OrganizationActive
Intensivist Group of Missouri Inc
NPI 1902122211 · Critical Care Medicine (Internal Medicine) Physician · Fenton, MO
Provider details
- NPI number
- 1902122211
- Entity type
- Organization
- Primary specialty
- Critical Care Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jay Cowen, President(866) 344-0543
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1015 Bowles Ave
Fenton, MO 63026-2394
Phone: (866) 344-0543
Fax: (866) 344-3934
Approximate (ZIP-level) locationGet directions
Mailing address
830 W Il Route 22
Lake Zurich, IL 60047-2560
Registry dates
- Enumerated
- 2010-04-12
- Last updated
- 2010-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.