Steven J Granberg (NPI# 1881673382, PAC ID# 5092712240) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1881673382 |
| PAC ID by PECOS | 5092712240 |
| Professional Enrollment ID | I20061031000300 |
| Full Name | Steven J Granberg |
| Organization Legal Name | MILLENNIUM PAIN MANAGEMENT, LLC |
| Address |
13131 Tesson Fery Rd Suite 105 St Louis MO 63128-3887 |
| Phone Number | 3147568035 |
| Gender | M |
| Credential | MD |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | ANESTHESIOLOGY |
| Secondary Specialties | INTERVENTIONAL PAIN MANAGEMENT |
| Group Practice PAC ID | 0244303774 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260179 | ST LUKES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 13131 Tesson Fery Rd, Suite 105, St Louis, MO 63128-3887 | 3147568035 | MILLENNIUM PAIN MANAGEMENT, LLC |
| Organization Legal Name | MILLENNIUM PAIN MANAGEMENT, LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin A Coleman | Anesthesiology | Millennium Pain Management, LLC | 13131 Tesson Fery Rd, Suite 105, St Louis, MO 63128-3887 |
| Street Address |
13131 TESSON FERY RD SUITE 105 |
| City | ST LOUIS |
| State | MO |
| Zip | 63128-3887 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin A Coleman | Anesthesiology | Millennium Pain Management, LLC | 13131 Tesson Fery Rd, Suite 105, St Louis, MO 63128-3887 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel M Ott | Nurse Practitioner | St Anthony's Physician Organization | 12700 Kennerly Rd, Suite 220, Saint Louis, MO 63128 |
| Shephali H Wulff | Infectious Disease | Infectious Diseases PC | 330 1st Capitol Dr, Suite 260, St Charles, MO 63128 |
| Marie E Wehner | Optometry | Vision Care Consultants Inc | 12121 Tesson Ferry Professional Ctr, Saint Louis, MO 63128-1250 |
| David Brian Seibel | Optometry | Vision Care Consultants Inc | 12121 Tesson Ferry Professional Ctr, Saint Louis, MO 63128-1250 |
| Craig Mathew Brawley | Optometry | Vision Care Consultants Inc | 12121 Tesson Ferry Professional Ctr, Saint Louis, MO 63128-1250 |
| John D Friederich | Optometry | Vision Care Consultants Inc | 12121 Tesson Ferry Professional Ctr, Saint Louis, MO 63128-1250 |
| Michelle E Nogalski | Physical Therapy | Prorehab PC | 107 Concord Plaza Shopping Ctr, Saint Louis, MO 63128-1307 |
| Yvonne M Layugan | Family Medicine | 123 Concord Plaza Shopping Ctr, Saint Louis, MO 63128-1307 | |
| Megan R Anna | Physical Therapy | Prorehab PC | 107 Concord Plaza Shopping Ctr, Saint Louis, MO 63128-1307 |
| Christopher J Tabor | Physical Therapy | The Physical Therapy Center, Inc. | 12048 Tesson Ferry Rd, Saint Louis, MO 63128-1727 |
| Find all physicians in zip 63128 | |||
| City | ST LOUIS |
| Zip Code | 63128 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | ST LOUIS + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Steven J Granberg.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.