BACK & NECK CARE CENTER, P.C. (NPI# 1184731010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184731010 |
| Entity Type | Organization |
| Organization Name | BACK & NECK CARE CENTER, P.C. |
| Other Organization Name | MISSOURI SPINE CARE |
| Practice Address |
2682 Babble Creek Ln O Fallon MO 63368-8337 |
| Practice Telephone | 6369783000 |
| Practice Fax Number | 6369781821 |
| Mailing Telephone | 6369783000 |
| Mailing Fax Number | 6369781821 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MATTHEW DAVID GOODWIN (OWNER) |
| Authorized Official Telephone | 6369783000 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
MO | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Missouri Spine Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356595110 | Back & Neck Care Center, P.C. | Chiropractor | 1082 Saint Georges Ave, Rahway, NJ 07065-2664 | 2008-11-06 |
| Street Address |
2682 BABBLE CREEK LN |
| City | O FALLON |
| State | MO |
| Zip Code | 63368-8337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255448148 | Diane Marie Kemper | Physical Therapist | 2682 Babble Creek Ln, O Fallon, MO 63368-8337 | 2006-08-24 |
| 1083958706 | O'fallon Pain Relief Associates LLC | Clinic/Center | 2682 Babble Creek Ln, O Fallon, MO 63368-8337 | 2012-11-19 |
| 1265562540 | Matthew David Goodwin | Chiropractor | 2682 Babble Creek Ln, O Fallon, MO 63368-8337 | 2007-03-06 |
| 1851478770 | Aaron Eugene Mohr | Chiropractor | 2682 Babble Creek Ln, O Fallon, MO 63368-8337 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720329 | Come As You Are Counseling LLC | Counselor | 1001 Boardwalk Springs Place, Suite 111, O Fallon, MO 63368 | 2020-11-04 |
| 1770124802 | Lisa N. Greer | Technician | 6911 Brassel Dr., Ofallon, MO 63368 | 2019-09-30 |
| 1770145716 | Halie Faye Gulley | Dentist | 3009 Hwy K, O'fallon, MO 63368 | 2019-06-29 |
| 1972079556 | Erin Corsi Fraundorf | Dentist | 3009 State Hwy K, O'fallon, MO 63368 | 2018-10-22 |
| 1427579960 | Air Evac Ems, Inc. | Ambulance | 1001 Boardwalk Springs Pl Ste 250, O Fallon, MO 63368 | 2017-07-06 |
| 1528507472 | Washeck Manual Therapy LLC | Clinic/Center | 3074 Winghaven Blvd, O'fallon, MO 63368 | 2017-02-13 |
| 1639618457 | Brittany Hogan | Physical Therapist | 7412 South Outer 364, Suite B, Dardenne Prairie, MO 63368 | 2017-02-13 |
| 1124561469 | Cardinal Home Care LLC | Home Health | 18 Convent Garden Ct, O'fallon, MO 63368 | 2016-11-18 |
| 1336509272 | Sarah Marie Mudd | Counselor | 1654 Bryan Road, O'fallon, MO 63368 | 2016-03-04 |
| 1588023956 | Price-bourisaw Family Chiropractic | Chiropractor | 2917 State Highway K, O Fallon, MO 63368 | 2016-02-15 |
| Find all providers in zip 63368 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316563000 | Milestones Behavioral Health Services | Clinic/Center | 939 Georgetowne Dr, O Fallon, IL 62269-3414 | 2020-06-18 |
| 1558767244 | Whole Health Medical Group Ohio Professional Corporation | Clinic/Center | 1000 Technology Dr, O Fallon, MO 63368-2239 | 2014-11-07 |
| 1528569845 | Washington University Physicians In Illinois, Inc. | Clinic/Center | 1414 Cross St, O Fallon, IL 62269-2988 | 2018-02-22 |
| 1114431616 | New Heights Integrated Health Sc | Clinic/Center | 124 Regency Park Ste 7, O Fallon, IL 62269-1994 | 2017-11-21 |
| 1477076263 | Washington University Physicians In Illinois, Inc | Clinic/Center | 1414 Cross St, O Fallon, IL 62269-2988 | 2017-07-24 |
| 1083958706 | O'fallon Pain Relief Associates LLC | Clinic/Center | 2682 Babble Creek Ln, O Fallon, MO 63368-8337 | 2012-11-19 |
| 1609010859 | Holistic Health & Wellness Sc | Clinic/Center | 4965 Stone Falls Ctr, Suite # 7, O Fallon, IL 62269-7802 | 2009-04-30 |
| 1609942747 | Physician Groups Lc | Clinic/Center | 3449 Pheasant Meadow Dr, Suite 107, O Fallon, MO 63368-7364 | 2006-11-28 |
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|---|---|---|---|---|
| 1023629458 | Palm Valley Health LLC | Clinic/Center | 1095 Nooning Tree Dr, Chesterfield, MO 63017-2468 | 2020-08-10 |
| 1477175594 | Confident American English, LLC | Clinic/Center | 1190 Jefferson St Ste 103a, Washington, MO 63090-4443 | 2020-05-12 |
| 1619513215 | Southeast Missouri Health Network | Clinic/Center | 835 W Murray Ln, Sikeston, MO 63801-4056 | 2019-11-19 |
| 1275014953 | Arch Pediatrics LLC | Clinic/Center | 3844 S Lindbergh Blvd Ste 216, Saint Louis, MO 63127-1369 | 2018-08-22 |
| 1174015515 | Washington University Physicians In Illinois, Inc | Clinic/Center | 4511 Forest Park Ave, Saint Louis, MO 63108-2138 | 2018-06-01 |
| 1164921300 | Texas County Memorial Hospital | Clinic/Center | 1333 S Sam Houston Blvd Ste A, Houston, MO 65483 | 2018-02-02 |
| 1053822650 | Edge Medical Services Inc. | Clinic/Center | 105 W 34th St Apt 2, Kansas City, MO 64111-1677 | 2017-10-23 |
| 1932618394 | United Physicians Group, LLC | Clinic/Center | 14825 N Outer 40 Rd Ste 365, Chesterfield, MO 63017-2152 | 2017-09-28 |
| 1073022000 | Fairview Heights Medical Group Sc | Clinic/Center | 670 Mason Ridge Center Dr Ste 300, Saint Louis, MO 63141-8573 | 2017-09-21 |
| 1013433762 | Elevating Care Clinic, LLC | Clinic/Center | 2340 E. Meyer Blvd, 208, Kansas City, MO 64132-1105 | 2017-08-15 |
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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.