Andrew Tanous

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

2023032402 Issued in MO

Practice address

701 S New Ballas Rd
Saint Louis, MO 63141-8702

Phone

(314) 251-6712

NPI assigned

Aug 9, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1508549361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16350 LYDIA HILL DR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630177835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S NEW BALLAS RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418702",
            "telephone_number": "314-251-6712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANOUS",
        "first_name": "ANDREW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "MO",
            "license": "2023032402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nedra Lynn Tanksley, MSW, LCSW
• Melvin Avon Tann, ACSW, LCSW
• Deborah L Tannenbaum, MSW, LCSW
• Marilyn Kaye Tanner-Blasiar, RD
• Sadie Tanner-Pobocik, LPC
• Lamiya Tanovic
• Catherine Tansey, MSW, LCSW
• Maria Nguyen Tantsits, OD
• Ali Tanvir
• Tyler R Tanzyus, FNP-BC

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.