Microvas Wellness Center

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MICROVAS WELLNESS CENTER

Practice address

11693 Manchester Rd
Suite B
Saint Louis, MO 63131-4613

Phone

(314) 822-1345

Fax

(314) 822-1082

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

Edith James

Title

Owner

Phone

(314) 822-1345

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• George V Andreoff, M.D.

  • Internal Medicine Physician
  • Bridgeton, MO
  • NPI 1184772816
  NPD (past)
• Kyle Joseph Fritz, M.D.

  • Internal Medicine Physician
  • Springfield, MO
  • NPI 1407954779
  NPD (past)
• Denise A Hardy, DPM

  • Podiatrist
  • St Louis, MO
  • NPI 1033122759
  NPD (past)

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": "1407904139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11693 MANCHESTER RD",
            "address_2": "SUITE B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631314613",
            "telephone_number": "314-822-1345",
            "fax_number": "314-822-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11693 MANCHESTER RD",
            "address_2": "SUITE B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631314613",
            "telephone_number": "314-822-1345",
            "fax_number": "314-822-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICROVAS WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "EDITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-822-1345"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter Lee Mickey, D.O.
• Susan Mickley, CPM
• Jan Micotto, CRNA
• Teresa Lynn Micotto, M.D.
• Microsurgery and Brain Research Institute, P.C.
• Mid America Home Care, LLC
• Mid America Home Health Inc
• Mid County OB GYN Group, Inc
• Mid County Surgery Center
• Mid-America Health

• Internal Medicine Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Internal Medicine Physician 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.