ST CLAIR ORTHOPEDICS, SC (NPI# 1639356082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639356082 |
| Entity Type | Organization |
| Organization Name | ST CLAIR ORTHOPEDICS, SC |
| Practice Address |
33 Bronze Pointe N Suite 100 Swansea IL 62226-8311 |
| Mailing Address |
12639 Old Tesson Rd Suite 115 Saint Louis MO 63128-2786 |
| Practice Telephone | 6182571177 |
| Practice Fax Number | 6182571184 |
| Mailing Telephone | 3148490311 |
| Mailing Fax Number | 3148494423 |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2011-02-17 |
| Authorized Official Name | MR. CHAD SACKMAN (ADMINISTRATOR) |
| Authorized Official Telephone | 3148490311 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073541728 | St Clair Orthopedics, Sc | Orthopaedic Surgery | 33 Bronze Pointe Blvd, Suite 100, Swansea, IL 62226-8311 | 2006-06-30 |
| Street Address |
33 BRONZE POINTE N SUITE 100 |
| City | SWANSEA |
| State | IL |
| Zip Code | 62226-8311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639778160 | Roxanna Lee Gunnels | Nurse Practitioner | 1 Bronze Pointe Plaza Suite 1a, Swansea, IL 62226 | 2020-10-26 |
| 1053969790 | Consistent Medical Transportation | Driver | 2012 N 17th St, Swansea, IL 62226 | 2019-08-27 |
| 1497314371 | Medi-plex Hospice of Illinois, LLC | Registered Nurse | 8 Park Place, Suite #3, Swansea, IL 62226 | 2019-06-13 |
| 1336617364 | Nicole Renee Schmidt | Speech-Language Pathologist | 150 N 27th St., Belleville, IL 62226 | 2018-11-07 |
| 1295258903 | Catherine Espino | Pharmacist | 11 Chambers Blvd, Swansea, IL 62226 | 2017-07-25 |
| 1366806838 | Kiley Faires | Nurse Practitioner | 4600 Memorial Drive Ste 360, Belleville, IL 62226 | 2016-04-11 |
| 1760857585 | Mvp Transportation | Non-emergency Medical Transport (VAN) | 1229 N 17th Street, Number 23, Belleville, IL 62226 | 2015-12-04 |
| 1275952566 | Aisha Danyale Franklin | Internal Medicine | 4261 Woodfield Pl, Belleville, IL 62226 | 2014-04-15 |
| 1396168332 | Jayne E. Ninness | Physical Therapy Assistant | 4500 Memorial Dr., Memorial Hospital, Belleville, IL 62226 | 2014-01-28 |
| 1053758193 | Gateway Foundation, Inc. | Clinic/Center | 1 Bronze Point, Suite 1, Swansea, IL 62226 | 2013-05-30 |
| Find all providers in zip 62226 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013201656 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 579 Gar Hwy, Swansea, MA 02777-4502 | 2011-05-31 |
| 1013209311 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2340 Gar Highway, Swansea, MA 02777 | 2011-05-05 |
| 1922315480 | Premier Advance Medical Supply | Durable Medical Equipment & Medical Supplies | 445 Burns Dr, Swansea, SC 29160-8894 | 2010-09-06 |
| 1740428044 | Cardi's Department Store Inc | Durable Medical Equipment & Medical Supplies | 1 Furniture Way, Swansea, MA 02777-3424 | 2009-01-26 |
| 1770682056 | Maxi Drug Inc | Durable Medical Equipment & Medical Supplies | 510 Wilbur Avenue, Swansea, MA 02777-2147 | 2006-09-22 |
| 1932203874 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 1803 N Illinois St, Swansea, IL 62226-2931 | 2006-09-12 |
| 1447362694 | Hanger Prosthetics & Orthotics East, Inc | Durable Medical Equipment & Medical Supplies | 7 Bronze Pointe S Ste A, Swansea, IL 62226-8308 | 2006-08-31 |
| 1548276025 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2532 N Illinois St, Swansea, IL 62226-2353 | 2006-08-01 |
| 1003833310 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 54 Cousinseau, Swansea, MA 02777 | 2006-07-16 |
| 1447227376 | Mediequip, Inc | Durable Medical Equipment & Medical Supplies | 216 Frank Scott Pkwy E, Ste 10, Swansea, IL 62226-7612 | 2006-02-28 |
| Find all providers in SWANSEA | ||||
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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.