Cygnus of St. Louis, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

CYGNUS OF ST. LOUIS, LLC

Practice address

10430 Tindall Rd
Cadet, MO 63630-8283

Phone

(903) 280-7617

NPI assigned

Feb 7, 2020

Organization subpart

No

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

Authorized official

Name

Jeffrey P Tindall, DO

Title

Physician

Phone

(573) 854-4240

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581033600000",
    "number": "1821620832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10430 TINDALL RD",
            "city": "CADET",
            "state": "MO",
            "postal_code": "636308283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10430 TINDALL RD",
            "city": "CADET",
            "state": "MO",
            "postal_code": "636308283",
            "telephone_number": "903-280-7617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYGNUS OF ST. LOUIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-07",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A",
        "authorized_official_last_name": "TINDALL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "573-854-4240",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Dee Abeln, SLP
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• Gabriella Miller

• Case Management Agency in Cadet, MO
• Providers in Cadet, MO by specialty
• Case Management Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.