INTERVENTIONAL CENTER FOR PAIN (NPI# 1508067208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508067208 |
| 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 | 2007-05-30 |
| Last Update Date | 2010-01-19 |
| Authorized Official Name | DR. GURPREET SINGH PADDA (ANESTHESIOLOGY) |
| Authorized Official Telephone | 3144815000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | HEALTH LINK | 175746 | 01 |
| MO | GHP | 118505 | 01 |
| MO | UHC | 2001272 | 01 |
| MO | MEDICARE RAILROAD | CJ6421 | 01 |
| MO | AETNA | 4647144 | 01 |
| MO | BLUE CROSS BLE SHILED | 149848 | 01 |
| MO | MEDICARE RAILROAD | 7200000096 | 01 |
| Other Name | Type Code |
|---|---|
| center for interventional pain management | Doing Business As Name - Organization |
| 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 |
| 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 |
| 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 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1497381990 | Styles 40 Salon | Specialist | 4550 Gravois Ave, Saint Louis, MO 63116-2426 | 2020-03-16 |
| 1013560721 | Against The Grainz | Specialist | 8523 Drury Ln, Saint Louis, MO 63147-1313 | 2019-07-22 |
| 1487211033 | Kia Lanay Lewis | Specialist | 9700 Portage Dr, Saint Louis, MO 63136-5312 | 2019-05-20 |
| 1376011007 | Lashonda S Wash | Specialist | 222 Bruce Ave, Saint Louis, MO 63135-2704 | 2018-11-12 |
| 1326516048 | Showna Walker | Specialist | 2242 Berwyn Dr, Saint Louis, MO 63136-5415 | 2018-11-12 |
| 1760973697 | Angela Haas | Specialist | 1361 Childress Ave, Saint Louis, MO 63139-3451 | 2018-05-26 |
| 1962907782 | Kelsey Conley | Specialist | 2839 Howard St, Saint Louis, MO 63106-2027 | 2018-03-25 |
| 1285135848 | Che Salon | Specialist | 8416 Olive Blvd, Saint Louis, MO 63132-2816 | 2018-02-27 |
| 1790225084 | Michael Bergman | Specialist | 6327 S Grand Blvd, Apt 1g, Saint Louis, MO 63111-2653 | 2017-03-06 |
| 1275082406 | Tim Fick | Specialist | 5157 Lemay Ferry Rd, Saint Louis, MO 63129-1533 | 2016-09-29 |
| Find all providers in SAINT LOUIS | ||||
| 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.