INTERVENTIONAL PAIN MANAGEMENT (NPI# 1043795354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043795354 |
| Entity Type | Organization |
| Organization Name | INTERVENTIONAL PAIN MANAGEMENT |
| Practice Address |
5000 Cedar Plaza Pkwy Ste 230 Saint Louis MO 63128-3859 |
| Mailing Address |
Po Box 650 Edwardsville IL 62025-0650 |
| Practice Telephone | 3142709446 |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2018-10-02 |
| Authorized Official Name | MAHENDRA GUNAPOOTI (PRESIDENT) |
| Authorized Official Telephone | 3148302600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Interventional Pain Management Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609351923 | Interventional Pain Management | Durable Medical Equipment & Medical Supplies | 2421 Corporate Ctr Ste 105, Granite City, IL 62040-4195 | 2018-10-02 |
| 1245667914 | Interventional Pain Management | Durable Medical Equipment & Medical Supplies | 261 Dunn Rd, Florissant, MO 63031-7928 | 2013-09-26 |
| 1215153101 | Interventional Pain Management | Specialist | 5225 Katy Fwy, 105, Houston, TX 77007-2264 | 2007-04-18 |
| 1710018247 | Interventional Pain Management | Pain Medicine | 261 Dunn Rd, Florissant, MO 63031-7928 | 2007-03-08 |
| 1972640548 | Interventional Pain Management | Anesthesiology | 16311 Ventura Blvd, #1280, Encino, CA 91436-2124 | 2007-01-31 |
| 1144231473 | Interventional Pain Management | Specialist | 601 E Church St, Elmira, NY 14901-2809 | 2006-08-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | INTERVENTIONAL PAIN MANAGEMENT | 13700 Fielding Rd, Lake Oswego, OR 97034 |
| Vermont Business Registrations | INTERVENTIONAL PAIN MANAGEMENT AND ANESTHESIA | 530 Washington Highway, Suite 1, Morrisville, VT 05661 |
| System for Award Management (SAM) Entities | INTERVENTIONAL PAIN MANAGEMENT LLC | 504 Legacy Plz W, La Porte, IN 46350-5254 |
| New York State Corporations | INTERVENTIONAL PAIN MANAGEMENT P.C. | 3848 Park Avenue, Ste 101, Edison, Nj 08820 |
| New York State Corporations | INTERVENTIONAL PAIN MANAGEMENT SERVICES, PLLC | 1940 Commerce Street, Suite 212, Yorktown Heights, Ny 10598 |
| Colorado Business Entities | INTERVENTIONAL PAIN MANAGEMENT SPECIALISTS, PLLC, A PROFESSIONAL LIMITED LIABILITY COMPANY | 1120 Wellington Ave, Suite 206, Grand Junction, CO 81501 |
| Colorado Business Entities | INTERVENTIONAL PAIN MANAGEMENT, LLC | 3010 N Circle Dr Ste 202, Colorado Springs, CO 80909 |
| Indiana Business Entities | INTERVENTIONAL PAIN MANAGEMENT-HOBART, LLC | 204 Legacy Plaza West, Laporte, IN 46350 |
| Indiana Business Entities | INTERVENTIONAL PAIN MANAGEMENT-LAPORTE, LLC | 204 Legacy Plaza West, Laporte, IN 46350 |
| Indiana Business Entities | INTERVENTIONAL PAIN MANAGEMENT-VALPO, LLC | 204 Legacy Plaza West, Laporte, IN 46350 |
| Street Address |
5000 CEDAR PLAZA PKWY STE 230 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63128-3859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669484119 | Olympic Rehab Wellness and Pain Center PC | Pain Medicine | 5000 Cedar Plaza Pkwy Ste 230, Saint Louis, MO 63128-3859 | 2006-08-13 |
| 1083270797 | Tanya Harte | Nurse Practitioner | 5000 Cedar Plaza Pkwy Ste 230, Saint Louis, MO 63128-3859 | 2019-05-17 |
| 1558843755 | Victoria Gelfand | Nurse Practitioner | 5000 Cedar Plaza Pkwy Ste 230, Saint Louis, MO 63128 | 2018-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
| 1326504655 | Nikodem Dental Holdings | Dentist | 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 | 2019-02-12 |
| 1932678505 | Michelle Anne Arvidson | Physical Therapy Assistant | Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2018-11-13 |
| 1245726710 | Kristen Rider | Nurse Practitioner | 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 | 2018-07-07 |
| 1306217427 | Sophia Bednarski | Dentist | 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2015-10-15 |
| 1427434224 | Darcie Burrus | Counselor | 12523 Old Tesson Rd G, St Louis, MO 63128 | 2015-08-04 |
| 1710368584 | Sara Hawatmeh | Internal Medicine | 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 | 2015-06-17 |
| 1871989590 | Celia Grace Montes-kolence | Speech-Language Pathologist | 12335 W Bend Drive, Saint Louis, MO 63128 | 2015-04-09 |
| 1245629302 | Marius Antonio Evans | Dentist | 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 | 2015-01-13 |
| 1801230313 | Sarah Elizabeth Walsh | Emergency Medicine | 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 | 2013-04-26 |
| Find all providers in zip 63128 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083228233 | Best Care Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 2200 W Port Plaza Dr Ste 220b, Saint Louis, MO 63146-3211 | 2020-09-04 |
| 1497368773 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1430 Olive St Ste P, Saint Louis, MO 63103-2360 | 2020-08-26 |
| 1407475858 | Medical Supplies Only LLC | Durable Medical Equipment & Medical Supplies | 13035 Olive Blvd Ste 212, Saint Louis, MO 63141-6179 | 2020-04-15 |
| 1902437460 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 6211 Delmar Blvd, Saint Louis, MO 63130-4814 | 2020-02-03 |
| 1306494927 | The Whiteville Drugstore, LLC | Durable Medical Equipment & Medical Supplies | 13035 Olive Blvd Ste 210, Saint Louis, MO 63141-6179 | 2019-08-27 |
| 1669939773 | Midwest Respiratory Care Inc | Durable Medical Equipment & Medical Supplies | 115 Branch St, Saint Louis, MO 63147-3503 | 2019-02-25 |
| 1992276604 | Skin Relief Supply | Durable Medical Equipment & Medical Supplies | 10990 New Halls Ferry Rd Ste J110, Saint Louis, MO 63136-4471 | 2018-12-07 |
| 1497272165 | Mercy Pharmacy Services, LLC | Durable Medical Equipment & Medical Supplies | 607 S New Ballas Rd Ste 1415, Saint Louis, MO 63141-8231 | 2017-08-24 |
| 1972041283 | Anavan LLC | Durable Medical Equipment & Medical Supplies | 14390 Manchester Rd, Saint Louis, MO 63011 | 2017-02-07 |
| 1972048247 | Solutia Medical LLC | Durable Medical Equipment & Medical Supplies | 335 Leffingwell Ave, Suite126, Saint Louis, MO 63122-6417 | 2016-12-22 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63128 |
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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.