Basic Information
Provider Information
NPI: 1417931056
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOOKS-ANDERSON
FirstName: DENISE
MiddleName: R
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1008 S SPRING
Address2: SLUCARE ACADEMIC PAVILLION
City: SAINT LOUIS
State: MO
PostalCode: 63110
CountryCode: US
TelephoneNumber: 3149778485
FaxNumber: 3149775268
Practice Location
Address1: 1034 S BRENTWOOD BLVD STE 1120
Address2:  
City: SAINT LOUIS
State: MO
PostalCode: 631171211
CountryCode: US
TelephoneNumber: 3149774600
FaxNumber: 3147261653
Other Information
ProviderEnumerationDate: 12/06/2005
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/27/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X2000148618MOY Allopathic & Osteopathic PhysiciansFamily Medicine 

ID Information
IDTypeStateIssuerDescription
13225801MOBCBSOTHER
20475116701 CIGNAOTHER
20475116701 AETNAOTHER
20475116701 MERCY PLUS (CC)OTHER
20497692205MO MEDICAID
43808201 HEALTHLINKOTHER
H1576901 MERCY HEALTH PLANSOTHER
177967501 UHCOTHER
20475116701 HEALTHCARE USAOTHER
27838001 GHP/COVENTRYOTHER


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