Provider Demographics
NPI:1932371218
Name:MIDWEST INSTITUTE OF SLEEP MEDICINE, LLC
Entity Type:Organization
Organization Name:MIDWEST INSTITUTE OF SLEEP MEDICINE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DON
Authorized Official - Middle Name:
Authorized Official - Last Name:TURPIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-229-8005
Mailing Address - Street 1:6698 KEATON CORPORATE PKWY
Mailing Address - Street 2:SUITE 103
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63368-8727
Mailing Address - Country:US
Mailing Address - Phone:636-229-8005
Mailing Address - Fax:636-229-8008
Practice Address - Street 1:6698 KEATON CORPORATE PKWY
Practice Address - Street 2:SUITE 103
Practice Address - City:O FALLON
Practice Address - State:MO
Practice Address - Zip Code:63368-8727
Practice Address - Country:US
Practice Address - Phone:636-229-8005
Practice Address - Fax:636-229-8008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-27
Last Update Date:2009-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOMA1332Medicare PIN