DR. JUSTIN JOHN GASPER (NPI# 1578848792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578848792 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN JOHN GASPER |
| Credential | D.O. |
| Practice Address |
100 Medical Plz Lake Saint Louis MO 63367-1366 |
| Mailing Address |
1776 Woodstead Ct Ste 208 The Woodlands TX 77380-1480 |
| Practice Telephone | 8777497428 |
| Practice Fax Number | 5126283314 |
| Mailing Telephone | 8777497428 |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2020-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | 0102203750 | VA | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | 2015011363 | MO | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | BP10040290 | TX | Allopathic & Osteopathic Physicians |
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
2015011363 | MO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 121 Saint Lukes Center Dr, Suite 403, Chesterfield, MO 630173509 | 3142056149 | 3145905920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366946063 | Justin Timothy Gasper | Student in an Organized Health Care Education/Training Program | 1344 13th Ave S, Seattle, WA 98144-3406 | 2018-03-19 |
| Street Address |
100 MEDICAL PLZ |
| City | LAKE SAINT LOUIS |
| State | MO |
| Zip Code | 63367-1366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124590351 | Claire Ford | Dietitian, Registered | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 | 2018-12-28 |
| 1780959296 | Sarah Udell | Dietitian, Registered | 100 Medical Plz, Suite 1203, Lake Saint Louis, MO 63367-1366 | 2012-03-16 |
| 1780959288 | Alison Watson | Dietitian, Registered | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 | 2012-03-16 |
| 1326313909 | Nancy Keetch | Dietitian, Registered | 100 Medical Plz, Suite 1203, Lake Saint Louis, MO 63367-1366 | 2012-03-15 |
| 1205851755 | Jason Gutting | Pediatrics | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295376697 | Stacy Brown | Counselor | 1216 Flagstone Terrace, Lake St. Louis, MO 63367 | 2019-10-07 |
| 1083172449 | Katie D Schmidt | Nurse Practitioner | 300 Medical Plz Ste 150, Lake St Louis, MO 63367 | 2019-03-05 |
| 1932639739 | Eren Taylor-scaggs | Social Worker | 112 Lake St. Louis Blvd, Lake St. Louis, MO 63367 | 2017-06-14 |
| 1184169203 | Be The Change Counseling Services | Community/Behavioral Health | 206 Centre On The Lake, Lake St. Louis, MO 63367 | 2016-12-28 |
| 1568812535 | Brittanie Weinhaus | Family Medicine | 6261 Ronald Regan Dr Ste #b19, Lake St. Louis, MO 63367 | 2016-06-20 |
| 1821445099 | Matt Beamer | Skilled Nursing Facility | 2885 Technology Drive, Lake St. Louis, MO 63367 | 2016-05-18 |
| 1710349642 | Jennifer Gandolfo | Early Intervention Provider Agency | 710 Abbottsford Ct., Lake St. Louis, MO 63367 | 2016-03-21 |
| 1760862361 | Joaquin Francisco Sumaya | Chiropractor | 11104 Veterans Memorial Pkwy., Lake Saint Louis, MO 63367 | 2015-06-09 |
| 1619214566 | Daniel Scott Terry | Counselor | 1000 Edgewater Pt Ste 401, Lake St Louis, MO 63367 | 2013-01-12 |
| 1437415551 | Cherie Jean Coletta | Nurse Practitioner | 100 Medical Plaza Dr, Emergency Department, Lake Saint Louis, MO 63367 | 2012-04-03 |
| Find all providers in zip 63367 | ||||
| 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 |
| Find all providers with the same taxonomy | ||||
| City | LAKE SAINT LOUIS |
| Zip Code | 63367 |
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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.