Dover Health Primary Care Mo LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

DOVER HEALTH PRIMARY CARE MO LLC

Practice address

300 Hunter Ave Ste 200
Saint Louis, MO 63124-2328

Phone

(314) 884-8817

Fax

(314) 627-4890

NPI assigned

Jan 9, 2024

Organization subpart

Yes

Parent organization

DOVER HEALTH LLCAs reported in NPPES

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

Authorized official

Name

Steven Burghart

Title

President

Phone

(314) 451-5606

Specialties & licenses 1

Addresses

Other names 1

• Dover Health LLC Former legal business name

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1922879063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HUNTER AVE STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631242328",
            "telephone_number": "314-884-8817",
            "fax_number": "314-627-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HUNTER AVE STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631242328",
            "telephone_number": "314-884-8817",
            "fax_number": "314-627-4890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOVER HEALTH PRIMARY CARE MO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DOVER HEALTH LLC",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "BURGHART",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-451-5606"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dover Health LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Douthit Home Care Services, LLC
• Traci R Doutre, NBC-HWC
• Dove Cares CDS, LLC
• Dove Mastectomy Supply, LLC
• Dover Health Palliative Care Mo LLC
• Dover Home Health Mo STL Metro, LLC
• Dover Hospice Mo STL Metro, LLC
• Christy Dow, M.A. OTR/L
• Denise Michelle Dow, ANP
• Jessica Dow, BCBA

• Primary Care Nurse Practitioner in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Primary Care Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.