Provider Demographics
NPI:1740097716
Name:ONYX TRANSITIONAL CARE CENTERS, LLC
Entity type:Organization
Organization Name:ONYX TRANSITIONAL CARE CENTERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:MINGES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-266-2066
Mailing Address - Street 1:425 N NEW BALLAS RD STE 230
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-6848
Mailing Address - Country:US
Mailing Address - Phone:314-266-2066
Mailing Address - Fax:314-266-2069
Practice Address - Street 1:425 N NEW BALLAS RD STE 230
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-6848
Practice Address - Country:US
Practice Address - Phone:314-266-2066
Practice Address - Fax:314-266-2069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-13
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty