JOHN LUCAS RUNDE (NPI# 1780180497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780180497 |
Entity Type | Individual |
Full Name | JOHN LUCAS RUNDE |
Practice Address |
5201 Mid America Plz Saint Louis MO 63129-0002 |
Mailing Address |
8861 Gilmore Lake Rd Columbia IL 62236-3525 |
Practice Telephone | 2176634090 |
Mailing Telephone | 2176634090 |
Enumeration Date | 2018-04-02 |
Last Update Date | 2018-04-02 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2015036002 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
5201 MID AMERICA PLZ |
City | SAINT LOUIS |
State | MO |
Zip Code | 63129-0002 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346208394 | Nicole Marie Ducharme | Internal Medicine | 5201 Mid America Plz, Saint Louis, MO 63129-0002 | 2006-05-01 |
1699290122 | Kristen Caroline Kemper | Nurse Practitioner | 5201 Mid America Plz, Ste 1500, Saint Louis, MO 63129-0002 | 2017-08-05 |
1750817342 | Anna M Guimbarda | Occupational Therapist | 5201 Mid America Plz, Suite 2600, Saint Louis, MO 63129-0002 | 2017-05-03 |
1700230646 | Prorehab PC | Physical Therapist | 5201 Mid America Plz, Suite 2600, Saint Louis, MO 63129-0002 | 2016-04-18 |
1649631425 | Washington University | Durable Medical Equipment & Medical Supplies | 5201 Mid America Plz, Suite 1500, Saint Louis, MO 63129-0002 | 2016-03-08 |
1902265994 | Washington University | Clinic/Center | 5201 Mid America Plz, Suite 2200, Saint Louis, MO 63129-0002 | 2016-02-18 |
1831469188 | Patricia R Gorenc | Physician Assistant | 5201 Mid America Plz, Ste 1500, Saint Louis, MO 63129-0002 | 2012-01-04 |
1194013086 | Angela Joann Demetrulias | Optometrist | 5201 Mid America Plz, Saint Louis, MO 63129-0002 | 2011-07-13 |
1811208267 | Anubha Mutneja | Internal Medicine | 5201 Mid America Plz, Ste 2300, Saint Louis, MO 63129-0002 | 2010-06-30 |
1275561086 | Steven A Lauter | Internal Medicine | 5201 Mid America Plz, Saint Louis, MO 63129-0002 | 2006-06-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447730742 | Total Access Urgent Care, PC | Clinic/Center | 4400 Telegraph Road, 4400 Telegraph Road, St. Louis, MO 63129 | 2018-08-16 |
1679061808 | Susan Swyers Grogan | Occupational Therapist | 2806 Flamewood Drive, St. Louis, MO 63129 | 2018-04-24 |
1376073981 | Eric Piatchek | Specialist/Technologist | 2661 Bluff Ridge Drive, St. Louis, MO 63129 | 2017-06-15 |
1033647144 | Keona E Smith | Nurse Practitioner | 7334 Lindbergh Blvd, Ballwin, MO 63129 | 2017-06-02 |
1588036966 | Sarah Michelle Corry | Occupational Therapist | 5043 Telegraph Rd, St Louis, MO 63129 | 2015-10-26 |
1598169120 | Vivian Carr | Counselor | 5266 Sir Bors Drive, St. Louis, MO 63129 | 2014-10-10 |
1982044327 | Andrew Michael Bryant | Family Medicine | 4280 Mid America Lane, Saint Louis, MO 63129 | 2013-06-30 |
1306185533 | John Alexander Miller | Registered Nurse | 4220 Robert Koch Hospital Rd, Saint Louis, MO 63129 | 2013-02-07 |
1346597457 | Pain and Performance Relief LLC | Physical Medicine & Rehabilitation | 4175 Crescent Dr Ste A, Saint Louis, MO 63129 | 2012-08-08 |
1366721516 | Teresa Lyn Bitter | Speech-Language Pathologist | 7325 Summerview Manor Lane, St. Louis, MO 63129 | 2011-08-05 |
Find all providers in zip 63129 |
Taxonomy Code | 2255A2300X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Specialist/Technologist |
Specialization | Athletic Trainer |
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265039192 | Carley M Swabby | Specialist/Technologist | 652 Bismark Ave, Saint Louis, MO 63119-1528 | 2020-10-05 |
1194383943 | Elizabeth Lynch | Specialist/Technologist | 605 Clara Ave Apt 609, Saint Louis, MO 63112-1936 | 2019-06-05 |
1063970242 | Abby Hoffman | Specialist/Technologist | 7318 Brunswick Ave, Saint Louis, MO 63119-3329 | 2019-03-07 |
1649738824 | Emma C Yonkers | Specialist/Technologist | 4050 W Pine Blvd Apt 3207, Saint Louis, MO 63108-3349 | 2019-03-07 |
1386102556 | Justin Durham | Specialist/Technologist | 8425 Engler Ave, Saint Louis, MO 63114-4126 | 2019-03-06 |
1538626007 | Justin Ullom | Specialist/Technologist | 1111 Victor St, Saint Louis, MO 63104-4323 | 2019-02-21 |
1003373564 | Brian Tyler Leach | Specialist/Technologist | 6120 Wanda Ave, Saint Louis, MO 63116-2225 | 2019-02-20 |
1003372566 | Jesse Schmitt | Specialist/Technologist | 3939 W Pine Blvd, Saint Louis, MO 63108-3220 | 2019-02-20 |
1326504846 | Breanna Kenney | Specialist/Technologist | 1024 Colebrook Dr, Saint Louis, MO 63119-4757 | 2019-02-20 |
1083170518 | Paul Samuel Lamb | Specialist/Technologist | 3805 Lindell Blvd Apt A, Saint Louis, MO 63108-3451 | 2019-02-20 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63129 |
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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.