MR. CHARLES JUSTIN HANGGE (NPI# 1104260652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104260652 |
| Entity Type | Individual |
| Full Name | MR. CHARLES JUSTIN HANGGE |
| Practice Address |
2862 Championship Blvd Saint Louis MO 63129-5269 |
| Mailing Address |
3709 Courtois St Saint Louis MO 63123-7712 |
| Practice Telephone | 3144207375 |
| Mailing Telephone | 3144207375 |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2013-04-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146N00000X | Emergency Medical Technician, Basic | B-60382 | MO | Emergency Medical Service Providers |
| Street Address |
2862 CHAMPIONSHIP BLVD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63129-5269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447730742 | Total Access Urgent Care, PC | Clinic/Center | 4400 Telegraph Road, 4400 Telegraph Road, St. Louis, MO 63129 | 2018-08-16 |
| 1679061808 | Susan Swyers Grogan | Occupational Therapist | 2806 Flamewood Drive, St. Louis, MO 63129 | 2018-04-24 |
| 1376073981 | Eric Piatchek | Specialist/Technologist | 2661 Bluff Ridge Drive, St. Louis, MO 63129 | 2017-06-15 |
| 1033647144 | Keona E Smith | Nurse Practitioner | 7334 Lindbergh Blvd, Ballwin, MO 63129 | 2017-06-02 |
| 1588036966 | Sarah Michelle Corry | Occupational Therapist | 5043 Telegraph Rd, St Louis, MO 63129 | 2015-10-26 |
| 1598169120 | Vivian Carr | Counselor | 5266 Sir Bors Drive, St. Louis, MO 63129 | 2014-10-10 |
| 1982044327 | Andrew Michael Bryant | Family Medicine | 4280 Mid America Lane, Saint Louis, MO 63129 | 2013-06-30 |
| 1306185533 | John Alexander Miller | Registered Nurse | 4220 Robert Koch Hospital Rd, Saint Louis, MO 63129 | 2013-02-07 |
| 1346597457 | Pain and Performance Relief LLC | Physical Medicine & Rehabilitation | 4175 Crescent Dr Ste A, Saint Louis, MO 63129 | 2012-08-08 |
| 1366721516 | Teresa Lyn Bitter | Speech-Language Pathologist | 7325 Summerview Manor Lane, St. Louis, MO 63129 | 2011-08-05 |
| Find all providers in zip 63129 | ||||
| Taxonomy Code | 146N00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Basic |
| A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265092589 | Mari I Debolt | Emergency Medical Technician, Basic | 123 N Pine St, Saint Louis, MI 48880-1428 | 2019-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487192514 | Kami Parney | Emergency Medical Technician, Basic | 601 E 16th Street, Bothwell Regional Health Center, Sedalia, MO 65301 | 2017-02-09 |
| 1588970479 | Brianne Marie Luck | Emergency Medical Technician, Basic | 2813 Kenborg Hls, Jefferson City, MO 65109-1002 | 2010-08-30 |
| 1932254828 | Kristan Erdmann | Emergency Medical Technician, Basic | 412 N Church St Apt 3, Fayette, MO 65248-1123 | 2007-01-24 |
| 1396742847 | Hermann Area Ambulance District | Emergency Medical Technician, Basic | 510 W 16th St, Hermann, MO 65041-1502 | 2005-06-30 |
| 1669005591 | Caleb Morlan | Emergency Medical Technician, Basic | 901 S National Ave # Prof160, Springfield, MO 65897-0027 | 2020-02-19 |
| 1255996765 | Evelyn D Walberg | Emergency Medical Technician, Basic | 315 E Walnut St, Ellington, MO 63638-7943 | 2019-05-09 |
| 1740799576 | David Montijo | Emergency Medical Technician, Basic | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2017-09-25 |
| 1063822211 | Chere Hellenbrand | Emergency Medical Technician, Basic | 102 N Sterling Ave, Sugar Creek, MO 64054-1207 | 2014-04-28 |
| 1952740748 | Mitchell J Mcginnis | Emergency Medical Technician, Basic | 904 Edmond St, Saint Joseph, MO 64501-2702 | 2013-06-14 |
| 1528206893 | Ryan Palmer | Emergency Medical Technician, Basic | 2727 Mcclelland Blvd, Joplin, MO 64804-1626 | 2009-01-25 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS |
| Zip Code | 63129 |
Please comment or provide details below to improve the information on MR. CHARLES JUSTIN HANGGE.
| 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.