INTERVENTIONAL PAIN CENTER OF CHESTERFIELD LLC


Address: 17300 N Outer 40, 100, Chesterfield, MO 63005-1364
Phone: 6365198889

INTERVENTIONAL PAIN CENTER OF CHESTERFIELD LLC (NPI# 1922144484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922144484
Entity Type Organization
Organization Name INTERVENTIONAL PAIN CENTER OF CHESTERFIELD LLC
Practice Address 17300 N Outer 40
100
Chesterfield
MO 63005-1364
Practice Telephone 6365198889
Practice Fax Number 6365360120
Mailing Telephone 6365198889
Mailing Fax Number 6365360120
Enumeration Date 2007-01-30
Last Update Date 2013-01-30
Authorized Official Name DR. STEPHEN G SMITH (MEDICAL DIRECTOR)
Authorized Official Telephone 6365198889
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
R3N29 MO Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MO DEA# BS8421276 01

Office Location

Street Address 17300 N OUTER 40
100
City CHESTERFIELD
State MO
Zip Code 63005-1364

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811988942 Stephen G Smith Anesthesiology 17300 N Outer 40, Suite 100, Chesterfield, MO 63005-1361 2005-10-28
1811202286 William Scott Hellebusch Physical Therapist 17300 N Outer 40, Suite 205, Chesterfield, MO 63005-1364 2010-08-10
1073753232 Manual Therapy Specialists, LLC Physical Therapist 17300 N Outer 40, Suite 205, Chesterfield, MO 63005-1364 2009-03-02
1609021187 Jennifer Diana Canale Nurse Practitioner 17300 N Outer 40, Suite 100, Chesterfield, MO 63005-1364 2008-11-25
1265614077 Midwest Pain Center, LLC. Specialist 17300 N Outer 40, Ste. 100, Chesterfield, MO 63005-1364 2007-12-04
1285848275 Exablate of St Louis, LLC Clinic/Center 17300 N Outer 40, Suite 101, Chesterfield, MO 63005-1364 2007-05-09
1497861520 Hunter Knight Physical Therapist 17300 N Outer 40, Suite 205, Chesterfield, MO 63005-1364 2006-08-22
1962435107 St. Louis Physical Therapy, LLC Clinic/Center 17300 N Outer 40, Suite 205, Chesterfield, MO 63005-1364 2006-07-09
1134159189 William H Huffaker Specialist 17300 N Outer 40, Suite 300, Chesterfield, MO 63005-1364 2006-07-04
1750318085 Herluf G Lund Specialist 17300 N Outer 40, Suite 300, Chesterfield, MO 63005-1364 2006-06-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063901254 Ryan Hewkin Chiropractor 17684 Chesterfield Airport Road, Chesterfield, MO 63005 2018-05-03
1093224487 All Family Matters, LLC In Home Supportive Care 100 Chesterfield Business Pkwy Ste 200, Chesterfield, MO 63005 2017-09-28
1437681293 Emily Therese Harpel Pharmacist 691 Trade Center Blvd, Chesterfield, MO 63005 2017-03-31
1831543826 Leslie Noel Chanasue Family Medicine 17701 Edison Ave Ste 101, Chesterfield, MO 63005 2016-04-16
1497112874 Jordan Kimler Nurse Practitioner 124 Chesterfield Towne Ctr, Chesterfield, MO 63005 2016-01-15
1265850556 Richard George Rougeau General Practice 17679 Wildridge Drive, Wildwood, MO 63005 2014-04-03
1679912554 Ceara M Barmeier Physician Assistant 17300 N Outer 40 Rd #101, Chesterfield, MO 63005 2013-06-24
1265794911 Regeneration Orthopedics, LLC Anesthesiology 6 Mcbride & Son Center Dr., Ste 204, Chesterfield, MO 63005 2012-06-08
1528334984 Syed Tanveer Haider Radiologic Technologist 16502 Barrister Lane, Chesterfield, MO 63005 2012-03-29
1144591041 Sensible Dental - Chesterfield Dentist 100 Thf Blvd., Chesterfield, MO 63005 2012-01-24
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801443320 St. Luke's Surgery Center of Chesterfield, LLC Clinic/Center 111 St. Luke's Center Drive, Bldg B, Suite 500, Chesterfield, MO 63017-3509 2019-08-20
1760694954 Lisa J Smith Clinic/Center 17300 N. Outer 40, Ste 100, Chesterfield, MO 63005 2007-05-03
1659339349 West County Surgery Center Lp Clinic/Center 1130 Town and Country Commons, Chesterfield, MO 63017-8200 2006-05-02
1437512993 United Skin Specialists Missouri Ltd, PC Clinic/Center 1001 Chesterfield Pkwy E, Suite 102, Chesterfield, MO 63017-2167 2016-04-01
1760869093 Orthopedic Ambulatory Surgery Center of Chesterfield, LLC Clinic/Center 14825 North Outer Forty Road, Suite 100, Chesterfield, MO 63017 2015-05-06
1245566744 Chesterfield Asc, LLC Clinic/Center 1001 Chesterfield Pkwy E, Suite 102, Chesterfield, MO 63017-2041 2009-10-19
1417142084 Mid- America Surgery Center, LLC Clinic/Center 1815 Clarkson Road, Chesterfield, MO 63017-5065 2007-09-07
1255373601 Chesterfield Ambulatory Surgery Center Lp Clinic/Center 17050 Baxter Rd, Ste 110, Chesterfield, MO 63005-1422 2006-06-11
1346292372 Surgery Center Partners. LLC Clinic/Center 14825 N Outer 40, Ste 100, Chesterfield, MO 63017-2026 2006-05-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790393130 United Surgical Center, LLC Clinic/Center 638 Chamblee Ln, Creve Coeur, MO 63141-7323 2020-07-22
1255991238 Lee Summit Asc Kc LLC Clinic/Center 2861 Ne Independence Avenue, Suite 101, Lee's Summitt, MO 64064 2019-06-20
1467925180 Metro St Louis Surgery Center LLC Clinic/Center 1035 Bellevue Ave Ste 117, Saint Louis, MO 63117-1854 2019-01-04
1295207587 Commons South Surgery Center, LLC Clinic/Center 12345 W Bend Dr Ste 201, Saint Louis, MO 63128-2254 2018-12-26
1922574391 The Phoenix Oversight and Consulting, LLC. Clinic/Center 7746 Rannells Ave, Saint Louis, MO 63143-1823 2018-10-23
1700363611 Apollo Ambulatory Surgery Center, LLC Clinic/Center 10012 Manchester Rd, Saint Louis, MO 63122-1826 2018-07-24
1336649565 Advanced Surgical Care of St. Louis, LLC Clinic/Center 232 Mayfair Plaza Shopping Ctr, Florissant, MO 63033-8009 2018-02-14
1730698374 Advanced Surgical Center of Sunset Hills LLC Clinic/Center 4594 S Lindbergh Blvd, Saint Louis, MO 63127 2017-09-27
1093224297 United Physicians Group, LLC Clinic/Center 1100 Town and Country Commons Dr # 7805, Town and Country, MO 63017-8285 2017-09-20
1093230450 Center for Urologic Surgery LLC Clinic/Center 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 2017-08-07
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Competitor

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City CHESTERFIELD
Zip Code 63005

Improve Information

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Dataset Information

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.

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