MR. GURPREET PADDA (NPI# 1427035955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427035955 |
| Entity Type | Individual |
| Full Name | MR. GURPREET PADDA |
| Credential | M.D |
| Practice Address |
5203 Chippewa St Suite 301 Saint Louis MO 63109-2356 |
| Practice Telephone | 3144815000 |
| Mailing Telephone | 3144815000 |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2011-02-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
100572 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BLUE CROSS BLUE SHILED | 149848 | 01 |
| MO | HELATH LINK | 175746 | 01 |
| MO | GHP | 118505 | 01 |
| MO | AETNA | 4647144 | 01 |
| MO | UHC | 2001272 | 01 |
| MO | MEDICARE RAIL ROAD | 7200000096 | 01 |
| Street Address |
5203 CHIPPEWA ST SUITE 301 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63109-2356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497288971 | Interventional Center for Pain | Clinical Nurse Specialist | 5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 | 2017-04-11 |
| 1679977144 | Allelodyne, LLC | Clinical Medical Laboratory | 5203 Chippewa St, Saint Louis, MO 63109-2356 | 2014-10-13 |
| 1194159053 | Communicare Elite, LLC | Health Maintenance Organization | 5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 | 2013-08-28 |
| 1588852073 | Gerald J. Wertel, Dcpc | Chiropractor | 5203 Chippewa St, Suite 100, Saint Louis, MO 63109-2356 | 2007-10-09 |
| 1508067208 | Interventional Center for Pain | Specialist | 5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 | 2007-05-30 |
| 1912087149 | Gerald Joseph Wertel | Chiropractor | 5203 Chippewa St, Suite 100, Saint Louis, MO 63109-2356 | 2006-10-16 |
| 1457449027 | Paul Harris Lee | Chiropractor | 5203 Chippewa St, Ste 200, Saint Louis, MO 63109-2356 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013431907 | James Edward Trout | Community Health Worker | 3956 Wenzlick Ave, St Louis, MO 63109 | 2017-08-01 |
| 1750815023 | Andrea Hyde | Nurse Practitioner | 5302 Chippewa Street, Suite 301, St Louis, MO 63109 | 2017-04-13 |
| 1215362124 | Alex Sharifian Dds Francis Park Dentistry PC | Dentist | 6650 Chippewa Street, Saint Louis, MO 63109 | 2013-09-10 |
| 1881993962 | Rachel Elizabeth Hale Hasper | Counselor | 6555 Chippewa, St Louis, MO 63109 | 2011-03-15 |
| 1730369885 | Janis Marie Lampa | Physical Therapist | 5203 Chippewa, Suite 301, St. Louis, MO 63109 | 2007-11-06 |
| 1285753772 | James Matthew Jordan | Occupational Therapist | 32 Hampton Village Plaza, St Louis, MO 63109 | 2007-03-28 |
| 1730224478 | Mercy Health Services, LLC | Optometrist | 34 Hampton Village Plaza, St. Louis, MO 63109 | 2007-02-20 |
| 1801959903 | John Thomas Doyle | Dentist | 5400 Walsh St, St Louis, MO 63109 | 2006-12-19 |
| 1649339771 | Residencial Services Corporation | Assisted Living Facility | 5890 Eichelberger, St Louis, MO 63109 | 2006-12-06 |
| 1316039852 | Gary Raymond Rieser | Dentist | 3915 Watson Road, Suite 205, Saint Louis, MO 63109 | 2006-09-29 |
| Find all providers in zip 63109 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316908155 | Nabil Ahmad | Physical Medicine & Rehabilitation | 12855 N 40 Dr Ste 275, Saint Louis, MO 63141-8667 | 2006-03-31 |
| 1891200895 | Institute of Pain Management LLC | Physical Medicine & Rehabilitation | 10199 Woodfield Ln, Saint Louis, MO 63132-2922 | 2017-12-12 |
| 1467874982 | N & W Associates Inc | Physical Medicine & Rehabilitation | 777 S New Ballas Rd, Suite 302w, Saint Louis, MO 63141-8705 | 2014-01-17 |
| 1184853152 | Tong Zhu | Physical Medicine & Rehabilitation | 10435 Clayton Rd Ste 120, Saint Louis, MO 63131-2930 | 2009-07-10 |
| 1548430952 | Tesson Heights Orthopaedic & Arthroscopic Associates PC | Physical Medicine & Rehabilitation | 12152 Tesson Ferry Rd, Ste 2, Saint Louis, MO 63128-1726 | 2008-03-03 |
| 1891756557 | Jennifer Lynn Page | Physical Medicine & Rehabilitation | 10010 Kennerly Rd, 4th Floor - Acute Rehab, Saint Louis, MO 63128-2106 | 2006-03-31 |
| 1205896495 | Boris Khariton | Physical Medicine & Rehabilitation | 6125 Clayton Ave, Suite 101, Saint Louis, MO 63139-3265 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043879471 | P.r.i.m.e. Health Centers - Chesterfield, LLC | Physical Medicine & Rehabilitation | 253 Chesterfield Industrial Blvd, Chesterfield, MO 63005-1201 | 2019-06-10 |
| 1396300505 | Russell Thurman | Physical Medicine & Rehabilitation | 305 Thornbrooke Dr, Rogersville, MO 65742-8737 | 2019-05-02 |
| 1841753209 | Ap Medical | Physical Medicine & Rehabilitation | 1131 W Main St Ste A, Blue Springs, MO 64015-3698 | 2019-04-11 |
| 1043774821 | Riley Stowe | Physical Medicine & Rehabilitation | 1301 Tullison Rd, Kansas City, MO 64116-2640 | 2019-01-26 |
| 1043762974 | St Louis Spine and Joint Pain Specialists LLC | Physical Medicine & Rehabilitation | 520 Center Street, Fenton, MO 63026-4246 | 2016-10-26 |
| 1477843985 | Diana Mekler | Physical Medicine & Rehabilitation | 1365 Nykiel Ct, Ballwin, MO 63011-4246 | 2011-04-18 |
| 1962707075 | Charles Mauldin, Md PC | Physical Medicine & Rehabilitation | 3003 E Chestnut Expy Ste 109, Springfield, MO 65802-2527 | 2011-01-20 |
| 1730364647 | Gary D Eaton | Physical Medicine & Rehabilitation | 3705 Bethel St, Columbia, MO 65203-5603 | 2008-01-09 |
| 1619081890 | Nehal P Modh | Physical Medicine & Rehabilitation | 1145b E Gannon Dr, Festus, MO 63028-2611 | 2006-08-18 |
| 1780157172 | Spine Pain and Rehab Associates LLC | Physical Medicine & Rehabilitation | 201 Nw R D Mize Rd, Blue Springs, MO 64014-2513 | 2019-01-08 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS |
| Zip Code | 63109 |
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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.