Organization Active NPI

Missouri Healthcare

  • General Practice Physician
  • Saint Louis, MO
National Provider Identifier
1932513587
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MISSOURI HEALTHCARE
Practice address
2901 Union Rd
Ste 250 B
Saint Louis, MO 63125-3972
Phone
(312) 533-5464
NPI assigned
Jun 11, 2014
Last updated
Jun 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Authorized official

Name
Mr. Ruslan Nurushev
Title
Owner
Phone
(312) 533-5464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

2901 Union Rd
Ste 250 B
Saint Louis, MO 63125-3972

Mailing address

2901 Union Rd
Ste 250 B
Saint Louis, MO 63125-3972
Phone (312) 533-5464

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402444800000",
    "number": "1932513587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 UNION RD",
            "address_2": "STE 250 B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631253972",
            "telephone_number": "312-533-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 UNION RD",
            "address_2": "STE 250 B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631253972",
            "telephone_number": "312-533-5464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-11",
        "status": "A",
        "authorized_official_last_name": "NURUSHEV",
        "authorized_official_first_name": "RUSLAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-533-5464",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 11, 2014; 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.