BACK-IN-LINE WELLNESS CENTER (NPI# 1902121171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902121171 |
Entity Type | Organization |
Organization Name | BACK-IN-LINE WELLNESS CENTER |
Practice Address |
14 Ronnies Plz Saint Louis MO 63126-3552 |
Practice Telephone | 3147506109 |
Mailing Telephone | 3147506109 |
Enumeration Date | 2010-03-31 |
Last Update Date | 2010-03-31 |
Authorized Official Name | DR. CHRISTOPHER ALAN UTRUP (OWNER) |
Authorized Official Telephone | 3147506109 |
Authorized Official Credential | D.C. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 302F00000X | Exclusive Provider Organization | 2007024823 | MO | Managed Care Organizations |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | Back-In-Line Wellness Center LLC | 9200w Cross Drive, Suite 504, Littleton, CO 80123 |
Street Address |
14 RONNIES PLZ |
City | SAINT LOUIS |
State | MO |
Zip Code | 63126-3552 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003034430 | Tracey Katherine Cain | Chiropractor | 14 Ronnies Plz, Saint Louis, MO 63126-3552 | 2007-04-23 |
1922420801 | Matthew Jordan Tellor | Chiropractor | 14 Ronnies Plz, Saint Louis, MO 63126-3552 | 2014-01-13 |
1609146836 | Joel C. Sellmeyer | Chiropractor | 14 Ronnies Plz, Saint Louis, MO 63126-3552 | 2012-01-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639725088 | Shelby Ann Kroeger | Physical Therapist | 29 Ronnie's Plaza, Saint Louis, MO 63126 | 2019-08-12 |
1396044186 | Kristin Cassidy | Occupational Therapist | 11660 Eddie and Park Rd, Saint Louis, MO 63126 | 2011-03-21 |
1497913347 | Bradley Keith Pugh | Audiologist | 11627 Gravois Road, Midwest Hearing Center, Saint Louis, MO 63126 | 2008-05-28 |
1780707034 | William Anthony Taylor Sr. | Dentist | 9730 E Watson Rd, Suite # 1, St. Louis, MO 63126 | 2007-04-09 |
1265576904 | Gerda Monika Thalheimer | Dentist | 11627 Gravois Rd, St Louis, MO 63126 | 2007-02-16 |
1841347341 | Teralandur K. Parthasarathy | Audiologist | #30 Ronnie's Plaza, St. Louis, MO 63126 | 2007-01-05 |
1255402624 | Paul Arthur Lapoint | Optometrist | 11611 Gravois Road, St Louis, MO 63126 | 2006-11-10 |
1003998907 | Jeff Thompson | Optometrist | 211 Watson Plaza, St. Louis, MO 63126 | 2006-10-19 |
1992802433 | Rc Physician Services, LLC | Family Medicine | 9200 Watson Rd., St Louis, MO 63126 | 2006-09-19 |
1386753184 | Cynthia Diane Newell | Social Worker | Personal Potentials Inc., 10000 Watson Rd #2l18, St Louis, MO 63126 | 2006-08-29 |
Find all providers in zip 63126 |
Taxonomy Code | 302F00000X |
Grouping | Managed Care Organizations |
Classification | Exclusive Provider Organization |
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
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1740721836 | A Touch of Joy | Exclusive Provider Organization | 7305 Manchester Rd Ste C2, Saint Louis, MO 63143-3109 | 2017-03-09 |
1760934905 | Lasher Consumer Directed Services, LLC | Exclusive Provider Organization | 2138 Woodson Rd Ste 1, Saint Louis, MO 63114-5671 | 2016-11-03 |
1821493545 | Red Eye LLC | Exclusive Provider Organization | 9717 Clayton Rd, Saint Louis, MO 63124-1503 | 2014-10-23 |
1144596263 | Genesis Adult Care, LLC | Exclusive Provider Organization | 8420 Olive Blvd, Saint Louis, MO 63132-2816 | 2012-03-23 |
1770886897 | Makeover for Life Outreach | Exclusive Provider Organization | 4730 Margaretta Ave Fl 2, Saint Louis, MO 63115-2151 | 2010-12-10 |
1093092413 | Pamela Jean Weber | Exclusive Provider Organization | 9890 Clayton Rd, Saint Louis, MO 63124-1685 | 2011-11-14 |
1639456064 | Susan K Boyer, Md LLC | Exclusive Provider Organization | 9890 Clayton Rd, Suite 100, Saint Louis, MO 63124-1685 | 2011-11-14 |
1225314248 | John Rabun, Md, LLC | Exclusive Provider Organization | 9890 Clayton Rd, Saint Louis, MO 63124-1685 | 2011-10-24 |
1932358421 | Internal Medicine & Gastroenterology LLC | Exclusive Provider Organization | 10121 W Florissant Ave, Saint Louis, MO 63136-2103 | 2008-09-09 |
1427224658 | Eldercare Professional In Home Healthcare | Exclusive Provider Organization | 3642 Botanical Ave, Saint Louis, MO 63110-4002 | 2008-05-07 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63126 |
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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.