ATC, LLC (NPI# 1700980380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Lynette Santos Malik, MD | Doing Business As Name - Organization |
Street Address |
121 SAINT LUKES CENTER DR STE 504 |
City | CHESTERFIELD |
State | MO |
Zip Code | 63017-3509 |
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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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 | 2081P2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Specialization | Pain Medicine |
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. |
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 |
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 |
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.