1. Home
  2. Directory
  3. Missouri
  4. Florissant
  5. Family Medicine
  6. NPI Profile

MISSOURI MSO LLC
NPI 1538041769
Family Medicine in Florissant, MO

Active since July 21, 2025
1501 CHARBONIER RD, FLORISSANT, MO 63031(212) 734-6621 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Missouri Mso Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISSOURI MSO LLC (NPI 1538041769) is a healthcare organization registered as a family medicine in Florissant, Missouri and active in the NPI registry since July 2025. The organization lists Samuel Kohn, Manager, as its authorized official.

NPPES Registry Identity

NPI1538041769
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMISSOURI MSO LLC
Location Address1501 CHARBONIER RDFlorissant, MO 63031-5308
Mailing Address4770 White Plains RdBronx, NY 10470-1136
Phone(212) 734-6621
Organization SubpartNo
Authorized OfficialSamuel KohnManager · (347) 631-6775
Enumeration DateJuly 21, 2025
Last NPPES UpdateJanuary 8, 2026
NPPES CertifiedJanuary 8, 2026
✔ NPI 1538041769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1501 CHARBONIER RD, Florissant, MO 63031
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BENTWOOD HEALTHCARE LLC
Skilled Nursing Facility
1501 CHARBONIER RD
FLORISSANT, MO 63031
St. Louis County (314) 921-2700
TJW MANAGEMENT INC
Skilled Nursing Facility
1501 CHARBONIER RD
FLORISSANT, MO 63031
St. Louis County (314) 921-2700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Missouri Mso LLC's NPI number?

The NPI number for Missouri Mso LLC is 1538041769. It was assigned to this organization in the NPPES registry on July 21, 2025.

Where is Missouri Mso LLC located?

Missouri Mso LLC is located at 1501 Charbonier Rd, Florissant, MO 63031. The listed phone number is (212) 734-6621.

What is Missouri Mso LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Missouri Mso LLC was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.