PHYSICIANS HEALTH GROUP MEDICAL INC (NPI# 1245642420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245642420 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS HEALTH GROUP MEDICAL INC |
| Practice Address |
960 S. Highway Dr Fenton MO 63026 |
| Mailing Address |
P.o. Box 970 Chesterfield MO 63006 |
| Practice Telephone | 6363052000 |
| Practice Fax Number | 3145847007 |
| Mailing Telephone | 6363052000 |
| Mailing Fax Number | 3145847007 |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2015-06-01 |
| Authorized Official Name | MR. CHRISTOPHER KAVANAUGH (OWNER) |
| Authorized Official Telephone | 6363052000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | MO | Allopathic & Osteopathic Physicians | |
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
MO | Allopathic & Osteopathic Physicians |
| Street Address |
960 S. HIGHWAY DR |
| City | FENTON |
| State | MO |
| Zip Code | 63026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871000372 | Allison Egler | Audiologist | 1011 Bowles Ave Ste 405, Fenton, MO 63026 | 2018-01-05 |
| 1629508213 | Holly Brooks Munson | Massage Therapist | 220 Copper Mountain Dr, Fenton, MO 63026 | 2017-06-15 |
| 1073978862 | Naomi Sharon | Nurse Practitioner | 1101 Bowles Avenue, Suite G50, Fenton, MO 63026 | 2015-12-21 |
| 1871981704 | Celtic Private Care of Il & Mo, LLC | In Home Supportive Care | 1653 Larkin Williams Road, Suite 201, Fenton, MO 63026 | 2014-12-30 |
| 1356747513 | Kristina Potts | Nurse Practitioner | 774 Gravois Bluffs Blvd Ste B, Fenton, MO 63026 | 2014-11-14 |
| 1598047409 | Kevin Eugene Bruce | Pharmacist | 1210 Sugar Creek, Fenton, MO 63026 | 2011-09-16 |
| 1215186382 | Concentra Health Services, Inc. | Clinic/Center | 128 Matrix Commons Dr., Fenton, MO 63026 | 2008-09-15 |
| 1790954410 | Castlewood Treatment Center LLC | Community/Behavioral Health | 1855 Bowles Ave, Suite 210, Fenton, MO 63026 | 2008-02-27 |
| 1073703617 | Christina R Baeres | Dietitian, Registered | 38 Majestic Ct, Fenton, MO 63026 | 2007-07-30 |
| 1871718593 | Julia K Holzhausen | Speech-Language Pathologist | 1664 Ivy Chase Lane, Fenton, MO 63026 | 2007-04-16 |
| Find all providers in zip 63026 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902113178 | Northland Integrated Medical, Inc | Pain Medicine | 5563 Nw Barry Rd, Kansas City, MO 64154-1408 | 2010-09-08 |
| 1669484119 | Olympic Rehab Wellness and Pain Center PC | Pain Medicine | 5000 Cedar Plaza Pkwy Ste 230, Saint Louis, MO 63128-3859 | 2006-08-13 |
| 1316972466 | Berland Imaging Inc | Pain Medicine | 763 S New Ballas Road, Suite 230, St Louis, MO 63141 | 2006-07-11 |
| 1316982333 | Bradford R Noble | Pain Medicine | 811 N Keene St, Columbia, MO 65201-6634 | 2006-06-17 |
| 1568431013 | Suzanne E. Alt, D.o., LLC | Pain Medicine | 2605 N Baltimore St, Kirksville, MO 63501-5116 | 2006-03-16 |
| 1144211384 | Anesthesia Associates of Kc, PC, Dba Pain Management Associates | Pain Medicine | 200 Ne Missouri Rd, Suite 103, Lees Summit, MO 64086-4722 | 2005-11-04 |
| 1467443614 | Anesthesia Associates of Kansas City PC | Pain Medicine | 4911 Arrowhead Drive, Suite 300, Independence, MO 64055-7018 | 2005-11-04 |
| 1588100390 | Lester E Cox Medical Centers | Pain Medicine | 1001 E Primrose St, Suite 2 West, Springfield, MO 65807-5155 | 2017-01-18 |
| 1558719617 | Midwest Anesthesia Associates, P.C. | Pain Medicine | 11155 Dunn Rd, Suite 204n, Saint Louis, MO 63136-6150 | 2016-05-31 |
| 1285004598 | Ssm Medical Group Inc. | Pain Medicine | 12255 Depaul Drive, Suite 120, Bridgeton, MO 63044 | 2015-09-29 |
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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.