Elna Mieko Nagasako, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

2010011916 Issued in MO

Practice address

4901 Forest Park Ave
Wohl Clinic Ste 241
Saint Louis, MO 63108-1402

Phone

(314) 362-5060

Fax

(314) 362-5969

NPI assigned

Jun 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516752000000",
    "number": "1164628798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S EUCLID AVE",
            "address_2": "C B 8121",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101010",
            "telephone_number": "314-362-5060",
            "fax_number": "314-362-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 FOREST PARK AVE",
            "address_2": "WOHL CLINIC STE 241",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081402",
            "telephone_number": "314-362-5060",
            "fax_number": "314-362-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGASAKO",
        "first_name": "ELNA",
        "middle_name": "MIEKO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2018-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MO",
            "license": "2010011916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164628798",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leah Naftalowitz, APRN
• Govindarajulu K. Nagaldinne, M.D.
• Devika Rani Nagaraj, MD
• Sudhan Nagarajan, MD
• Khanjan H Nagarsheth, MD
• Kimimoto Nagashima, MD PHD
• Danish Nagda, M.D.
• Maysaa Sameer Nageeb, M.D.
• Aileen Nagel
• Chelsea Nagel, PT, DPT, ATC

• General Practice Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• General Practice Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; 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.