STRATO3 LLC (NPI# 1336704394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336704394 |
| Entity Type | Organization |
| Organization Name | STRATO3 LLC |
| Practice Address |
14169 Manchester Rd Ste C Manchester MO 63011-4525 |
| Practice Telephone | 5203950471 |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2019-05-06 |
| Authorized Official Name | JOHN WEBSTER (COO) |
| Authorized Official Telephone | 5209075879 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| StratO3 Health STL | Other Name - Individual/Organization |
| Street Address |
14169 MANCHESTER RD STE C |
| City | MANCHESTER |
| State | MO |
| Zip Code | 63011-4525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912349283 | Sara K Herbert | Nurse Practitioner | 14169 Manchester Rd Ste C, Manchester, MO 63011-4525 | 2013-07-26 |
| 1881236248 | Adrienne Nicole Barrow | Nurse Practitioner | 14169 Manchester Rd Ste C, Manchester, MO 63011-4525 | 2019-10-17 |
| 1205487014 | Ozone Consulting Stl | Clinic/Center | 14169 Manchester Rd Ste C, Manchester, MO 63011-4525 | 2019-09-23 |
| 1255820510 | Urgent Specialists LLC | Family Medicine | 14169 Manchester Rd Ste C, Manchester, MO 63011-4525 | 2018-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205309234 | Heather Renee Leone | Nurse Practitioner | 452 Sovereign Court Suite A, Ballwin, MO 63011 | 2019-01-02 |
| 1538635297 | Jennifer Lea Nicole O'donnell | Registered Nurse | 13861 Manchester Road, Town and Country, MO 63011 | 2018-10-22 |
| 1285127712 | Genevieve Friedmann | Social Worker | 301 Sovereign Ct Ste 103, Ballwin, MO 63011 | 2018-06-09 |
| 1881187391 | Andrew Cittadino Link | Dentist | 14335 Manchester Road, Ballwin, MO 63011 | 2018-06-08 |
| 1972041283 | Anavan LLC | Durable Medical Equipment & Medical Supplies | 14390 Manchester Rd, Saint Louis, MO 63011 | 2017-02-07 |
| 1780131300 | Autism and Behavioral Spectrum LLC | Day Training, Developmentally Disabled Services | 14733 Clayton Road, Chesterfield, MO 63011 | 2016-09-01 |
| 1265872964 | Eryn Nichole Miner | Behavioral Analyst | 15834 Clayton Road, Ellisville, MO 63011 | 2013-06-27 |
| 1194168765 | Donna Margaret Carrillo | Developmental Therapist | 15834 Clayton Rd., Ellisville, MO 63011 | 2013-04-12 |
| 1891047486 | Ashley Amanda Battaglia | Chiropractor | 15945 Clayton Rd Ste 230c, Ballwin, MO 63011 | 2012-10-08 |
| 1750658480 | Gary Frank Sobocinski | Pharmacist | 4033 Sovereign Court, Ballwin, MO 63011 | 2011-11-23 |
| Find all providers in zip 63011 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093784589 | Harvey Allen Kahaner | Otolaryngology | 239 Ludlow Rd, Manchester, CT 06040-4546 | 2006-03-16 |
| 1679992887 | Colin Edwards | Otolaryngology | 30 Canton St Ste 2, Manchester, NH 03103-3524 | 2014-04-15 |
| 1447267638 | Ear Nose and Throat Specialists of Southern Nh | Otolaryngology | 30 Canton St, Suite #2, Manchester, NH 03103-3524 | 2006-08-01 |
| 1518914209 | Marjorie K Stock | Otolaryngology | 130 Tarrytown Rd, Manchester, NH 03103-2713 | 2006-05-28 |
| 1487624078 | Michael J Franklin | Otolaryngology | 360 Tolland Tpke, 1e, Manchester, CT 06042-1771 | 2006-01-25 |
| 1750367884 | Andrew Ryan Spector | Otolaryngology | 30 Canton St, Manchester, NH 03103-3524 | 2005-12-20 |
| 1427047554 | Richard H Lee | Otolaryngology | 130 Tarrytown Rd, Manchester, NH 03103-2713 | 2005-10-20 |
| 1285623595 | Judson R Belmont | Otolaryngology | 130 Tarrytown Rd, Manchester, NH 03103-2713 | 2005-10-19 |
| 1902893878 | Ear Nose Throat Physicians & Surgeons Pa | Otolaryngology | 130 Tarrytown Rd, Manchester, NH 03103-2713 | 2005-10-05 |
| 1154327591 | James P Bartels | Otolaryngology | 30 Canton St, Ste 2, Manchester, NH 03103-3524 | 2005-06-21 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 63011 |
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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.