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Elizabeth Darcangelis, PA C

Physician Assistant, Medical in St Louis, MO. Individual provider (NPI-1).

NPI number1093770141
StatusActive
Last updated in NPPESFeb 10, 2009

Details

NPI
1093770141
Entity type
Individual (NPI-1)
Name
Elizabeth Darcangelis
Credential
PA C
Sex
Female
Sole proprietor
No
Enumeration date
Apr 20, 2006
Last updated
Feb 10, 2009

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, Medical117364MOYes

Practice location

3635 Vista At Grand Blvd
St Louis, MO 63110-0250

Phone 314-577-8776 · Fax 314-268-5697

Mailing address

3691 Rutger St
Provider Enrollment
Saint Louis, MO 63110-2515

Phone 314-977-4440

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Medical Physician Assistant providers in St Louis, MO

All 5 Medical Physician Assistant providers in St Louis · All 1,803 providers in St Louis

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