Active NPI
Spinnakers LLC
- Specialist
- Ellisville, MO
National Provider Identifier
1962785295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- SPINNAKERS LLC
- Practice address
- 15620 Manchester Rd
Suite 33
Ellisville, MO 63011-2276 - Phone
- (314) 757-7244
- Fax
- (757) 215-0779
- NPI assigned
- Sep 22, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Zia Iqbal
- Title
- Ceo
- Phone
- (314) 757-7244
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X | |||
| Clinical Medical Laboratory | 291U00000X | 26D2031980 | MO |
Addresses
Primary practice location
15620 Manchester Rd
Suite 33
Ellisville, MO 63011-2276
Mailing address
16029 Meadow Oak Dr
Chesterfield, MO 63017-7242
Phone (314) 757-7244
Other names 1
- SpinnakerMED
National Provider Directory
National Provider DirectoryLocations
15620 Manchester Rd
Ste 33
Ellisville, MO 63011
Phone (314) 732-1311
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Clinical Medical Laboratory
- Chesterfield, MO
- NPI 1013282193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1336348800000",
"number": "1962785295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16029 MEADOW OAK DR",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630177242",
"telephone_number": "314-757-7244",
"fax_number": "757-215-0779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15620 MANCHESTER RD",
"address_2": "SUITE 33",
"city": "ELLISVILLE",
"state": "MO",
"postal_code": "630112276",
"telephone_number": "314-757-7244",
"fax_number": "757-215-0779"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPINNAKERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-22",
"last_updated": "2012-05-07",
"status": "A",
"authorized_official_last_name": "IQBAL",
"authorized_official_first_name": "ZIA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "314-757-7244",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "MO",
"license": "26D2031980",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SpinnakerMED",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ellisville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.