Organization Active NPI

Ergo Midwest Inc

  • Durable Medical Equipment & Medical Supplies
  • St Louis, MO
National Provider Identifier
1699932491
Registry record updated Sep 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ERGO MIDWEST INC
Practice address
11993 Borman Dr
St Louis, MO 63146-4114
Phone
(314) 872-7760
Fax
(314) 872-3575
NPI assigned
May 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2009

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

Authorized official

Name
Mr. Tony Ray Taylor, RN WCC
Title
Regional Director
Phone
(314) 226-4508

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X MO Primary

Addresses

Primary practice location

11993 Borman Dr
St Louis, MO 63146-4114

Mailing address

11993 Borman Dr
St Louis, MO 63146-4114
Phone (314) 872-7760

Other names 1

  • ERGO Sciences Inc Former legal business name

National Provider Directory

National Provider Directory

Locations

11993 Borman Dr
Saint Louis, MO 63146
Phone (314) 872-7760

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1699932491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11993 BORMAN DR",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631464114",
            "telephone_number": "314-872-7760",
            "fax_number": "314-872-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11993 BORMAN DR",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631464114",
            "telephone_number": "314-872-7760",
            "fax_number": "314-872-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERGO MIDWEST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "314-226-4508",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN WCC"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ERGO Sciences Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in St Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; 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.