Organization Active NPI

Spinnakers LLC

  • Specialist
  • Ellisville, MO
National Provider Identifier
1962785295
Registry record updated May 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
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

Updated by the provider on May 7, 2012

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)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.