OrganizationActive
Long Term Care of North County LLC
NPI 1962915074 · Internal Medicine Physician · Black Jack, MO
Provider details
- NPI number
- 1962915074
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mary Schmidt, Owner(314) 922-4048
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4401 Parker Rd
Black Jack, MO 63033-4266
Phone: (314) 312-0720
Street-level locationGet directions
Mailing address
Po Box 611
Florissant, MO 63032-0611
Registry dates
- Enumerated
- 2017-11-10
- Last updated
- 2023-12-22
- Certified
- 2023-12-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.