DR. KEVIN MICHAEL BAUM (NPI# 1669546586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669546586 |
| Entity Type | Individual |
| Full Name | DR. KEVIN MICHAEL BAUM |
| Credential | D.C. |
| Practice Address |
972 Kehrs Mill Rd Ballwin MO 63011-2402 |
| Practice Telephone | 6363944101 |
| Practice Fax Number | 6363943022 |
| Mailing Telephone | 6363944101 |
| Mailing Fax Number | 6363943022 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2008-03-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5590 | MO | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HEALTHCARE OF ALL STATES | 4402255 | 01 | |
| BCBS | 3378 | 01 | |
| HEALTHLINK HMO | 179564 | 01 | |
| MERCY HEALTH CARE | T83472 | 01 | |
| HEALTHLINK PPO | 179564 | 01 |
| Street Address |
972 KEHRS MILL RD |
| City | BALLWIN |
| State | MO |
| Zip Code | 63011-2402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245587864 | Brassie Chiropractic LLC | Chiropractor | 972 Kehrs Mill Rd, Ballwin, MO 63011-2402 | 2012-08-14 |
| 1912071838 | Joel Andrew Brassie | Chiropractor | 972 Kehrs Mill Rd, Ballwin, MO 63011-2402 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205309234 | Heather Renee Leone | Nurse Practitioner | 452 Sovereign Court Suite A, Ballwin, MO 63011 | 2019-01-02 |
| 1538635297 | Jennifer Lea Nicole O'donnell | Registered Nurse | 13861 Manchester Road, Town and Country, MO 63011 | 2018-10-22 |
| 1285127712 | Genevieve Friedmann | Social Worker | 301 Sovereign Ct Ste 103, Ballwin, MO 63011 | 2018-06-09 |
| 1881187391 | Andrew Cittadino Link | Dentist | 14335 Manchester Road, Ballwin, MO 63011 | 2018-06-08 |
| 1972041283 | Anavan LLC | Durable Medical Equipment & Medical Supplies | 14390 Manchester Rd, Saint Louis, MO 63011 | 2017-02-07 |
| 1780131300 | Autism and Behavioral Spectrum LLC | Day Training, Developmentally Disabled Services | 14733 Clayton Road, Chesterfield, MO 63011 | 2016-09-01 |
| 1265872964 | Eryn Nichole Miner | Behavioral Analyst | 15834 Clayton Road, Ellisville, MO 63011 | 2013-06-27 |
| 1194168765 | Donna Margaret Carrillo | Developmental Therapist | 15834 Clayton Rd., Ellisville, MO 63011 | 2013-04-12 |
| 1891047486 | Ashley Amanda Battaglia | Chiropractor | 15945 Clayton Rd Ste 230c, Ballwin, MO 63011 | 2012-10-08 |
| 1750658480 | Gary Frank Sobocinski | Pharmacist | 4033 Sovereign Court, Ballwin, MO 63011 | 2011-11-23 |
| Find all providers in zip 63011 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679135628 | Emmalene Faith Glover | Chiropractor | 245 Sweetcreek Dr Apt C, Ballwin, MO 63021-4860 | 2019-06-30 |
| 1528626223 | Joshua Petersmith | Chiropractor | 13944 Manchester Rd, Ballwin, MO 63011-4506 | 2019-05-29 |
| 1982131249 | Bradley Gloyeske | Chiropractor | 116 Mesa Verde Dr Apt A, Ballwin, MO 63021-5436 | 2017-05-17 |
| 1134678949 | Erin Hogan | Chiropractor | 252 Dennison Dr, Ballwin, MO 63021-4802 | 2016-09-22 |
| 1952758674 | Live Well Be Well LLC | Chiropractor | 14784 Manchester Rd, Ballwin, MO 63011-3708 | 2016-05-23 |
| 1649639485 | Joseph Walters | Chiropractor | 13948 Reflection Dr, Ballwin, MO 63021-8054 | 2016-02-22 |
| 1437532231 | Christopher De Geer | Chiropractor | 489 Melanie Meadows Ln, Ballwin, MO 63021-6337 | 2015-06-30 |
| 1205242567 | Heather C Davis Dc LLC | Chiropractor | 548 Seawind Dr Apt D, Ballwin, MO 63021-4843 | 2014-07-08 |
| 1053657239 | Robbin R Doermer | Chiropractor | 161 Auld Spanish Ct, Ballwin, MO 63011-3711 | 2012-12-17 |
| 1891047486 | Ashley Amanda Battaglia | Chiropractor | 15945 Clayton Rd Ste 230c, Ballwin, MO 63011 | 2012-10-08 |
| Find all providers in BALLWIN | ||||
Please comment or provide details below to improve the information on DR. KEVIN MICHAEL BAUM.
| 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.