Enes Secic

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

BD4S7B Issued in MO

Practice address

1011 Autumn Valley CT
Fenton, MO 63026-5578

Phone

(314) 817-6728

NPI assigned

May 13, 2025

Last updated

May 13, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1275324931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 AUTUMN VALLEY CT",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630265578",
            "telephone_number": "314-817-6728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 AUTUMN VALLEY CT",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630265578",
            "telephone_number": "314-817-6728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3807 Reavis Barracks Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631252443",
            "country_code": "US",
            "telephone_number": "314-817-6728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SECIC",
        "first_name": "ENES",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MO",
            "license": "BD4S7B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Schmitt, DPT
• Erin Schnurbusch, MSW, LCSW
• Ellie Schulz, DPT
• Scott Hussey OD LLC
• Sean P. Cooney, DMD, LLC
• Silvija Neziri Secic
• Solomon Seifu, M.D.
• Laura Marie Self, PT
• Serenity Adult Day Center LLC (Serenity Adult Day Center)
• Fatima Imran Shah, RD,LD

• Non-emergency Medical Transport (VAN) in Fenton, MO
• Providers in Fenton, MO by specialty
• Non-emergency Medical Transport (VAN) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.