MITHEN NEUROLOGY LLC (NPI# 1902391451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902391451 |
| Entity Type | Organization |
| Organization Name | MITHEN NEUROLOGY LLC |
| Practice Address |
3933 S Broadway Saint Louis MO 63118-4601 |
| Mailing Address |
4579 Laclede Ave # 377 Saint Louis MO 63108-2103 |
| Practice Telephone | 3143087991 |
| Practice Fax Number | 3144620661 |
| Mailing Telephone | 3143087991 |
| Mailing Fax Number | 3144620661 |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2019-07-30 |
| Authorized Official Name | MR. FANCIS ANDREW MITHEN (OWNER) |
| Authorized Official Telephone | 3143087991 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
R6152 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
3933 S BROADWAY |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63118-4601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023017746 | St Alexius Hospital Corporation 1 | Psychiatric Unit | 3933 S Broadway, Saint Louis, MO 63118-4601 | 2005-07-14 |
| 1760943047 | Gomelb Vascular Consultants LLC | Radiologic Technologist | 3933 S Broadway, Saint Louis, MO 63118-4601 | 2019-03-28 |
| 1174007041 | Lugaychi Turner | Nurse Practitioner | 3933 S Broadway, Saint Louis, MO 63118-4601 | 2018-09-18 |
| 1134632573 | Midwest Emergency St. Alexius Inc | Emergency Medicine | 3933 S Broadway, Saint Louis, MO 63118-4601 | 2017-11-07 |
| 1447703269 | Hawthorn Emergency Physicians, LLC | Physician Assistant | 3933 S Broadway, Saint Louis, MO 63118-4601 | 2016-07-28 |
| 1154779312 | Jeremy David Samuels | Pharmacist | 3933 S Broadway, Saint Louis, MO 63118-4601 | 2016-05-28 |
| 1396105664 | Torrant Emergency Physicians, LLC | Physician Assistant | 3933 S Broadway, Saint Louis, MO 63118-4601 | 2016-03-01 |
| 1225420904 | Kevin Whitney Hutcheson | Nurse Anesthetist, Certified Registered | 3933 S Broadway, Saint Louis, MO 63118-4601 | 2015-03-04 |
| 1124454442 | Mo Cardinals Emergency Physicians, LLC | Emergency Medicine | 3933 S Broadway, Saint Louis, MO 63118-4601 | 2013-09-18 |
| 1912253865 | L Billy Woundcare LLC | Surgery | 3933 S Broadway, Limb Preservation Center, Saint Louis, MO 63118-4601 | 2012-07-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770149023 | Clouds of Care In-home Healthcare Services LLC | Hospice Care, Community Based | 3450 Magnolia Ave, Saint Louis, MO 63118 | 2019-05-13 |
| 1154839488 | Serenity Gardens Home Health Services LLC. | Home Health | 3002 S Jefferson Ave Ste 201, Saint Louis, MO 63118 | 2018-01-22 |
| 1861917759 | Freedom Day Center, LLC | Meals | 3309 Meramec Street, Saint Louis, MO 63118 | 2017-08-11 |
| 1669901450 | Stanley Eziukwu | Student in an Organized Health Care Education/Training Program | 3535 S Jefferson Ave Ste 104, Saint Louis, MO 63118 | 2017-06-06 |
| 1467987651 | Hinna Shahid | Internal Medicine | 3545 South Jefferson Ave, St. Louis, MO 63118 | 2017-04-25 |
| 1225436959 | Shelley Stretch | Counselor | 4066 Dunnica Avenue, St. Louis, MO 63118 | 2014-12-11 |
| 1821406174 | Preferred Family Healthcare, Inc | Substance Abuse Rehabilitation Facility | 4066 Dunnica, Saint Louis, MO 63118 | 2014-07-31 |
| 1275898173 | Stephanie Lynn Cullinan | Optometrist | 3122 S Grand, St. Louis, MO 63118 | 2012-07-07 |
| 1174822555 | Morgan Patrick Morris | Chiropractor | 3611 S. Grand Blvd, Suite 200, Saint Louis, MO 63118 | 2011-03-24 |
| 1043481955 | Victor Rivera Md LLC | Obstetrics & Gynecology | 3535 S Jefferson, Suite 106, St Louis, MO 63118 | 2008-03-19 |
| Find all providers in zip 63118 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750764866 | Jeffrey Calvin | Psychiatry & Neurology | 621 S New Ballas Rd Ste 6005b, Saint Louis, MO 63141-8273 | 2015-07-07 |
| 1871848853 | Michael David White | Psychiatry & Neurology | 4901 Forest Park Ave, 2nd Floor Medicine Clinic, Center for Outpatient Health, Saint Louis, MO 63108 | 2012-07-17 |
| 1811200983 | St Louis Neurology Associates Inc | Psychiatry & Neurology | 12810 Tesson Ferry Rd, Saint Louis, MO 63128-2913 | 2010-07-19 |
| 1144412339 | Gabriela Sales De Bruin | Psychiatry & Neurology | 212 N Kingshighway Blvd Ste 237, Ste 237, Saint Louis, MO 63108-1266 | 2007-08-13 |
| 1568501245 | Bennett David Frank | Psychiatry & Neurology | 969 N Mason Rd Ste 155, Saint Louis, MO 63141-6387 | 2007-02-06 |
| 1538253430 | J Mario V Alonso Jr Inc | Psychiatry & Neurology | 2716 Telegraph Rd, Suite 105, Saint Louis, MO 63125-4078 | 2006-10-03 |
| 1871511329 | John Carl Morris | Psychiatry & Neurology | 4488 Forest Park Ave Ste 160, Ste 160, Saint Louis, MO 63108-2215 | 2006-07-17 |
| 1154367282 | Brent Alan Huffman | Psychiatry & Neurology | 3009 N Ballas Rd Ste 102b, Saint Louis, MO 63131-2343 | 2006-06-20 |
| 1073555140 | Dante O Garrido | Psychiatry & Neurology | 12963 Walnutway Ter, Saint Louis, MO 63146-6047 | 2006-06-12 |
| 1902858251 | Annick Olga Weber | Psychiatry & Neurology | 20 Archbishop May Dr, Saint Louis, MO 63119-5738 | 2006-05-16 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63118 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.