Obax Infrastructures LLC

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

OBAX INFRASTRUCTURES LLC

Practice address

2170 S Mason Rd
Saint Louis, MO 63131-1634

Phone

(314) 462-0620

Fax

(314) 462-0621

NPI assigned

Mar 20, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Rebecca Mawuenyega

Title

Manager

Phone

(314) 462-0620

Specialties & licenses 1

Addresses

Other names 1

• Obax Healthcare Services Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1616198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616198400000",
    "number": "1467038562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 S MASON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311634",
            "telephone_number": "314-462-0620",
            "fax_number": "314-462-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 S MASON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311634",
            "telephone_number": "314-462-0620",
            "fax_number": "314-462-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBAX INFRASTRUCTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-20",
        "last_updated": "2021-03-20",
        "certification_date": "2021-03-20",
        "status": "A",
        "authorized_official_last_name": "MAWUENYEGA",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "314-462-0620",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "DESKTOP",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2170 S Mason Rd",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631311634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Obax Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nathan A Oatis, MSW, LCSW
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• Rehema Obare
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• Jeanne Oberdan
• Alicia M Oberle, MD
• Paul A Oberle, M.D.
• John Michael Oberlin, M.D.

• Public Health or Welfare Agency in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Public Health or Welfare Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2021; 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.