Dove Mastectomy Supply, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

17250374 Issued in MO

Legal business name

DOVE MASTECTOMY SUPPLY, LLC

Practice address

3016 Collington CT
Saint Louis, MO 63129-3960

Phone

(314) 293-0974

Fax

(314) 293-0974

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Patricia Doerr

Title

Owner

Phone

(314) 293-0974

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750406401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3016 COLLINGTON CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631293960",
            "telephone_number": "314-293-0974",
            "fax_number": "314-293-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 COLLINGTON CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631293960",
            "telephone_number": "314-293-0974",
            "fax_number": "314-293-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOVE MASTECTOMY SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOERR",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-293-0974",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "17250374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Jones Douglass, MSW,MAED,LCSW
• Jhony Y Doumit, MD
• Douthit Home Care Services, LLC
• Traci R Doutre, NBC-HWC
• Dove Cares CDS, LLC
• Dover Health Palliative Care Mo LLC
• Dover Health Primary Care Mo LLC
• Dover Home Health Mo STL Metro, LLC
• Dover Hospice Mo STL Metro, LLC
• Christy Dow, M.A. OTR/L

• Durable Medical Equipment & Medical Supplies in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.