DAVID HENRY ANDERSON (NPI# 1093339590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093339590 |
| Entity Type | Individual |
| Full Name | DAVID HENRY ANDERSON |
| Practice Address |
6643 Shepley Dr Saint Louis MO 63105-2354 |
| Mailing Address |
6209 Tholozan Ave Saint Louis MO 63109-1367 |
| Practice Telephone | 3149356677 |
| Mailing Telephone | 3144359713 |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2020-06-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2015038420 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819875 | David Melville Anderson | Technician | 2558 S Anaheim St Apt 102, Aurora, CO 80014-1482 | 2020-07-27 |
| 1023645447 | David Allen Anderson | Nursing Care | 7746 Orchard Village Dr, Indianapolis, IN 46217-2907 | 2020-03-25 |
| 1467956615 | David Edward Anderson | Counselor | 4747 Arapahoe Ave Dept Case, Boulder, CO 80303-1131 | 2018-03-22 |
| 1548672702 | David Anderson | Dentist | 4207 W Electra Ln, Glendale, AZ 85310-5571 | 2014-05-22 |
| 1518390020 | David Anderson | Pharmacist | 3615 Gibraltar Dr, Reno, NV 89509-5617 | 2013-08-20 |
| 1518301217 | David Allen Anderson | Counselor | 13568 Sw 61st Ave, Suite 315, Portland, OR 97219-8132 | 2013-04-24 |
| 1316272636 | David Paul Anderson | Chiropractor | 10585 Scripps Poway Parkway, #c, San Diego, CA 92131 | 2009-10-05 |
| 1568695435 | David Robert Anderson II | Pharmacist | 202 Market St Ste J, Cramerton, NC 28032-1148 | 2009-08-26 |
| 1093946469 | David John Anderson | Dentist | 5192 Dawes Avenue, Alexandria, VA 22311 | 2009-08-04 |
| 1396995247 | David Marshall Anderson | Psychologist | 101 E 56th St, New York, NY 10022 | 2008-09-29 |
| Street Address |
6643 SHEPLEY DR |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63105-2354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437276458 | Shannon Scott Gergen | Pharmacist | 6643 Shepley Dr, Saint Louis, MO 63105-2354 | 2007-03-23 |
| 1124595277 | Denise Meyer | Registered Nurse | 6643 Shepley Dr, Saint Louis, MO 63105-2354 | 2018-10-26 |
| 1104367580 | Barbara Merz | Registered Nurse | 6643 Shepley Dr, Saint Louis, MO 63105-2354 | 2017-03-17 |
| 1730566514 | Melissa Pape | Registered Nurse | 6643 Shepley Dr, Saint Louis, MO 63105-2354 | 2015-04-30 |
| 1942694658 | Laboratory Corporation of America | Clinical Medical Laboratory | 6643 Shepley Dr, Suite A, Saint Louis, MO 63105-2354 | 2015-03-20 |
| 1225442270 | Barbara Ritter | Registered Nurse | 6643 Shepley Dr, Saint Louis, MO 63105-2354 | 2014-06-18 |
| 1558601518 | Habif Health and Wellness Center | Clinic/Center | 6643 Shepley Dr, Saint Louis, MO 63105-2354 | 2013-02-27 |
| 1346586245 | Melissa Wilson | Registered Nurse | 6643 Shepley Dr, Saint Louis, MO 63105-2354 | 2012-12-20 |
| 1447502034 | Traci R Debeir | Registered Nurse | 6643 Shepley Dr, Saint Louis, MO 63105-2354 | 2012-10-08 |
| 1659622082 | Marie M Byington | Registered Nurse | 6643 Shepley Dr, Saint Louis, MO 63105-2354 | 2012-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861016545 | Amy Piontek | Registered Nurse | Habif Health and Wellness Center, 6643 Shepley Drive, St. Louis, MO 63105 | 2020-05-29 |
| 1427520634 | Justin Kelly | Chiropractor | 8011 Maryland Avenue, St. Louis, MO 63105 | 2018-12-28 |
| 1720576663 | St. Louis Center for Cognitive Health, LLC | Clinic/Center | 7711 Bonhomme Ave Ste 350, Clayton, MO 63105 | 2018-04-26 |
| 1457849317 | A Storied Life Counseling LLC | Social Worker | 8000 Bonhomme Ave Ste 321, Clayton, MO 63105 | 2018-04-26 |
| 1669984142 | Peter Bogart | Counselor | 7710 Carondelet, Suite #204, Saint Louis, MO 63105 | 2017-10-24 |
| 1356891162 | Medical West Respiratory Pharmacy, LLC | Pharmacy | 440 South Brentwood Blvd, Clayton, MO 63105 | 2016-10-05 |
| 1710435565 | James Breihan | Occupational Therapist | 401 Corporate Park Drive, Clayton, MO 63105 | 2016-09-21 |
| 1730566928 | Frank Theus | Counselor | 7710 Carondelet Ave Ste 220, Saint Louis, MO 63105 | 2015-04-27 |
| 1962895896 | John B Martin | Obstetrics & Gynecology | 312 N. Meramec #300, St. Louis, MO 63105 | 2015-03-17 |
| 1861814261 | Jesse Marie Civello | Physical Therapist | 222 S Meramec Avenue, Suite 100, Clayton, MO 63105 | 2014-01-20 |
| Find all providers in zip 63105 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265039192 | Carley M Swabby | Specialist/Technologist | 652 Bismark Ave, Saint Louis, MO 63119-1528 | 2020-10-05 |
| 1194383943 | Elizabeth Lynch | Specialist/Technologist | 605 Clara Ave Apt 609, Saint Louis, MO 63112-1936 | 2019-06-05 |
| 1063970242 | Abby Hoffman | Specialist/Technologist | 7318 Brunswick Ave, Saint Louis, MO 63119-3329 | 2019-03-07 |
| 1649738824 | Emma C Yonkers | Specialist/Technologist | 4050 W Pine Blvd Apt 3207, Saint Louis, MO 63108-3349 | 2019-03-07 |
| 1386102556 | Justin Durham | Specialist/Technologist | 8425 Engler Ave, Saint Louis, MO 63114-4126 | 2019-03-06 |
| 1538626007 | Justin Ullom | Specialist/Technologist | 1111 Victor St, Saint Louis, MO 63104-4323 | 2019-02-21 |
| 1003373564 | Brian Tyler Leach | Specialist/Technologist | 6120 Wanda Ave, Saint Louis, MO 63116-2225 | 2019-02-20 |
| 1003372566 | Jesse Schmitt | Specialist/Technologist | 3939 W Pine Blvd, Saint Louis, MO 63108-3220 | 2019-02-20 |
| 1326504846 | Breanna Kenney | Specialist/Technologist | 1024 Colebrook Dr, Saint Louis, MO 63119-4757 | 2019-02-20 |
| 1083170518 | Paul Samuel Lamb | Specialist/Technologist | 3805 Lindell Blvd Apt A, Saint Louis, MO 63108-3451 | 2019-02-20 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63105 |
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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.