KREG THERAPEUTICS, INC. (NPI# 1013102334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013102334 |
| Entity Type | Organization |
| Organization Name | KREG THERAPEUTICS, INC. |
| Practice Address |
11040 Lin Valle Dr Suite E Saint Louis MO 63123-7210 |
| Mailing Address |
2240 W Walnut St Chicago IL 60612-2218 |
| Practice Telephone | 3128298909 |
| Practice Fax Number | 3128298909 |
| Mailing Telephone | 3128298904 |
| Mailing Fax Number | 3128298909 |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-09-10 |
| Authorized Official Name | MARIA I MAYORGA (MEDICARE BILLER) |
| Authorized Official Telephone | 3128298909 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831382654 | Kreg Therapeutics, Inc. | Durable Medical Equipment & Medical Supplies | 1905 Goodson Ct, South Bend, IN 46613-3413 | 2007-08-24 |
| 1477744985 | Kreg Therapeutics, Inc. | Durable Medical Equipment & Medical Supplies | 1300 Washington Road, Washington, IL 61571-2368 | 2007-08-08 |
| 1326239591 | Kreg Therapeutics, Inc. | Durable Medical Equipment & Medical Supplies | 14200 West Commerce Road, Daleville, IN 47334 | 2007-08-05 |
| 1629146014 | Kreg Therapeutics, Inc. | Durable Medical Equipment & Medical Supplies | 2240 W Walnut St, Chicago, IL 60612-2218 | 2006-12-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | KREG THERAPEUTICS, INC | 1940 Janice Ave, Melrose Park, IL 60160-1009 |
| Oklahoma Business Registrations | KREG THERAPEUTICS, INC. | 2240 W Walnut, Chicago, IL 60612 |
| New York State Corporations | KREG THERAPEUTICS, INC. | 1940 Janice Ave, Melrose Park, Il 60160 |
| Indiana Business Entities | KREG THERAPEUTICS, INC. | 2240 W Walnut St, Chicago, IL 60612 |
| Street Address |
11040 LIN VALLE DR SUITE E |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63123-7210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770002610 | Peter Brown | Home Health Aide | 9530 Antigo Dr, St Louis, MO 63123 | 2017-09-12 |
| 1346629748 | Emily Murray | Community/Behavioral Health | 7556 Genesta Street, Saint Louis, MO 63123 | 2015-05-19 |
| 1730566183 | Family Home & Health Care Services | Home Health | 9124 Lemona Drive, Saint Louis, MO 63123 | 2015-05-05 |
| 1114319092 | Kathi Wallace | Counselor | 11166 Tesson Ferry Rd., Suite #203 Alpha Omega Christian Counseling, St. Louis, MO 63123 | 2015-03-02 |
| 1982981098 | Robert Arthur Bilzing | Pharmacist | 9949 Tesson Ferry Rd, St. Louis, MO 63123 | 2011-11-03 |
| 1760767198 | Valentina Jovic | Pharmacist | 5764 South Lindbergh Blvd, St. Louis, MO 63123 | 2011-10-17 |
| 1033423504 | Margaret L Shields Inc | Podiatrist | 11132 South Towne Square, Ste 105, St Louis, MO 63123 | 2010-07-27 |
| 1083858336 | John David Bouhasin | Pediatrics | 7629 Bracken Circle, St. Louis, MO 63123 | 2009-04-29 |
| 1326288929 | Erica J Fahrner | Occupational Therapist | 6022 S. Lindbergh, Suite 100, Saint Louis, MO 63123 | 2009-02-23 |
| 1629248158 | Maria Ramona Eppler | Nurse Practitioner | 4217 Bayless Ave., St. Louis, MO 63123 | 2008-03-12 |
| Find all providers in zip 63123 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881240349 | Jerry Lee Long Jr. | Durable Medical Equipment & Medical Supplies | 6654 Bitteroot Ln, Saint Louis, MO 63134-1451 | 2019-08-12 |
| 1417252602 | Medcuro Manufacturing, LLC | Durable Medical Equipment & Medical Supplies | 9959 Lin Ferry Dr, Saint Louis, MO 63123-6913 | 2011-01-19 |
| 1184885188 | James Allen Cohen | Durable Medical Equipment & Medical Supplies | 99 Lake Forest Dr, Saint Louis, MO 63117-1361 | 2008-06-23 |
| 1235329616 | Sourceone Medical Inc | Durable Medical Equipment & Medical Supplies | 1872 Craigshire Rd, Saint Louis, MO 63146-4006 | 2007-07-31 |
| 1013136720 | United Access LLC | Durable Medical Equipment & Medical Supplies | 9389 Natural Bridge Rd, Saint Louis, MO 63134-3145 | 2007-04-24 |
| 1689673493 | Midwest Stone Institute | Durable Medical Equipment & Medical Supplies | 12166 Old Big Bend Rd Ste 110, Saint Louis, MO 63122-6836 | 2005-07-14 |
| 1407852577 | Support Surfaces, Inc | Durable Medical Equipment & Medical Supplies | 10770 Midwest Industrial Blvd, Saint Louis, MO 63132-1610 | 2005-06-23 |
| 1447788823 | Custom Medical Solutions Inc | Durable Medical Equipment & Medical Supplies | 10770 Midwest Industrial Blvd, Saint Louis, MO 63132-1610 | 2017-05-30 |
| 1053850909 | Wolken Dental D D S P C | Durable Medical Equipment & Medical Supplies | 8888 Ladue Rd, Saint Louis, MO 63124-2056 | 2017-02-13 |
| 1487104600 | Bruce Cook Prosthetics | Durable Medical Equipment & Medical Supplies | 2821 N Ballas Rd, Suite 215, Saint Louis, MO 63131-2321 | 2016-10-12 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63123 |
Please comment or provide details below to improve the information on KREG THERAPEUTICS, INC..
| 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.