ATC, LLC


Address: 121 Saint Lukes Center Dr, Ste 504, Chesterfield, MO 63017-3509
Phone: 3145762334

ATC, LLC (NPI# 1700980380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700980380
Entity Type Organization
Organization Name ATC, LLC
Other Organization Name LYNETTE SANTOS MALIK, MD
Practice Address 121 Saint Lukes Center Dr
Ste 504
Chesterfield
MO 63017-3509
Mailing Address 232 S Woods Mill Rd
Attn Rick Sonne
Chesterfield
MO 63017-3417
Practice Telephone 3145762334
Practice Fax Number 3145905944
Mailing Telephone 3145762491
Mailing Fax Number 3143365205
Enumeration Date 2006-09-12
Last Update Date 2012-11-02
Authorized Official Name RICK SONNE (DIRECTOR)
Authorized Official Telephone 3145762490
Is Organization Subpart Y
Parent Organization Name ST. LUKE'S MEDICAL GROUP

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2081P2900X Physical Medicine & Rehabilitation
Specialization: Pain Medicine
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Lynette Santos Malik, MD Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
Connecticut Business Registrations ATC, LLC 25 Brenton Terrace, Hamden, CT 06518
Washington State Corporations ATC, LLC 10900 Ne 4th St Ste 1510, Bellevue, WA 98004
Massachusetts Corporations ATC, LLC 30 Ward Street, Worcester, MA 01610

Office Location

Street Address 121 SAINT LUKES CENTER DR
STE 504
City CHESTERFIELD
State MO
Zip Code 63017-3509

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750387510 James E Walentynowicz Orthopaedic Surgery 121 Saint Lukes Center Dr, Ste 302, Chesterfield, MO 63017-3509 2005-06-24
1679014146 Palliative Care At St Lukes LLC Internal Medicine 121 Saint Lukes Center Dr, Chesterfield, MO 63017-3518 2017-03-16
1356889182 Kaitlin Doneff Registered Nurse 121 Saint Lukes Center Dr, Suite 406, Chesterfield, MO 63017-3518 2017-01-31
1225586936 Anita Detchemendy Nurse Practitioner 121 Saint Lukes Center Dr, Suite 506, Chesterfield, MO 63017-3518 2016-09-12
1306222518 Chesterfield Valley Internal Medicine & Pediatrics LLC Pediatrics 121 Saint Lukes Center Dr, Attn: Rick Sonne, Chesterfield, MO 63017-3509 2015-08-11
1225446644 Derrick Neuner Specialist/Technologist 121 Saint Lukes Center Dr, Chesterfield, MO 63017-3509 2014-07-29
1740697077 Jamie Wilson Nurse Practitioner 121 Saint Lukes Center Dr, Suite 504, Chesterfield, MO 63017-3509 2014-07-18
1013329150 Physician Affiliates of St. Luke's Medical Group, LLC Family Medicine 121 Saint Lukes Center Dr, Chesterfield, MO 63017-3518 2014-05-23
1073930780 Dianna Gaffner Nurse Practitioner 121 Saint Lukes Center Dr, Suite 406, Chesterfield, MO 63017-3509 2014-03-20
1053756296 Heart Health Specialists, LLC Internal Medicine 121 Saint Lukes Center Dr, Ste 303, Chesterfield, MO 63017-3518 2013-05-01
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2081P2900X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation
Specialization Pain Medicine

Taxonomy Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043879471 P.r.i.m.e. Health Centers - Chesterfield, LLC Physical Medicine & Rehabilitation 253 Chesterfield Industrial Blvd, Chesterfield, MO 63005-1201 2019-06-10
1558611426 St. Louis Pain Consultants, LLC Physical Medicine & Rehabilitation 121 Saint Lukes Center Dr, 403, Chesterfield, MO 63017-3509 2012-09-18
1649464686 Michigan Spine & Joint Center P.C. Physical Medicine & Rehabilitation 32500 23 Mile Rd, Chesterfield, MI 48047-1991 2007-09-04
1598709073 Anne Therese Christopher Iv Physical Medicine & Rehabilitation 121 Saint Lukes Center Dr, Ste 403, Chesterfield, MO 63017-3509 2006-06-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1396300505 Russell Thurman Physical Medicine & Rehabilitation 305 Thornbrooke Dr, Rogersville, MO 65742-8737 2019-05-02
1841753209 Ap Medical Physical Medicine & Rehabilitation 1131 W Main St Ste A, Blue Springs, MO 64015-3698 2019-04-11
1043774821 Riley Stowe Physical Medicine & Rehabilitation 1301 Tullison Rd, Kansas City, MO 64116-2640 2019-01-26
1043762974 St Louis Spine and Joint Pain Specialists LLC Physical Medicine & Rehabilitation 520 Center Street, Fenton, MO 63026-4246 2016-10-26
1477843985 Diana Mekler Physical Medicine & Rehabilitation 1365 Nykiel Ct, Ballwin, MO 63011-4246 2011-04-18
1962707075 Charles Mauldin, Md PC Physical Medicine & Rehabilitation 3003 E Chestnut Expy Ste 109, Springfield, MO 65802-2527 2011-01-20
1730364647 Gary D Eaton Physical Medicine & Rehabilitation 3705 Bethel St, Columbia, MO 65203-5603 2008-01-09
1619081890 Nehal P Modh Physical Medicine & Rehabilitation 1145b E Gannon Dr, Festus, MO 63028-2611 2006-08-18
1316908155 Nabil Ahmad Physical Medicine & Rehabilitation 12855 N 40 Dr Ste 275, Saint Louis, MO 63141-8667 2006-03-31
1427035955 Gurpreet Padda Physical Medicine & Rehabilitation 5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 2005-12-27
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Competitor

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City CHESTERFIELD
Zip Code 63017

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Dataset Information

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.

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