Manish Suthar (NPI# 1326123100, PAC ID# 7911085857) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1326123100 |
| PAC ID by PECOS | 7911085857 |
| Professional Enrollment ID | I20100514000166 |
| Full Name | Manish Suthar |
| Organization Legal Name | OFALLON PAIN RELIEF ASSOCIATES LLC |
| Address |
2682 Babble Creek Ln O Fallon MO 63368-8337 |
| Phone Number | 6369783000 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 4688811623 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260179 | ST LUKES HOSPITAL |
| 260162 | BARNES-JEWISH WEST COUNTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 13710 Olive Blvd, Chesterfield, MO 63017-2602 | 3144697246 | INTEGRATIVE SPINE CARE LLC |
| 2682 Babble Creek Ln, O Fallon, MO 63368-8337 | 6369783000 | OFALLON PAIN RELIEF ASSOCIATES LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_412_overall | Documentation of Signed Opioid Treatment Agreement | 51% | |
| MIPS_EC_412_overall | Documentation of Signed Opioid Treatment Agreement | 51% |
| Organization Legal Name | OFALLON PAIN RELIEF ASSOCIATES LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cirese L Webster | Nurse Practitioner | Ofallon Pain Relief Associates LLC | 2682 Babble Creek Ln, O Fallon, MO 63368-8337 |
| Aaron E Mohr | Chiropractic | Ofallon Pain Relief Associates LLC | 2682 Babble Creek Ln, O Fallon, MO 63368-8337 |
| Jerry R Meyers | General Practice | Ofallon Pain Relief Associates LLC | 2682 Babble Creek Ln, O Fallon, MO 63368-8337 |
| Street Address |
2682 BABBLE CREEK LN |
| City | O FALLON |
| State | MO |
| Zip | 63368-8337 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cirese L Webster | Nurse Practitioner | Ofallon Pain Relief Associates LLC | 2682 Babble Creek Ln, O Fallon, MO 63368-8337 |
| Aaron E Mohr | Chiropractic | Ofallon Pain Relief Associates LLC | 2682 Babble Creek Ln, O Fallon, MO 63368-8337 |
| Jerry R Meyers | General Practice | Ofallon Pain Relief Associates LLC | 2682 Babble Creek Ln, O Fallon, MO 63368-8337 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Austin F Clark | Physical Therapy | Prorehab PC | 951 Waterbury Falls Dr, O Fallon, MO 63368-2202 |
| Jeffrey S Swank | Physical Therapy | Prorehab PC | 951 Waterbury Falls Dr, O Fallon, MO 63368-2202 |
| Benjamin L Schaub | Physical Therapy | Prorehab PC | 951 Waterbury Falls Dr, O Fallon, MO 63368-2202 |
| Donald T Thorsen | Occupational Therapy | Prorehab PC | 951 Waterbury Falls Dr, O Fallon, MO 63368-2202 |
| Theodore S Rummel | Orthopedic Surgery | Piper Spine Care, PC | 2 Progress Point Pkwy, O Fallon, MO 63368-2205 |
| Michelle L Maloney | Nurse Practitioner | Physician Groups Lc | 20 Progress Point Pkwy, Suite 206, O Fallon, MO 63368-2207 |
| Brian Grus | Internal Medicine | Physician Groups Lc | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Gloria Michelle P Edacheril | Nurse Practitioner | Physician Groups Lc | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Bridget Doerr | Nurse Practitioner | Physician Groups Lc | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Genevieve Catherine Matthews | Internal Medicine | Physician Groups Lc | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Find all physicians in zip 63368 | |||
| City | O FALLON |
| Zip Code | 63368 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | O FALLON + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on Manish Suthar.
| 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.