Active NPI
Saint Louis University
- General Acute Care Hospital
- Saint Louis, MO
National Provider Identifier
1487819009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 2008017207
- Legal business name
- SAINT LOUIS UNIVERSITY
- Practice address
- 3635 Vista Ave
Saint Louis, MO 63110-2539 - Phone
- (314) 577-8750
- NPI assigned
- Jul 23, 2008
- 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. Brandon James Miller, DO MBA
- Title
- Anesthesia Resident
- Phone
- (314) 577-8750
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 2008017207 | MO | Primary |
Addresses
Primary practice location
3635 Vista Ave
Saint Louis, MO 63110-2539
Mailing address
3635 Vista Ave
Saint Louis, MO 63110-2539
Phone (314) 577-8750
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216771200000",
"number": "1487819009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3635 VISTA AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631102539",
"telephone_number": "314-577-8750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3635 VISTA AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631102539",
"telephone_number": "314-577-8750"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAINT LOUIS UNIVERSITY",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-23",
"last_updated": "2008-07-23",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "BRANDON",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "ANESTHESIA RESIDENT",
"authorized_official_telephone_number": "314-577-8750",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO MBA"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "MO",
"license": "2008017207",
"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 Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.