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

Ballwin Family Medicine LLC

Organization Family Medicine Physician · NPI 1790204311

Ballwin Family Medicine LLC provides Family Medicine Physician services in Manchester, Missouri. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

653 Big Bend Rd
Manchester, MO 63021-7723
Phone: (314) 434-1500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1790204311
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSt Lukes Medical Group
Authorized official James Snider — Director · (636) 685-7804
NPI enumeratedSeptember 14, 2017
Last updated in NPPESJanuary 27, 2022
Certification dateJanuary 27, 2022
Mailing address653 Big Bend Rd, Manchester, MO 63021-7723

Other providers in Manchester