Med-Staff Pediatrics

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MED-STAFF PEDIATRICS

Practice address

11901 Olive Blvd
#211
Saint Louis, MO 63141-6736

Phone

(314) 997-3399

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Mr. David Tharenos

Title

Owner

Phone

(314) 997-3399

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295883767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11901 OLIVE BLVD",
            "address_2": "#211",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416736",
            "telephone_number": "314-997-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 OLIVE BLVD",
            "address_2": "#211",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416736",
            "telephone_number": "314-997-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-STAFF PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THARENOS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-997-3399",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Lewis Mecham, MD
• Megan Meckfessel, MS
• Stacy J Mecklenburg, RN
• Med Care Consultants LLC
• Med-Care-RX LLC
• Med-Tranz LLC
• Abraham Blain Medaris, MD
• Kathryn Grace Medcalf, MD
• Medcomp, LLC
• Medcuro Manufacturing, LLC

• All providers in Saint Louis, MO
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.