DR. PHUNG T DANG (NPI# 1174626840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174626840 |
| Entity Type | Individual |
| Full Name | DR. PHUNG T DANG |
| Credential | M.D. |
| Practice Address |
12414 Stratford Ridge Ct Saint Louis MO 63141-6383 |
| Practice Telephone | 3142772163 |
| Mailing Telephone | 3142772163 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2015-06-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
R5G74 | MO | Allopathic & Osteopathic Physicians |
| N | 225400000X | Rehabilitation Practitioner | R5G74 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891116067 | Phung Dang | Pharmacist | 496 Us Highway 84 E, Cairo, GA 39828-1647 | 2013-12-13 |
| Street Address |
12414 STRATFORD RIDGE CT |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63141-6383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861832503 | St Louis Neuropathy and Pain Relief Center LLC | Pain Medicine | 10777 Sunset Office Dr Ste 40, Saint Louis, MO 63127-1019 | 2013-06-26 |
| 1407384944 | Iprri LLC | Pain Medicine | 10435 Clayton Rd Ste 120, Saint Louis, MO 63131-2930 | 2017-05-29 |
| 1316387327 | Christian Oliver | Pain Medicine | 845 N New Ballas Ct Ste 200, Saint Louis, MO 63141-7169 | 2013-07-05 |
| 1699916247 | Western Anesthesiology Assocaiates, Inc. | Pain Medicine | 1070 Old Des Peres Rd, Saint Louis, MO 63131-1865 | 2009-03-11 |
| 1942470687 | Millennium Pain Management, LLC | Pain Medicine | 13131 Tesson Ferry Rd, Suite #105, Saint Louis, MO 63128-3887 | 2008-03-10 |
| 1336135417 | Richard S. Gahn | Pain Medicine | 12345 W Bend Dr, Suite 302, Saint Louis, MO 63128-2182 | 2005-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750896635 | Stl Surgical LLC | Pain Medicine | 12184 Natural Bridge Rd, Bridgeton, MO 63044-2017 | 2017-12-13 |
| 1326311747 | Greater St. Louis Pain Management, Corp. | Pain Medicine | 11716 Studt Avenue, St. Louis, MO 63141-7018 | 2012-02-15 |
| 1114034931 | Mahendra Gunapooti | Pain Medicine | 261 Dunn Rd, Florissant, MO 63031-7928 | 2006-08-25 |
| 1154376788 | Sam Martin | Pain Medicine | 2025 S Brentwood Blvd, Suite 200, Brentwood, MO 63144-1833 | 2006-05-23 |
| 1669422978 | The Brooks Clinic for Pain Management, Inc. | Pain Medicine | 1730 E Republic Rd, Suite Sa, Springfield, MO 65804-6549 | 2006-05-10 |
| 1578197927 | Surgery Cneters of Missouri | Pain Medicine | 8225 Clayton Rd, Clayton, MO 63117-1107 | 2020-02-25 |
| 1730710369 | Regen Ortho Spine & Pain LLC | Pain Medicine | 60 Business Park Dr Ste A, Troy, MO 63379-2828 | 2020-02-02 |
| 1508363946 | A & N Health Solutions LLC | Pain Medicine | 12607 Olive Blvd, Creve Coeur, MO 63141-6313 | 2018-04-11 |
| 1528497401 | Western Missouri Medical Center | Pain Medicine | 403 Burkarth Rd, Warrensburg, MO 64093-3101 | 2013-11-01 |
| 1265720114 | Mid Missouri Pain Management LLC | Pain Medicine | 811 N Keene St, Columbia, MO 65201-6634 | 2011-07-13 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS |
| Zip Code | 63141 |
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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.