MEDCURO MANUFACTURING, LLC (NPI# 1699918508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699918508 |
| Entity Type | Organization |
| Organization Name | MEDCURO MANUFACTURING, LLC |
| Practice Address |
11605 Studt Ave Suite 110 Saint Louis MO 63141-7052 |
| Mailing Address |
11605 Studt Ave Suite 103 Saint Louis MO 63141-7052 |
| Practice Telephone | 3145678595 |
| Practice Fax Number | 3145678593 |
| Mailing Telephone | 3145678595 |
| Mailing Fax Number | 3145678593 |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2011-07-05 |
| Authorized Official Name | ANTHONY JOHN PAGANO (PARTNER) |
| Authorized Official Telephone | 3145678595 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MEDICARE NSC PTAN | 6521610001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417252602 | Medcuro Manufacturing, LLC | Durable Medical Equipment & Medical Supplies | 9959 Lin Ferry Dr, Saint Louis, MO 63123-6913 | 2011-01-19 |
| 1902453764 | Medcuro Manufacturing, LLC | Prosthetic/Orthotic Supplier | 101 Olympic Way, Saint Peters, MO 63376-1664 | 2019-08-26 |
| Street Address |
11605 STUDT AVE SUITE 110 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63141-7052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265420269 | Robert J Bernardi IIi | Neurological Surgery | 11605 Studt Ave, Suite One, Saint Louis, MO 63141-7052 | 2005-10-12 |
| 1982010336 | Stephanie Dawson | Nurse Practitioner | 11605 Studt Ave, Saint Louis, MO 63141-7052 | 2014-07-07 |
| 1598087652 | Gary J Schmidt Md LLC | Orthopaedic Surgery | 11605 Studt Ave, Suite One, Saint Louis, MO 63141-7052 | 2010-02-17 |
| 1134215247 | St Louis Pain Management Center Inc | Anesthesiology | 11605 Studt Ave, Suite 120, Saint Louis, MO 63141-7052 | 2006-10-05 |
| 1275648438 | Olive Surgical Group, Ltd. | Specialist | 11605 Studt Ave, Suite One, Saint Louis, MO 63141-7052 | 2006-08-20 |
| 1447248455 | Gary J Schmidt | Orthopaedic Surgery | 11605 Studt Ave, Suite One, Saint Louis, MO 63141-7052 | 2005-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656727 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 755 S New Ballas Rd Ste 140, Saint Louis, MO 63141-8713 | 2020-10-09 |
| 1649778382 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 50 Crestwood Executive Ctr Ste 315, Saint Louis, MO 63126-1900 | 2018-01-29 |
| 1730631417 | Health Tech Staffing Network | Prosthetic/Orthotic Supplier | 2122 Kratky Rd Ste 100, Saint Louis, MO 63114-1706 | 2016-10-28 |
| 1659535854 | Prosthetic and Orthotic Care Inc | Prosthetic/Orthotic Supplier | 1084 Old Des Peres Rd, Saint Louis, MO 63131-1865 | 2008-07-16 |
| 1487816583 | Bi-state Orthotics and Prosthetics | Prosthetic/Orthotic Supplier | 12660 Lamplighter Sqr Shppng Ctr, Suite J, Saint Louis, MO 63128-2761 | 2008-06-30 |
| 1720255821 | Bsop, LLC | Prosthetic/Orthotic Supplier | 11229 Concord Village Ave, Saint Louis, MO 63123-6903 | 2008-05-08 |
| 1649490574 | Contemporary Healthcare Consulting Inc | Prosthetic/Orthotic Supplier | 5416 Southfield Ctr, Saint Louis, MO 63123-5907 | 2007-04-25 |
| 1356442396 | B & H Orthopedic Lab Inc. | Prosthetic/Orthotic Supplier | 2510 Hampton Ave, Saint Louis, MO 63139-2911 | 2006-09-25 |
| 1801861505 | Cape Prosthetics-orthotics, Inc. | Prosthetic/Orthotic Supplier | 2262 Weldon Pkwy, Saint Louis, MO 63146-3206 | 2006-02-17 |
| 1578562831 | Wrymark, Inc | Prosthetic/Orthotic Supplier | 11833 Westline Industrial Dr, Saint Louis, MO 63146-3312 | 2005-07-19 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63141 |
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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.