Medinurse, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MEDINURSE, INC.

Practice address

12852 Manchester Rd
Saint Louis, MO 63131-1803

Phone

(314) 781-2800

Fax

(314) 781-4844

NPI assigned

Dec 8, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Donald D Ingerson III

Title

Vice President

Phone

(314) 781-2800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1033278676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12852 MANCHESTER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311803",
            "telephone_number": "314-781-2800",
            "fax_number": "314-781-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12852 MANCHESTER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311803",
            "telephone_number": "314-781-2800",
            "fax_number": "314-781-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDINURSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "INGERSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "314-781-2800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00403317",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fernando Rafael Medina Carbonell, M.D.
• John Esli Medina Morales
• Abigail Theresa Medina
• Jill Louise Medintz, MSW
• Michelle Leah Medintz, MD
• Meditelecare of Missouri LLC
• Paul Louis Medler, M.D.
• Robert G Medler, M.D.
• Linda Medlock, LPC
• Medsource of St. Louis, Inc.

• Specialist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.