Mediclinik

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MEDICLINIK

Doing business as

MediTravels

Practice address

14173 Manchester Rd Ste C
Manchester, MO 63011-4524

Phone

(877) 207-6770

NPI assigned

Nov 16, 2008

Last updated

Nov 17, 2008By 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

Mr. Mohamed B Nawaz

Title

President/Ceo

Phone

(877) 207-6770

Specialties & licenses 1

Addresses

Other names 1

• MediTravels Doing business as

Locations

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

{
    "created_epoch": "1226793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226880000000",
    "number": "1861646952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14173 MANCHESTER RD STE C",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630114524",
            "telephone_number": "877-207-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14173 MANCHESTER RD STE C",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630114524",
            "telephone_number": "877-207-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICLINIK",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-16",
        "last_updated": "2008-11-17",
        "status": "A",
        "authorized_official_last_name": "NAWAZ",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "877-207-6770",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MediTravels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bradley James Mawer, D.C.
• Elizabeth McCarthy, M.S., CCC-SLP
• Terry Michael McKenna, DDS
• McKenzie Center for Speech and Language
• Bonnie S. McKenzie, M.S.,CCC;SLP
• Mercy Pharmacy Services LLC
• Jeffrey Michael Merkt
• Midwest Medical Device Solutions, LLC
• Midwest Practice Solutions STL LLC (Mobile Medical Diagnostics)
• Midwest Sleep Diagnostics, Inc.

• Internal Medicine Physician in Manchester, MO
• Providers in Manchester, 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 Nov 17, 2008; 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.