Organization Active NPI

Neurology & Sleep Medicine Associates

  • Neurology Physician
  • Saint Louis, MO
National Provider Identifier
1841651890
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEUROLOGY & SLEEP MEDICINE ASSOCIATES
Practice address
11188 Tesson Ferry Rd
Suite 202
Saint Louis, MO 63123-6962
Phone
(314) 729-7547
Fax
(314) 729-7550
NPI assigned
Mar 17, 2016
Last updated
Mar 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2016

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

Authorized official

Name
Daniel R Wagner, M.D.NPI 1992751036
Title
Owner
Phone
(314) 729-7547

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X NU Primary

Addresses

Primary practice location

11188 Tesson Ferry Rd
Suite 202
Saint Louis, MO 63123-6962

Mailing address

11188 Tesson Ferry Rd
Suite 202
Saint Louis, MO 63123-6962
Phone (314) 729-7547

National Provider Directory

National Provider Directory

Locations

11188 Tesson Ferry Rd
Ste 202
Saint Louis, MO 63123
Phone (314) 729-7547

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/1d6c927a-8fe8-4114-911c-8498e2eb642e/
  • FHIR API: https://fhir4.healow.com/fhir/r4/AHJFAA

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458172800000",
    "number": "1841651890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11188 TESSON FERRY RD",
            "address_2": "SUITE 202",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631236962",
            "telephone_number": "314-729-7547",
            "fax_number": "314-729-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11188 TESSON FERRY RD",
            "address_2": "SUITE 202",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631236962",
            "telephone_number": "314-729-7547",
            "fax_number": "314-729-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY & SLEEP MEDICINE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-17",
        "last_updated": "2016-03-17",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-729-7547",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; 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.