SOUTH COUNTY PAIN INSTITUTE LLC (NPI# 1922395599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922395599 |
| Entity Type | Organization |
| Organization Name | SOUTH COUNTY PAIN INSTITUTE LLC |
| Practice Address |
4116 Von Talge Rd Suite B Saint Louis MO 63128-1957 |
| Practice Telephone | 3148928787 |
| Practice Fax Number | 3148928790 |
| Mailing Telephone | 3148928787 |
| Mailing Fax Number | 3148928790 |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2013-09-30 |
| Authorized Official Name | DR. THOMAS M KRAMER (OWNER) |
| Authorized Official Telephone | 3148928787 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760778484 | South County Pain Institute LLC | Nurse Practitioner | 4116 Von Talge Rd, Saint Louis, MO 63128-1957 | 2011-06-21 |
| Street Address |
4116 VON TALGE RD SUITE B |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63128-1957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528088523 | Mark Dayton Belcher | Anesthesiology | 4116 Von Talge Rd, Suite B, Saint Louis, MO 63128-1957 | 2006-07-20 |
| 1295134633 | St Louis Regenerative Medicine and Pain Institute,llc | Chiropractor | 4116 Von Talge Rd, Suite B, Saint Louis, MO 63128-1957 | 2014-08-21 |
| 1760778484 | South County Pain Institute LLC | Nurse Practitioner | 4116 Von Talge Rd, Saint Louis, MO 63128-1957 | 2011-06-21 |
| 1811290943 | Ellen Rose Pace | Nurse Practitioner | 4116 Von Talge Rd, Saint Louis, MO 63128-1957 | 2010-12-12 |
| 1023297637 | Ssm Medical Group | Pediatrics | 4116 Von Talge Rd, Saint Louis, MO 63128-1957 | 2007-10-31 |
| 1245422120 | Thomas Mark Kramer | Chiropractor | 4116 Von Talge Rd, Saint Louis, MO 63128-1957 | 2007-08-14 |
| 1275656480 | Stephen G. Nikodem Dds Ms PC | Dentist | 4116 Von Talge Rd, Ste A, Saint Louis, MO 63128-1957 | 2007-04-10 |
| 1285655662 | Christopher Wilson | Pediatrics | 4116 Von Talge Rd, Suite B, Saint Louis, MO 63128-1957 | 2006-07-21 |
| 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 | 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 |
|---|---|---|---|---|
| 1275170433 | Morgan P Morris | Chiropractor | 3611 S Grand Blvd Ste 200, Saint Louis, MO 63118-3403 | 2019-12-06 |
| 1891351193 | Alexander Johannes Olalani Mcguire | Chiropractor | 3247 Suson Ct Apt 1, Saint Louis, MO 63139-1832 | 2019-05-13 |
| 1386104727 | John Carroll Calhoun | Chiropractor | 2951 Dougherty Ferry Rd Ste 104, Saint Louis, MO 63122-3373 | 2019-03-21 |
| 1629548680 | Kathryn Bueltmann | Chiropractor | 4600 S Lindbergh Blvd Ste 2, Saint Louis, MO 63127-1831 | 2018-12-03 |
| 1073089413 | Benjamin Lee Gokenbach | Chiropractor | 4242 Telegraph Rd, Saint Louis, MO 63129-2658 | 2018-10-23 |
| 1376019992 | Young Ho Bok | Chiropractor | 8229 Clayton Rd Ste 204, Saint Louis, MO 63117-1155 | 2018-10-22 |
| 1952876732 | Paige Marie Dines | Chiropractor | 1883 W Monroe Rd Unit B, Saint Louis, MI 48880-8702 | 2018-10-09 |
| 1861975468 | Danielle Elise Pfyl Fishel | Chiropractor | 325 Watson Plz, Saint Louis, MO 63126-1964 | 2018-09-10 |
| 1447756093 | Meaghan Coleman | Chiropractor | 8949 Natural Bridge Rd, Saint Louis, MO 63121-3916 | 2018-04-03 |
| 1457854994 | Hunter Schaff | Chiropractor | 4625 Lindell Blvd Ste 401, Saint Louis, MO 63108-3725 | 2018-03-12 |
| Find all providers in SAINT LOUIS | ||||
| 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.