Active NPI
Neuro-Status, LLC
- Sleep Medicine (Psychiatry & Neurology) Physician
- Saint Louis, MO
National Provider Identifier
1427504497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Psychiatry & Neurology) Physician
- Legal business name
- NEURO-STATUS, LLC
- Practice address
- 40 Burroughs LN
Saint Louis, MO 63124-1857 - Phone
- (314) 325-4931
- NPI assigned
- Aug 30, 2016
- Last updated
- Dec 22, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Grant Warmouth, M.D.
- Title
- Co-President
- Phone
- (314) 325-4931
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neurophysiology Physician | 2084N0600X | NU | ||
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | NU | Primary |
Addresses
Primary practice location
40 Burroughs LN
Saint Louis, MO 63124-1857
Mailing address
40 Burroughs LN
Saint Louis, MO 63124-1857
Phone (314) 325-4931
National Provider Directory
National Provider DirectoryLocations
11213 Nall Ave
Ste 100B
Leawood, KS 66211
Phone (913) 327-7300
727 Craig Rd
Ste 101
Saint Louis, MO 63141
Phone (314) 660-3191
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Clinical Neurophysiology Physician
- Sacramento, CA
- NPI 1043345861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1482364800000",
"number": "1427504497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 BURROUGHS LN",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631241857",
"telephone_number": "314-325-4931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 BURROUGHS LN",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631241857",
"telephone_number": "314-325-4931"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEURO-STATUS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-30",
"last_updated": "2016-12-22",
"status": "A",
"authorized_official_last_name": "WARMOUTH",
"authorized_official_first_name": "GRANT",
"authorized_official_title_or_position": "CO-PRESIDENT",
"authorized_official_telephone_number": "314-325-4931",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084S0012X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"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 Dec 22, 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.