Missouri Healthcare LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

105827 Issued in MO

Legal business name

MISSOURI HEALTHCARE LLC

Practice address

2901 Union Rd
Unit 205B
Saint Louis, MO 63125-3972

Phone

(314) 925-7517

Fax

(314) 925-7511

NPI assigned

Aug 21, 2014

Last updated

Sep 10, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ruslan Nurushev

Title

Owner

Phone

(314) 925-7517

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1245639673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 UNION RD",
            "address_2": "UNIT 205B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631253972",
            "telephone_number": "314-925-7517",
            "fax_number": "314-925-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 UNION RD",
            "address_2": "UNIT 205B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631253972",
            "telephone_number": "314-925-7517",
            "fax_number": "314-925-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "NURUSHEV",
        "authorized_official_first_name": "RUSLAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-925-7517"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "105827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Missouri Em-I Medical Services, P.C.
• Missouri Endocrine & Diabetes Center, Inc.
• Missouri Eye Associates LLC
• Missouri Health Infusion
• Missouri Healthcare
• Missouri Heart and Vascular Center LLC
• Missouri Hematology & Oncology, P.C.
• Missouri Home Health LLC
• Missouri Home Therapy LLC
• Missouri Imaging LLC (Sunset Hills Imaging)

• Family Medicine Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.