St. Louis Minimally Invasive Spine

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ST. LOUIS MINIMALLY INVASIVE SPINE

Practice address

4590 S Lindbergh Blvd
Saint Louis, MO 63127-1832

Phone

(314) 607-2427

NPI assigned

Mar 11, 2013

Organization subpart

No

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

Authorized official

Name

Stephanie Elizabeth Camapbell

Title

Business Manager

Phone

(314) 607-2427

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EHEBCA

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kurt M Eichholz, MD

  • Neurological Surgery Physician
  • Saint Louis, MO
  • NPI 1053323915
  Medicare reassignment
• Robert A Morgan, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Saint Louis, MO
  • NPI 1164410270
  Medicare reassignment
• Kimberly J Phelps, ANP

  • Nurse Practitioner
  • Saint Louis, MO
  • NPI 1932543527
  Medicare reassignment
• Peter Sylvester

  • Neurological Surgery Physician
  • Saint Louis, MO
  • NPI 1538574538
  Medicare reassignment

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1346581774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4590 S LINDBERGH BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271832",
            "telephone_number": "314-270-9494",
            "fax_number": "314-270-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4590 S LINDBERGH BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271832",
            "telephone_number": "314-607-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LOUIS MINIMALLY INVASIVE SPINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-11",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "CAMAPBELL",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "314-607-2427"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Louis JC Vamc
• St. Louis JC Vamc
• St. Louis JC Vamc
• St. Louis JC Vamc
• St. Louis JC Vamc
• St. Louis Neurological Institute Inc.
• St. Louis Neurosurgery LLC
• St. Louis NH LLC
• St. Louis Office for DD Resources
• St. Louis Office for MRDD Resources

• Specialist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.

Verify at the official NPI Registry.