Missouri Medical Partners LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2003015147 Issued in MO

Legal business name

MISSOURI MEDICAL PARTNERS LLC

Practice address

1015 Bowles Ave
Fenton, MO 63026-2394

Phone

(314) 525-1000

Fax

(636) 333-4510

NPI assigned

Jun 10, 2008

Last updated

Dec 31, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vladimir Milosavljevic, MD

Title

Owner

Phone

(314) 484-0842

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sreenu Ada, MD

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1134171200
  Medicare reassignment NPD
• Anis Berhil, M.D.

  • Hospitalist Physician
  • Saint Louis, MO
  • NPI 1811283609

  Internal Medicine

  Medicare reassignment NPD
• Dale Furukawa, M.D.

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1326060831
  Medicare reassignment NPD
• Vladimir Milo, M.D.

  • Internal Medicine Physician
  • Fenton, MO
  • NPI 1609848852
  Medicare reassignment NPD
• Sarah Jean McMurray, D.O.

  • Internal Medicine Physician
  • Encinitas, CA
  • NPI 1124274899
  NPD (past)

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703980800000",
    "number": "1720248065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 504683",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631500001",
            "telephone_number": "636-333-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 BOWLES AVE",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262394",
            "telephone_number": "314-525-1000",
            "fax_number": "636-333-4510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10010 Kennerly Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631282106",
            "country_code": "US",
            "telephone_number": "314-525-1000",
            "fax_number": "636-333-4510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MISSOURI MEDICAL PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2023-12-31",
        "certification_date": "2023-12-31",
        "status": "A",
        "authorized_official_last_name": "MILOSAVLJEVIC",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-484-0842",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2003015147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mischel Family Chiropractic LLC
• John Mischel, D.C.
• Missouri CVS Pharmacy LLC (CVS Pharmacy #16657)
• Missouri CVS Pharmacy, L.L.C. (CVS Pharmacy #18052)
• Missouri LTC Pharmacy LLC (Infinium Pharmacy)
• Joseph Walter Moleski Jr., D.O.
• Thomas L Monje, OD
• Marco Moreno, R.EEG T.
• Kurt Richard Morgester, D.M.D.
• Stacey A Mormol, CRNA

• Internal Medicine Physician in Fenton, MO
• Providers in Fenton, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.