri L Carron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881636439 PECOS PAC ID: 5092843912 Enrollment ID: I20100513000188 |
| Provider Name | Sarah Elizabeth Beckmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275257966 PECOS PAC ID: 2668848649 Enrollment ID: I20221017000476 |
| Provider Name | Dallas Andrade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679247480 PECOS PAC ID: 8426456252 Enrollment ID: I20250328001766 |
| Provider Name | Fehman Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932675170 PECOS PAC ID: 0345594016 Enrollment ID: I20260102000707 |
St. Louis Center for Preventive and Longevity Medicine, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 777 S New Ballas Rd, Suite 200 E, Saint Louis, MO 63141 Phone: 314-994-1536 Fax: 314-692-0241 |
Town and Country Primary Care LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3009 N Ballas Rd, Suite 300a, Saint Louis, MO 63131 Phone: 314-872-8999 |
Family Care Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Lynch St, Saint Louis, MO 63118 Phone: 314-531-5444 Fax: 314-531-0063 |
Wusm Bjc Aco Providers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 S Euclid Ave, Campus Box 8081, Saint Louis, MO 63110 Phone: 314-273-0770 |
Victus Physician Services, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12607 Olive Blvd, Saint Louis, MO 63141 Phone: 314-327-8070 |
Salvation Army Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2900 Washington Ave, Saint Louis, MO 63103 Phone: 314-898-1700 Fax: 314-814-8542 |