Elite Mens Health of St Louis

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

ELITE MENS HEALTH OF ST LOUIS

Practice address

777 Craig Rd
225
Saint Louis, MO 63141-7138

Phone

(870) 761-5532

NPI assigned

Oct 2, 2014

Organization subpart

No

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

Authorized official

Name

Robert Taylor

Title

Owner

Phone

(870) 761-5532

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1659774776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 HIGHWAY 67 S",
            "address_2": "SUITE E",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724554001",
            "telephone_number": "870-761-5532",
            "fax_number": "870-892-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 CRAIG RD",
            "address_2": "225",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417138",
            "telephone_number": "870-761-5532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MENS HEALTH OF ST LOUIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-761-5532"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Home Health, LLC
• Elite in-Home Care, LLC.
• Elite in-Home Services LLC
• Elite Loving Care
• Elite Medical Innovations
• Elite Physical Therapy LLC
• Elite Psychiatric Services, LLC
• Elite Surgical Assisting LLC
• Elite Telehealth Care LLC
• Elizabeth F. Pribor, M.D., P.C.

• Nurse Practitioner in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.