ATHLETICS SPORTS MEDICINE (NPI# 1144339334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144339334 |
| Entity Type | Organization |
| Organization Name | ATHLETICS SPORTS MEDICINE |
| Practice Address |
7508 Big Bend Blvd Saint Louis MO 63119-2104 |
| Practice Telephone | 3143414931 |
| Practice Fax Number | 3146471964 |
| Mailing Telephone | 3143414931 |
| Mailing Fax Number | 3146471964 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. CYD CHARISSE WILLIAMS (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 3146474880 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 1999135803 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
7508 BIG BEND BLVD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63119-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740240555 | Daniel Keith Mcleod | Specialist/Technologist | 7508 Big Bend Blvd, Saint Louis, MO 63119-2104 | 2006-03-24 |
| 1316326788 | Mary E Rollins | Physical Therapist | 7508 Big Bend Blvd, Saint Louis, MO 63119-2104 | 2015-05-19 |
| 1205239548 | Melani Willenbrink | Physical Therapist | 7508 Big Bend Blvd, Saint Louis, MO 63119-2104 | 2014-10-01 |
| 1164653572 | Lesley Serben | Physical Therapist | 7508 Big Bend Blvd, Saint Louis, MO 63119-2104 | 2009-08-03 |
| 1083820476 | Comprehensive Ergonomics Services | Counselor | 7508 Big Bend Blvd, Saint Louis, MO 63119-2104 | 2007-05-15 |
| 1780760397 | Nancy Stecher Hammond | Physical Therapist | 7508 Big Bend Blvd, Saint Louis, MO 63119-2104 | 2006-10-27 |
| 1003903436 | Juliet Hereford | Physical Therapist | 7508 Big Bend Blvd, Saint Louis, MO 63119-2104 | 2006-10-06 |
| 1669430005 | Mark Edward Murray | Counselor | 7508 Big Bend Blvd, Saint Louis, MO 63119-2104 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525631 | Kaylen A Howard | Specialist/Technologist | No, No, MO 63119 | 2020-10-16 |
| 1053887612 | St. Gianna Pediatrics, LLC | Pediatrics | 7387 Watson Road, Shrewsbury, MO 63119 | 2018-10-22 |
| 1982140265 | Forefront Dermatology, S.c. | Dermatology | 8567 Watson Rd, Webster Groves, MO 63119 | 2017-01-11 |
| 1407308018 | Tyler Clark | Student in an Organized Health Care Education/Training Program | 7785 Keswick Pl, Saint Louis, MO 63119 | 2016-10-30 |
| 1396109880 | Ritesh Gandhi | Family Medicine | 7345 Watson Rd Ste 203, Saint Louis, MO 63119 | 2016-04-11 |
| 1568834489 | Antonio Robinson | Counselor | 330 N. Gore, Great Circle, Saint Louis, MO 63119 | 2015-10-30 |
| 1922484039 | Odessa Baker X | Dietary Manager | 525 N. Laclede Station Road, St. Louis, MO 63119 | 2015-07-31 |
| 1194114694 | Laura Maher | Social Worker | 201 W. Lockwood Ave, Suite 201, St. Louis, MO 63119 | 2015-01-21 |
| 1427314046 | Dick (richard) Ralph Brummett | Family Medicine | 711 S Laclede Sta Rd, # 2111, St Louis, MO 63119 | 2012-04-09 |
| 1972872935 | Dolliene A. Raabe | Social Worker | 8050 Watson Road, Suite 201, St. Louis, MO 63119 | 2011-12-21 |
| Find all providers in zip 63119 | ||||
| Taxonomy Code | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033130588 | Jay Noffsinger | Neuromusculoskeletal Medicine, Sports Medicine | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992884217 | Lordex Spine Center of Columbia P.C. | Neuromusculoskeletal Medicine, Sports Medicine | 3400 Buttonwood Dr, Ste C, Columbia, MO 65201-3720 | 2006-11-06 |
| 1437194925 | Manual Therapy Center, LLC | Neuromusculoskeletal Medicine, Sports Medicine | 19401 E Us Highway 40, Suite 200, Independence, MO 64055-5451 | 2006-06-18 |
| 1790728632 | Cyd Charisse Thomas Williams | Neuromusculoskeletal Medicine, Sports Medicine | 2310 Hwy 94 South Outer Road, Saint Charles, MO 63303-2104 | 2006-06-14 |
| 1255811337 | Institute for Regenerative Meidicine LLC | Neuromusculoskeletal Medicine, Sports Medicine | 7721 Clayton Rd, Clayton, MO 63117-1301 | 2018-08-17 |
| 1609021104 | Stephen Russell Bergman | Neuromusculoskeletal Medicine, Sports Medicine | 800 W Jefferson St, Kirksville, MO 63501-1443 | 2008-11-25 |
| 1497720825 | George Arthur Paletta Jr. | Neuromusculoskeletal Medicine, Sports Medicine | 14825 N Outer 40, Suite 200, Chesterfield, MO 63017-2026 | 2006-02-20 |
| 1215902648 | Lyndon Bernard Gross | Neuromusculoskeletal Medicine, Sports Medicine | 14825 N Outer 40, Suite 200, Chesterfield, MO 63017-2026 | 2006-02-20 |
| City | SAINT LOUIS |
| Zip Code | 63119 |
Please comment or provide details below to improve the information on ATHLETICS SPORTS MEDICINE.
| 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.