NEXTRA HEALTH, INC. (NPI# 1730109588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730109588 |
| Entity Type | Organization |
| Organization Name | NEXTRA HEALTH, INC. |
| Practice Address |
10 Sunnen Dr Ste 100 Maplewood MO 63143-3838 |
| Practice Telephone | 3148217355 |
| Practice Fax Number | 8772196077 |
| Mailing Telephone | 3148217355 |
| Mailing Fax Number | 3148215102 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2018-05-01 |
| Authorized Official Name | CATHY BUSALACHI (VICE PRESIDENT) |
| Authorized Official Telephone | 3148217355 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | B0028507A | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 168919202 | 05 | |
| ANCILLARY CARE MANAGEMENT | 1023350 | 01 | |
| MO | HEALTHLINK, INC | 103698 | 01 |
| TX | UNITED HEALTHCARE - EVERC | 8200257 | 01 |
| MO | BCBS OF MO | 105356 | 01 |
| Street Address |
10 SUNNEN DR STE 100 |
| City | MAPLEWOOD |
| State | MO |
| Zip Code | 63143-3838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689164675 | Christina E Thaier | Counselor | 7346 Manchester Rd., #200, Maplewood, MO 63143 | 2018-05-15 |
| 1568828051 | Kathryn Stinson | Counselor | 7346 Manchester Ave, Suite 202, Maplewood, MO 63143 | 2016-01-13 |
| 1235548074 | Peter Schumaker, Lpc | Counselor | 3134 Sutton Blvd., Maplewood, MO 63143 | 2014-08-06 |
| 1194149567 | America's Best Contacts & Eyeglasses | Technician/Technologist | 3210 Laclede Station Rd, St. Louis, MO 63143 | 2014-02-06 |
| 1366043853 | Michael Bopp | Pharmacist | 1900 Maplewood Commons Dr, Pharmacy, Maplewood, MO 63143 | 2020-11-03 |
| 1184122707 | Jillayna Adamson | Counselor | 3134 Sutton Blvd, Maplewood, MO 63143 | 2018-01-29 |
| 1801310123 | Teresa Marie Sorenson | Massage Therapist | 2104 Bellevue Ave, Maplewood, MO 63143 | 2017-07-28 |
| 1629597000 | Dana Rochelle Bertubin | Massage Therapist | 1811 Maplewood Commons Dr, Maplewood, MO 63143-1000 | 2017-09-16 |
| 1245505098 | Nucrown, LLC | Optometrist | 1817 Maplewood Commons Dr, Maplewood, MO 63143-1000 | 2012-03-13 |
| 1891227393 | Hollis Smith | Physician Assistant | 2015 Maplewood Commons Dr, Saint Louis, MO 63143-1003 | 2017-04-03 |
| Find all providers in zip 63143 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215323589 | Corner Medical LLC | Durable Medical Equipment & Medical Supplies | 1868 Beam Ave, Maplewood, MN 55109-1162 | 2015-04-13 |
| 1861888299 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 453 Valley St, Maplewood, NJ 07040-1330 | 2015-04-13 |
| 1306194220 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7470 Manchester Rd, Maplewood, MO 63143-3032 | 2012-08-27 |
| 1598900631 | Osha Data/cih, Inc. | Durable Medical Equipment & Medical Supplies | 12 Hoffman St, Maplewood, NJ 07040-1114 | 2008-12-03 |
| 1336305713 | Edi | Durable Medical Equipment & Medical Supplies | 36 Newark Way, Suite 202, Maplewood, NJ 07040-3310 | 2008-08-05 |
| 1356519268 | Liberty Oxygen and Home Care, Inc | Durable Medical Equipment & Medical Supplies | 1715-d Beam Avenue, Maplewood, MN 55109 | 2008-02-13 |
| 1457533143 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2920 White Bear Ave N, Maplewood, MN 55109 | 2007-12-04 |
| 1023123163 | Supervalu Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 2390 White Bear Ave N, Maplewood, MN 55109 | 2006-08-20 |
| 1043237373 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 2100 Maplewood Commons Dr, Maplewood, MO 63143-1015 | 2006-07-16 |
| 1003842659 | Innovative Medical Equipment, Inc | Durable Medical Equipment & Medical Supplies | 1707 Springfield Ave, Maplewood, NJ 07040-2924 | 2006-06-24 |
| Find all providers in MAPLEWOOD | ||||
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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.