DR. JENNIFER LYNN PAGE (NPI# 1891756557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891756557 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER LYNN PAGE |
| Credential | M.D. |
| Practice Address |
10010 Kennerly Rd 4th Floor - Acute Rehab Saint Louis MO 63128-2106 |
| Mailing Address |
12639 Old Tesson Rd Saint Louis MO 63128-2786 |
| Practice Telephone | 3145254522 |
| Practice Fax Number | 3145254598 |
| Mailing Telephone | 3148490311 |
| Mailing Fax Number | 3148494423 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2019-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
109863 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265099899 | Jennifer Lillian Page | Physical Therapy Assistant | 1015 S Birch St Apt 501a, Denver, CO 80246-2536 | 2019-05-20 |
| 1922550581 | Jennifer Victoria Page | Counselor | 1745 Thompson Bridge Rd, Gainesville, GA 30501-1717 | 2016-10-31 |
| 1720427081 | Jennifer Leigh Page | Social Worker | 301 E Genesee Ave Ste 201, Saginaw, MI 48607-1242 | 2013-06-20 |
| 1427389592 | Jennifer Nan Wilson Page | Pharmacist | 705 Venice Ave, Southlake, TX 76092-8241 | 2010-01-28 |
| 1619019882 | Jennifer Lee Page | Marriage & Family Therapist | 331 Old Cardinal Dr, Elizabethtown, KY 42701-2781 | 2007-02-13 |
| 1407455942 | Jennifer Ann Page | Physical Therapist | 74 Welwood Ave Ste 101, Hawley, PA 18428-1577 | 2020-10-24 |
| 1245740729 | Jennifer Irene Page | Case Manager/Care Coordinator | 1760 Texas St, Natchitoches, LA 71457 | 2017-10-10 |
| 1043731151 | Jennifer Rose Page | Physician Assistant | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2017-06-28 |
| 1720534498 | Jennifer Page | Recreation Therapist | 813 Fay Rd, The Centers At St. Camillus, Syracuse, NY 13219-3009 | 2016-08-31 |
| 1366681546 | Jennifer Page | Nurse Practitioner | 109 Bee St, Charleston, SC 29401-5703 | 2009-02-12 |
| Street Address |
10010 KENNERLY RD 4TH FLOOR - ACUTE REHAB |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63128-2106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659374908 | Udayshanker Kasinadhuni | Anesthesiology | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2005-05-31 |
| 1598376287 | Laura Mayer | Dietitian, Registered | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2020-08-14 |
| 1265042014 | Caitlin E Wagner | Anesthesiologist Assistant | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2020-08-06 |
| 1881215424 | Samantha Broughton | Nurse Practitioner | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2020-05-06 |
| 1437779444 | Kathleen Stebe | Physical Therapist | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2020-04-20 |
| 1073148052 | Carly Pruemer | Nurse Anesthetist, Certified Registered | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2020-03-10 |
| 1568097541 | Altan Halici | Nurse Anesthetist, Certified Registered | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2020-03-10 |
| 1326673310 | Rhyz Wilson | Nurse Anesthetist, Certified Registered | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2020-03-10 |
| 1669007654 | Megan Hahn | Nurse Anesthetist, Certified Registered | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2020-03-10 |
| 1851925085 | Katie Walsh | Nurse Practitioner | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2020-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
| 1326504655 | Nikodem Dental Holdings | Dentist | 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 | 2019-02-12 |
| 1932678505 | Michelle Anne Arvidson | Physical Therapy Assistant | Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2018-11-13 |
| 1245726710 | Kristen Rider | Nurse Practitioner | 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 | 2018-07-07 |
| 1306217427 | Sophia Bednarski | Dentist | 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2015-10-15 |
| 1427434224 | Darcie Burrus | Counselor | 12523 Old Tesson Rd G, St Louis, MO 63128 | 2015-08-04 |
| 1710368584 | Sara Hawatmeh | Internal Medicine | 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 | 2015-06-17 |
| 1871989590 | Celia Grace Montes-kolence | Speech-Language Pathologist | 12335 W Bend Drive, Saint Louis, MO 63128 | 2015-04-09 |
| 1245629302 | Marius Antonio Evans | Dentist | 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 | 2015-01-13 |
| 1801230313 | Sarah Elizabeth Walsh | Emergency Medicine | 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 | 2013-04-26 |
| Find all providers in zip 63128 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1891200895 | Institute of Pain Management LLC | Physical Medicine & Rehabilitation | 10199 Woodfield Ln, Saint Louis, MO 63132-2922 | 2017-12-12 |
| 1467874982 | N & W Associates Inc | Physical Medicine & Rehabilitation | 777 S New Ballas Rd, Suite 302w, Saint Louis, MO 63141-8705 | 2014-01-17 |
| 1184853152 | Tong Zhu | Physical Medicine & Rehabilitation | 10435 Clayton Rd Ste 120, Saint Louis, MO 63131-2930 | 2009-07-10 |
| 1548430952 | Tesson Heights Orthopaedic & Arthroscopic Associates PC | Physical Medicine & Rehabilitation | 12152 Tesson Ferry Rd, Ste 2, Saint Louis, MO 63128-1726 | 2008-03-03 |
| 1205896495 | Boris Khariton | Physical Medicine & Rehabilitation | 6125 Clayton Ave, Suite 101, Saint Louis, MO 63139-3265 | 2006-03-23 |
| 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 |
| 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 |
| 1780157172 | Spine Pain and Rehab Associates LLC | Physical Medicine & Rehabilitation | 201 Nw R D Mize Rd, Blue Springs, MO 64014-2513 | 2019-01-08 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS |
| Zip Code | 63128 |
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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.