Active NPI
Sharon L. Fitelson, D.C. DABCO
- Orthopedic Chiropractor
- Richmond Heights, MO
National Provider Identifier
1548397482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- 004472
- Practice address
- 7800 Clayton Rd
Richmond Heights, MO 63117-1325 - Phone
- (314) 644-2081
- Fax
- (314) 644-2309
- NPI assigned
- Feb 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | 004472 | MO | Primary |
Addresses
Primary practice location
7800 Clayton Rd
Richmond Heights, MO 63117-1325
Mailing address
7800 Clayton Rd
Richmond Heights, MO 63117-1325
Phone (314) 644-2081
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 628178 | Other | MO | UNITED HEALTHCARE PROV # |
| 6332 | Other | MO | BLUE CROSS PROVIDER # |
| 119539 | Other | MO | GHP PROVIDER # |
| 287406 | Other | MO | HEALTHLINK PROVIDER # |
| T43375 | Other | MO | MERCY PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004472 | MO | MD | Orthopedic Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olalani Holdings LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Saint Louis, MO
- NPI 1033741202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1548397482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7800 CLAYTON RD",
"city": "RICHMOND HEIGHTS",
"state": "MO",
"postal_code": "631171325",
"telephone_number": "314-644-2081",
"fax_number": "314-644-2309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7800 CLAYTON RD",
"city": "RICHMOND HEIGHTS",
"state": "MO",
"postal_code": "631171325",
"telephone_number": "314-644-2081",
"fax_number": "314-644-2309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITELSON",
"first_name": "SHARON",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "D.C. DABCO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "MO",
"license": "004472",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE PROV #",
"identifier": "628178",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER #",
"identifier": "6332",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHP PROVIDER #",
"identifier": "119539",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK PROVIDER #",
"identifier": "287406",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERCY PROVIDER #",
"identifier": "T43375",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond Heights, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.