Mogu 2 LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

MOGU 2 LLC

Practice address

816 S Kirkwood Rd Ste 100
Kirkwood, MO 63122-6056

Phone

(314) 686-4990

Fax

(314) 686-4999

NPI assigned

Nov 5, 2013

Last updated

Nov 5, 2013By 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

Mrs. Latoysha Shanta Dangler

Title

Lab Billing Manager

Phone

(404) 943-0205

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383609600000",
    "number": "1891124483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5909 PEACHTREE DUNWOODY RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303288102",
            "telephone_number": "404-943-0205",
            "fax_number": "404-943-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 S KIRKWOOD RD STE 100",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631226056",
            "telephone_number": "314-686-4990",
            "fax_number": "314-686-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOGU 2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-05",
        "last_updated": "2013-11-05",
        "status": "A",
        "authorized_official_last_name": "DANGLER",
        "authorized_official_first_name": "LATOYSHA",
        "authorized_official_middle_name": "SHANTA",
        "authorized_official_title_or_position": "LAB BILLING MANAGER",
        "authorized_official_telephone_number": "404-943-0205",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Missouri CVS Pharmacy, L.L.C (CVS Pharmacy #10334)
• Missouri Heart and Vascular Institute, LLC
• Missouri Heart Care, LLC
• Missouri Imaging, Inc (Kirkwood MRI & Imaging, LLC)
• MJT & LL Healthcare LLC
• Katie Joy Molitor
• Rebecca Morawiec
• Teresa Morris
• Richard Muchnick, M.D.
• Jenna Mueller, LPC

• Obstetrics & Gynecology Physician in Kirkwood, MO
• Providers in Kirkwood, MO by specialty
• Obstetrics & Gynecology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; 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.