INTEGRATIVE SPINE CARE LLC (NPI# 1649623240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649623240 |
| Entity Type | Organization |
| Organization Name | INTEGRATIVE SPINE CARE LLC |
| Other Organization Name | PAIN PREVENTION & REHABILITATION |
| Practice Address |
13710 Olive Blvd Chesterfield MO 63017-2602 |
| Practice Telephone | 3144697246 |
| Practice Fax Number | 3144697251 |
| Mailing Telephone | 3144697246 |
| Mailing Fax Number | 3144697251 |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2016-11-21 |
| Authorized Official Name | MS. LATA SOLANKI (OFFICE MANAGER) |
| Authorized Official Telephone | 3144697246 |
| Authorized Official Credential | B. SC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
103749 | MO | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Pain Prevention & Rehabilitation | Doing Business As Name - Organization |
| Street Address |
13710 OLIVE BLVD |
| City | CHESTERFIELD |
| State | MO |
| Zip Code | 63017-2602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326123100 | Manish Suthar | Physical Medicine & Rehabilitation | 13710 Olive Blvd, Chesterfield, MO 63017-2602 | 2006-10-27 |
| 1992984041 | Manish Suthar Md PC | Physical Medicine & Rehabilitation | 13710 Olive Blvd, Chesterfield, MO 63017-2602 | 2007-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549193 | Kathryn E Bos | Student in an Organized Health Care Education/Training Program | 873 Apt N Foxsprings Dr, Chesterfield, MO 63017 | 2020-05-12 |
| 1700415171 | Charles H. Edwards | Physical Therapist | 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 | 2020-04-07 |
| 1003454562 | Stephanie Henningsen | Physical Therapy Assistant | 307 S Woods Rd, Chesterfield, MO 63017 | 2019-12-16 |
| 1831746296 | Star Lynn Sutton | Occupational Therapy Assistant | 15207 Olive Boulevard, Chesterfield, MO 63017 | 2019-08-21 |
| 1639738438 | Van Amburg & Busiek Md's, LLC | Pharmacy | 232 S Woodsmill Road, Suite 330 East, Chesterfield, MO 63017 | 2019-06-06 |
| 1306306865 | Margaret Mary Wynn | Nurse Practitioner | 15740 South Outer Road, Chesterfield, MO 63017 | 2019-03-21 |
| 1205393089 | Kimberly Danielle | Nurse Practitioner | 744 Forest Trace Dr, Chesterfield, MO 63017 | 2019-02-27 |
| 1457823965 | Allison Joy Mcgrail | Dietitian, Registered | 45740 S Outer Forty Rd, Chesterfield, MO 63017 | 2018-12-21 |
| 1316418080 | Julie Lefere | Social Worker | Mercy Virtual Care Center, 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2018-12-06 |
| 1336629641 | Catherine Dolphin Smith | Nurse Practitioner | 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 | 2018-08-16 |
| Find all providers in zip 63017 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730605312 | Lake of The Ozarks Laser Pain Center LLC | Clinic/Center | 1039 E Us Highway 54 Ste 100, Camdenton, MO 65020-6852 | 2017-08-16 |
| 1952799264 | James R. Cook, Md | Clinic/Center | 2333 E Glenwood St, Springfield, MO 65804-3320 | 2015-01-08 |
| 1841540382 | Elpis Healthcare Inc | Clinic/Center | 9918 Grandview Forest Ct, Saint Louis, MO 63127-0046 | 2012-09-12 |
| 1114944196 | Twin City Healt Services | Clinic/Center | 2310 N Truman Blvd, Crystal City, MO 63019-1037 | 2006-07-16 |
| 1730588674 | Midwest Health Solutions LLC | Clinic/Center | 24 Southtowne Dr, Potosi, MO 63664-5729 | 2014-08-16 |
| 1114290749 | South County Anesthesia Associates, Ltd | Clinic/Center | 1601 Wentzville Pkwy, Suite 109, Wentzville, MO 63385-3814 | 2012-02-13 |
| 1265705883 | South County Anesthesia Associates, Ltd | Clinic/Center | 4800 Mexico Rd, Suite 101, Saint Peters, MO 63376-1666 | 2012-02-13 |
| 1689947202 | South County Anesthesia Associates, Ltd | Clinic/Center | 1055 Bowles Ave, Suite 200, Fenton, MO 63026-2308 | 2012-02-13 |
| 1508909680 | Physician Groups Lc | Clinic/Center | 11155 Dunn Rd, Suite 109n, Saint Louis, MO 63136-6150 | 2007-02-15 |
| 1265545495 | Ch Allied Services, Inc. | Clinic/Center | 1600 E Broadway, Columbia, MO 65201-5844 | 2006-08-15 |
| Find all providers with the same taxonomy | ||||
| City | CHESTERFIELD |
| Zip Code | 63017 |
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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.