Active NPI
Darin M Minkin Inc
Doing business as Darin M Minkin DO Inc
- Surgery Physician
- Saint Louis, MO
National Provider Identifier
1255597738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 200170421
- Legal business name
- DARIN M MINKIN INC
- Doing business as
- Darin M Minkin DO Inc
- Practice address
- 2355 Dougherty Ferry Rd
Ste 430
Saint Louis, MO 63122-3356 - Phone
- (314) 965-8410
- NPI assigned
- Aug 4, 2008
- Last updated
- Mar 6, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shannon Marti
- Title
- Manager
- Phone
- (888) 826-4546
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 200170421 | MO | Primary |
Addresses
Primary practice location
2355 Dougherty Ferry Rd
Ste 430
Saint Louis, MO 63122-3356
Mailing address
2355 Dougherty Ferry Rd
Ste 430
Saint Louis, MO 63122-3356
Phone (314) 965-8410
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209057603 | Medicaid | MO |
Other names 1
- Darin M Minkin DO Inc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2355 Dougherty Ferry Rd
Ste 430
Saint Louis, MO 63122
Phone (314) 821-5002
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Surgery Physician
- Saint Louis, MO
- NPI 1043296494
-
- Physician Assistant
- Saint Louis, MO
- NPI 1831345859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217808000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678060800000",
"number": "1255597738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2355 DOUGHERTY FERRY RD",
"address_2": "STE 430",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631223356",
"telephone_number": "314-965-8410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2355 DOUGHERTY FERRY RD",
"address_2": "STE 430",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631223356",
"telephone_number": "314-965-8410"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DARIN M MINKIN INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-04",
"last_updated": "2023-03-06",
"certification_date": "2023-03-06",
"status": "A",
"authorized_official_last_name": "MARTI",
"authorized_official_first_name": "SHANNON",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "888-826-4546"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MO",
"license": "200170421",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209057603",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Darin M Minkin DO Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.