Midwest Sleep Diagnostics, Inc.

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

MIDWEST SLEEP DIAGNOSTICS, INC.

Practice address

13975 Manchester Rd
Suite 9
Manchester, MO 63011-4500

Phone

(636) 227-8787

Fax

(636) 227-8610

NPI assigned

Mar 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Charles E. Walton

Title

President

Phone

(636) 227-8787

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony Mark Masi, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • Ballwin, MO
  • NPI 1902884844
  NPD

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1780652115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13975 MANCHESTER RD",
            "address_2": "SUITE 9",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630114500",
            "telephone_number": "636-227-8787",
            "fax_number": "636-227-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13975 MANCHESTER RD",
            "address_2": "SUITE 9",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630114500",
            "telephone_number": "636-227-8787",
            "fax_number": "636-227-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST SLEEP DIAGNOSTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-10",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-227-8787",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mediclinik
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• Jeffrey Michael Merkt
• Midwest Medical Device Solutions, LLC
• Midwest Practice Solutions STL LLC
• Sarah R Modde, MSW, LCSW
• Wyatt Steven Mohrmann, DC
• Andrew A Morrill
• Movement 4 Life Physical Therapy, LLC
• National Vision Inc

• All providers in Manchester, MO
• Sleep Disorder Diagnostic Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.