NPIMap

Organization Active NPI

Baron Health Service, LLC

  • Electroneurodiagnostic Specialist/Technologist
  • Saint Louis, MO
National Provider Identifier
1104059641
Registry record updated Feb 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
License
768
Legal business name
BARON HEALTH SERVICE, LLC
Practice address
11911 Westline Industrial Dr
Saint Louis, MO 63146-3200
Phone
(636) 346-9430
Fax
(314) 569-1623
NPI assigned
Sep 1, 2009
Last updated
Feb 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2014

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

Authorized official

Name
Dr. Michael S Butler, D.C., R NCS TNPI 1063599462
Title
Member
Phone
(636) 346-9430

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 004747 MO
Internal Medicine Physician 207R00000X R4647 MO
Electroneurodiagnostic Specialist/Technologist 246ZE0600X 768 Primary

Addresses

Primary practice location

11911 Westline Industrial Dr
Saint Louis, MO 63146-3200

Mailing address

11911 Westline Industrial Dr
Saint Louis, MO 63146-3200
Phone (636) 346-9430

Other identifiers 2

IdentifierTypeStateIssuer
44 50059OtherMOUNITED HEALTH CARE
107758OtherMOBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

15 E 19th St
Higginsville, MO 64037
Phone (660) 584-7131

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391644800000",
    "number": "1104059641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11911 WESTLINE INDUSTRIAL DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463200",
            "telephone_number": "636-346-9430",
            "fax_number": "314-569-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11911 WESTLINE INDUSTRIAL DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463200",
            "telephone_number": "636-346-9430",
            "fax_number": "314-569-1623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARON HEALTH SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-01",
        "last_updated": "2014-02-06",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "636-346-9430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., R NCS T"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "004747",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "R4647",
            "primary": false
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": "768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "44 50059",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "107758",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; 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.