Organization Active NPI

Doctor'S on the Way, Inc

  • General Practice Physician
  • Saint Louis, MO
National Provider Identifier
1235550385
Registry record updated Aug 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
DOCTOR'S ON THE WAY, INC
Practice address
712 N 2ND St
Ste 310
Saint Louis, MO 63102-2550
Phone
(314) 753-1529
NPI assigned
Dec 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2014

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

Authorized official

Name
Mr. Richard D Haberstroh
Title
President
Phone
(314) 753-1529

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

712 N 2ND St
Ste 310
Saint Louis, MO 63102-2550

Mailing address

712 N 2ND St
Ste 310
Saint Louis, MO 63102-2550

National Provider Directory

National Provider Directory

Locations

3324 Hollenberg Dr
Bridgeton, MO 63044
Phone (314) 785-1909

712 N 2nd St
Ste 310
Saint Louis, MO 63102
Phone (314) 753-1529

NPI Registry JSON

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407715200000",
    "number": "1235550385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 N 2ND ST",
            "address_2": "STE 310",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631022550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 N 2ND ST",
            "address_2": "STE 310",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631022550",
            "telephone_number": "314-753-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR'S ON THE WAY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-16",
        "last_updated": "2014-08-11",
        "status": "A",
        "authorized_official_last_name": "HABERSTROH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-753-1529",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 11, 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.