NPIMap

Organization Active NPI

Doctors on the Go1 L.C

  • General Practice Physician
  • Olivette, MO
National Provider Identifier
1306296447
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
DOCTORS ON THE GO1 L.C
Practice address
1515 N Warson Rd
249
Olivette, MO 63132-1111
Phone
(314) 925-7595
NPI assigned
Jun 20, 2016
Last updated
Jun 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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

Authorized official

Name
Mr. Denis Mikhlin
Title
Owner
Phone
(314) 216-0838

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary
Podiatrist 213E00000X

Addresses

Primary practice location

1515 N Warson Rd
249
Olivette, MO 63132-1111

Mailing address

1515 N Warson Rd
249
Olivette, MO 63132-1111
Phone (314) 925-7595

National Provider Directory

National Provider Directory

Locations

1515 N Warson Rd
Ste 249
Olivette, MO 63132
Phone (314) 322-8063

1856 Craig Park Ct
Saint Louis, MO 63146
Phone (314) 885-1294

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467072000000",
    "number": "1306296447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N WARSON RD",
            "address_2": "249",
            "city": "OLIVETTE",
            "state": "MO",
            "postal_code": "631321111",
            "telephone_number": "314-925-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N WARSON RD",
            "address_2": "249",
            "city": "OLIVETTE",
            "state": "MO",
            "postal_code": "631321111",
            "telephone_number": "314-925-7595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS ON THE GO1 L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-28",
        "status": "A",
        "authorized_official_last_name": "MIKHLIN",
        "authorized_official_first_name": "DENIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-216-0838",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olivette, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; 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.