Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Advanced Gastroenterology & Colon Cancer Screening Center LLC

Organization Gastroenterology Physician · NPI 1215359484

Advanced Gastroenterology & Colon Cancer Screening Center LLC provides Gastroenterology Physician services in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2014.

Licensed in
MO
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

763 S New Ballas Rd # 265
Saint Louis, MO 63141-8704 Not confirmed with CMS for 12 years — call before visiting
Phone: (618) 207-0900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 2008030945 (MO)

Record details

NPI number1215359484
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tarik Firozi — President · (618) 207-0900
NPI enumeratedJanuary 7, 2014
Last updated in NPPESJanuary 7, 2014
Mailing address14803 Straub Hill Ln, Chesterfield, MO 63017-7965

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