DR. RYAN MICHAEL FAULKNER (NPI# 1881020006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881020006 |
| Entity Type | Individual |
| Full Name | DR. RYAN MICHAEL FAULKNER |
| Credential | D.C. |
| Practice Address |
6251 Ronald Reagan Dr Lake St Louis MO 63367-2665 |
| Mailing Address |
8 Shipley Ct Saint Charles MO 63303-3024 |
| Practice Telephone | 6366142139 |
| Mailing Telephone | 3143300626 |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2013-09-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2013018389 | MO | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174588560 | Ryan P Faulkner | Psychologist | 1000 S Fort Thomas Ave, Rm 225, Fort Thomas, KY 41075-2305 | 2006-04-19 |
| 1386113066 | Ryan Jack Paul Faulkner | Nurse Practitioner | 16777 Medical Center Dr, Baton Rouge, LA 70816-3254 | 2018-11-25 |
| 1356829147 | Ryan Thomas Faulkner | Nurse Practitioner | 4004 Louisa Rd, Catlettsburg, KY 41129 | 2018-08-02 |
| Street Address |
6251 RONALD REAGAN DR |
| City | LAKE ST LOUIS |
| State | MO |
| Zip Code | 63367-2665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457660060 | Hawk Ridge Family Chiropractic | Chiropractor | 6251 Ronald Reagan Dr, Lake St Louis, MO 63367-2665 | 2010-09-29 |
| 1194388959 | Justin Matthew Gregory | Chiropractor | 6251 Ronald Reagan Dr, Lake St Louis, MO 63367-2665 | 2019-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295376697 | Stacy Brown | Counselor | 1216 Flagstone Terrace, Lake St. Louis, MO 63367 | 2019-10-07 |
| 1083172449 | Katie D Schmidt | Nurse Practitioner | 300 Medical Plz Ste 150, Lake St Louis, MO 63367 | 2019-03-05 |
| 1932639739 | Eren Taylor-scaggs | Social Worker | 112 Lake St. Louis Blvd, Lake St. Louis, MO 63367 | 2017-06-14 |
| 1184169203 | Be The Change Counseling Services | Community/Behavioral Health | 206 Centre On The Lake, Lake St. Louis, MO 63367 | 2016-12-28 |
| 1568812535 | Brittanie Weinhaus | Family Medicine | 6261 Ronald Regan Dr Ste #b19, Lake St. Louis, MO 63367 | 2016-06-20 |
| 1821445099 | Matt Beamer | Skilled Nursing Facility | 2885 Technology Drive, Lake St. Louis, MO 63367 | 2016-05-18 |
| 1710349642 | Jennifer Gandolfo | Early Intervention Provider Agency | 710 Abbottsford Ct., Lake St. Louis, MO 63367 | 2016-03-21 |
| 1760862361 | Joaquin Francisco Sumaya | Chiropractor | 11104 Veterans Memorial Pkwy., Lake Saint Louis, MO 63367 | 2015-06-09 |
| 1619214566 | Daniel Scott Terry | Counselor | 1000 Edgewater Pt Ste 401, Lake St Louis, MO 63367 | 2013-01-12 |
| 1437415551 | Cherie Jean Coletta | Nurse Practitioner | 100 Medical Plaza Dr, Emergency Department, Lake Saint Louis, MO 63367 | 2012-04-03 |
| Find all providers in zip 63367 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922630714 | Chiropro of Lake St. Louis, LLC | Chiropractor | 6257 Ronald Reagan Dr, Lake St Louis, MO 63367-2665 | 2020-02-10 |
| 1053723361 | Eric Seim | Chiropractor | 50 Centre On The Lk, Lake St Louis, MO 63367-2938 | 2014-05-21 |
| 1457660060 | Hawk Ridge Family Chiropractic | Chiropractor | 6251 Ronald Reagan Dr, Lake St Louis, MO 63367-2665 | 2010-09-29 |
| 1770624827 | David V Beavers | Chiropractor | 11104 Veterans Memorial Pkwy, Lake St Louis, MO 63367-1113 | 2007-02-10 |
| 1508817602 | Sharon Leslie Samson | Chiropractor | 50 Centre On The Lake, Lake St Louis, MO 63367-2938 | 2006-05-13 |
| 1982227286 | Missouri Healthcenters LLC | Chiropractor | 11104 Veterans Memorial Pkwy, Lake St Louis, MO 63367-1113 | 2020-05-20 |
| 1194388959 | Justin Matthew Gregory | Chiropractor | 6251 Ronald Reagan Dr, Lake St Louis, MO 63367-2665 | 2019-04-17 |
| 1205074523 | Stephanie Denton LLC | Chiropractor | 1000 Lake Saint Louis Blvd, Suite 100, Lake St Louis, MO 63367-1340 | 2009-01-23 |
| 1326284860 | Stephanie Heavener Denton | Chiropractor | 1000 Lake Saint Louis Blvd, Suite 100, Lake St Louis, MO 63367-1340 | 2009-01-06 |
| 1114068269 | Heartland Healthcenter Dc PC | Chiropractor | 11104 Veterans Memorial Pkwy, Lake St Louis, MO 63367-1113 | 2007-02-10 |
| Find all providers in LAKE ST LOUIS | ||||
| City | LAKE ST LOUIS |
| Zip Code | 63367 |
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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.