Lyseis Health, LLC

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

Legal business name

LYSEIS HEALTH, LLC

Practice address

11477 Olde Cabin Rd Ste 210
Creve Coeur, MO 63141-7129

Phone

(225) 303-1055

Fax

(314) 594-9004

NPI assigned

Jan 4, 2016

Organization subpart

No

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

Authorized official

Name

Carlos E Himpler

Title

President

Phone

(225) 303-1055

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454803200000",
    "number": "1144686395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11477 OLDE CABIN RD STE 210",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417129",
            "telephone_number": "225-303-1055",
            "fax_number": "314-594-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11477 OLDE CABIN RD STE 210",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417129",
            "telephone_number": "225-303-1055",
            "fax_number": "314-594-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYSEIS HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-04",
        "last_updated": "2016-02-07",
        "status": "A",
        "authorized_official_last_name": "HIMPLER",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-303-1055"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "1295846319",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Sleep Medicine (Internal Medicine) Physician in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Sleep Medicine (Internal Medicine) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2016; 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.