NPIMap

Organization Active NPI

Integrated Senior Care PC

Doing business as Integrated Senior Care

  • Geriatric Medicine (Family Medicine) Physician
  • Saint Louis, MO
National Provider Identifier
1891689790
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
INTEGRATED SENIOR CARE PC
Doing business as
Integrated Senior Care
Integrated Senior Care, P.C.
Practice address
12395 Olive Blvd Ste 200
Saint Louis, MO 63141-5465
Phone
(636) 233-7249
NPI assigned
Jun 5, 2025
Last updated
Jun 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Authorized official

Name
Dr. Joseph Mitchell, MDNPI 1952669152
Title
Owner
Phone
(270) 993-4789

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU
Geriatric Medicine (Family Medicine) Physician 207QG0300X NU Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

12395 Olive Blvd Ste 200
Saint Louis, MO 63141-5465

Mailing address

1449 S Michigan Ave Ste 13138
Chicago, IL 60605-2810

Other names 2

  • Integrated Senior Care Doing business as
  • Integrated Senior Care, P.C. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA, TN, NC, WV5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20250804002783 SC Part B Supplier - Clinic/Group Practice 0648788323 Receives reassigned benefits from 3 practitioners
Practice locations: Greenville, SC; Rock Hill, SC
O20250812001705 GA Part B Supplier - Clinic/Group Practice 0648788323 Receives reassigned benefits from 1 practitioner
Practice locations: Rome, GA; Kennesaw, GA; Dublin, GA; Cartersville, GA; Calhoun, GA; Dalton, GA
O20250812002328 TN Part B Supplier - Clinic/Group Practice 0648788323 Receives reassigned benefits from 1 practitioner
Practice locations: Manchester, TN
O20250813000135 NC Part B Supplier - Clinic/Group Practice 0648788323 Receives reassigned benefits from 3 practitioners
Practice locations: Apex, NC
O20250925003513 WV Part B Supplier - Clinic/Group Practice 0648788323 Receives reassigned benefits from 1 practitioner
Practice locations: Princeton, WV

National Provider Directory

National Provider Directory

Locations

265 Lovers Lane Rd SE
Calhoun, GA 30701
Phone (270) 993-4789

12395 Olive Blvd
Ste 200
Saint Louis, MO 63141
Phone (270) 993-4789

Practitioners & affiliated clinicians

Practitioners 12

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": "1749081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1891689790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1449 S MICHIGAN AVE STE 13138",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12395 OLIVE BLVD STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631415465",
            "telephone_number": "636-233-7249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED SENIOR CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-993-4789",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Senior Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Integrated Senior Care, P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 5, 2025; 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.