INTERVENTIONAL CENTER FOR PAIN (NPI# 1497288971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497288971 |
| Entity Type | Organization |
| Organization Name | INTERVENTIONAL CENTER FOR PAIN |
| Other Organization Name | CENTER FOR INTERVENTIONAL PAIN MANAGEMENT |
| Practice Address |
5203 Chippewa St Suite 301 Saint Louis MO 63109-2356 |
| Practice Telephone | 3144815000 |
| Practice Fax Number | 3144813037 |
| Mailing Telephone | 3144815000 |
| Mailing Fax Number | 3144813037 |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2017-04-11 |
| Authorized Official Name | DR. GURPREET S PADDA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3144815000 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
2016043827 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Center for Interventional Pain management | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508067208 | Interventional Center for Pain | Specialist | 5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 | 2007-05-30 |
| Street Address |
5203 CHIPPEWA ST SUITE 301 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63109-2356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427035955 | Gurpreet Padda | Physical Medicine & Rehabilitation | 5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 | 2005-12-27 |
| 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 | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992055099 | Domus Medical House Calls, LLC | Clinical Nurse Specialist | 13380 Amiot Dr, Saint Louis, MO 63146-2239 | 2012-09-16 |
| 1073884862 | Renee R Schnelker | Clinical Nurse Specialist | 1423 S Big Bend Blvd, Saint Louis, MO 63117-2203 | 2012-01-25 |
| 1972780229 | Antoinette Frances Kanne | Clinical Nurse Specialist | 621 S New Ballas Rd, Suite 560 A, Saint Louis, MO 63141-8232 | 2008-01-29 |
| 1457315392 | Melissa Ellen Nixon | Clinical Nurse Specialist | 1 Jefferson Barracks Dr, Saint Louis, MO 63125-4181 | 2006-04-17 |
| 1265422000 | Tabitha S Stith | Clinical Nurse Specialist | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2005-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932428943 | Kristi Dawn Skinner | Clinical Nurse Specialist | 1723 Broadway St Ste 410, Cape Girardeau, MO 63701-4556 | 2010-06-01 |
| 1619105731 | Pamela M. Lotz | Clinical Nurse Specialist | 902 No. Riverside Rd, Suite 200, St. Joseph, MO 64507 | 2009-06-26 |
| 1295936821 | Patrick Shawn Drummond | Clinical Nurse Specialist | 190 Industrial Dr, Festus, MO 63028-4133 | 2007-05-30 |
| 1053470302 | Frances Sheller Stous | Clinical Nurse Specialist | 901 Ne Independence Avenue, Lees Summit, MO 64086-5544 | 2006-12-06 |
| 1275611410 | Patricia Lynn Walsh | Clinical Nurse Specialist | 4330 Wornall Road, Suite 2000, Kansas City, MO 64111-5939 | 2006-11-02 |
| 1821578501 | Amanda Hocker | Clinical Nurse Specialist | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2018-08-21 |
| 1215474895 | Susan M. Blum Kratky | Clinical Nurse Specialist | 3515 Broadway Blvd, Kansas City, MO 64111-2537 | 2017-01-20 |
| 1548711609 | Jackie Dee Faber | Clinical Nurse Specialist | 101 S Fairview Rd, Columbia, MO 65203-7637 | 2016-10-24 |
| 1558811760 | Andrea Theresa Kuensting | Clinical Nurse Specialist | 1 Hospital Dr, Columbia, MO 65212-0001 | 2016-10-12 |
| 1477909166 | Julia Slavik | Clinical Nurse Specialist | 7068 S Outer 364, O Fallon, MO 63368-7757 | 2016-05-11 |
| 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.