Basic Information
Provider Information
NPI: 1881799336
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RINDER
FirstName: MORTON
MiddleName: R.
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 121 SAINT LUKES CENTER DR
Address2: SUITE 501
City: CHESTERFIELD
State: MO
PostalCode: 630173509
CountryCode: US
TelephoneNumber: 3144853500
FaxNumber: 3144853520
Practice Location
Address1: 222 S WOODS MILL RD STE 560
Address2:  
City: CHESTERFIELD
State: MO
PostalCode: 630173625
CountryCode: US
TelephoneNumber: 1448587883
FaxNumber: 3145905910
Other Information
ProviderEnumerationDate: 09/13/2006
LastUpdateDate: 08/28/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/28/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RI0011X110396MOY Allopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology

ID Information
IDTypeStateIssuerDescription
13780101MOBLUE SHIELDOTHER
777518001MOAETNAOTHER
32886101MOHEALTHLINKOTHER
STL250204101MOUNITED HEALTHCAREOTHER
STM250204101MOUHC MEDICARE COMPLETEOTHER
H2871801MOMERCY HEALTH PLANSOTHER
13780101MOBLUE CHOICEOTHER
20517351105MO MEDICAID
P0007028901MORAILROAD MEDICAREOTHER
16924401MOGROUP HEALTH PLANOTHER


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