Mithen Neurology LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

R6152 Issued in MO

Legal business name

MITHEN NEUROLOGY LLC

Practice address

3933 S Broadway
Saint Louis, MO 63118-4601

Phone

(314) 308-7991

Fax

(314) 462-0661

NPI assigned

Jun 27, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Fancis Andrew Mithen, MD

Title

Owner

Phone

(314) 308-7991

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564444800000",
    "number": "1902391451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4579 LACLEDE AVE # 377",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082103",
            "telephone_number": "314-308-7991",
            "fax_number": "314-462-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3933 S BROADWAY",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631184601",
            "telephone_number": "314-308-7991",
            "fax_number": "314-462-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITHEN NEUROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-27",
        "last_updated": "2019-07-30",
        "status": "A",
        "authorized_official_last_name": "MITHEN",
        "authorized_official_first_name": "FANCIS",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-308-7991",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "R6152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William A. Mitchell III, M.D.
• Zachary Allen Mitchell, DO
• Andrew Mitchelson, M.D.
• Jonathan B Mitchem, M.D.
• Jon-Pierre Mitchom, L.P.C
• Francis Andrew Mithen, MD, PHD
• Mesfin Teshome Mitike, M.D.
• Simran Mittal, MD
• Dylan John Mittauer
• Eric Richard Mittauer, MD

• Neurology Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Neurology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; 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.