Organization Active NPI

Minkin Surgical LLC

  • Surgery Physician
  • Saint Louis, MO
National Provider Identifier
1417605056
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
MINKIN SURGICAL LLC
Practice address
2355 Dougherty Ferry Rd Ste 430
Saint Louis, MO 63122-3325
Phone
(314) 965-8410
Fax
(314) 965-8756
NPI assigned
Mar 14, 2022
Last updated
Mar 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Authorized official

Name
Dr. Darin M Minkin, DONPI 1043296494
Title
Owner
Phone
(314) 229-2802

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

2355 Dougherty Ferry Rd Ste 430
Saint Louis, MO 63122-3325

Mailing address

1211 Devonworth Dr
Town and Country, MO 63017-8448
Phone (314) 229-2802

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1417605056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 DEVONWORTH DR",
            "city": "TOWN AND COUNTRY",
            "state": "MO",
            "postal_code": "630178448",
            "telephone_number": "314-229-2802",
            "fax_number": "314-965-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 DOUGHERTY FERRY RD STE 430",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631223325",
            "telephone_number": "314-965-8410",
            "fax_number": "314-965-8756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINKIN SURGICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A",
        "authorized_official_last_name": "MINKIN",
        "authorized_official_first_name": "DARIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-229-2802",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.