LYNDON BERNARD GROSS (NPI# 1215902648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215902648 |
| Entity Type | Individual |
| Full Name | LYNDON BERNARD GROSS |
| Credential | M.D., PH.D |
| Practice Address |
14825 N Outer 40 Suite 200 Chesterfield MO 63017-2026 |
| Practice Telephone | 3143362555 |
| Mailing Telephone | 3143362555 |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2011-02-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 119343 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
14825 N OUTER 40 SUITE 200 |
| City | CHESTERFIELD |
| State | MO |
| Zip Code | 63017-2026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417959479 | George Robert Kletzker | Otolaryngology | 14825 N Outer 40, Suite 310, Chesterfield, MO 63017-2152 | 2005-06-02 |
| 1881840668 | John O. Krause, M.d., LLC | Specialist | 14825 N Outer 40, Suite 200, Chesterfield, MO 63017-2152 | 2008-08-13 |
| 1609032655 | Whitney Lyn Nunn | Specialist | 14825 N Outer 40, Suite 200, Chesterfield, MO 63017-2152 | 2008-07-30 |
| 1760656607 | Judith Gurley Plastic Surgery, LLC | Plastic Surgery | 14825 N Outer 40, #350, Chesterfield, MO 63017-2152 | 2008-04-22 |
| 1669657714 | The Orthopedic Center of St. Louis | Specialist | 14825 N Outer 40, Suite 200, Chesterfield, MO 63017-2152 | 2008-01-08 |
| 1366657751 | Penney Muskopf | Specialist/Technologist, Other | 14825 N Outer 40, Suite 200, Chesterfield, MO 63017-2152 | 2007-05-11 |
| 1972633733 | Neurological and Electrodiagnostic Institute of St. Louis Inc. | Psychiatry & Neurology | 14825 N Outer 40, Suite 330, Chesterfield, MO 63017-2152 | 2007-03-07 |
| 1902935588 | Allyson Joggerst | Physician Assistant | 14825 N Outer 40, Suite 200, Chesterfield, MO 63017-2152 | 2007-03-02 |
| 1700914983 | Paula Ronzio | Clinical Nurse Specialist | 14825 N Outer 40, Suite 200, Chesterfield, MO 63017-2152 | 2007-03-01 |
| 1700911039 | Kim Laux | Registered Nurse | 14825 N Outer 40, Chesterfield, MO 63017-2152 | 2007-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549193 | Kathryn E Bos | Student in an Organized Health Care Education/Training Program | 873 Apt N Foxsprings Dr, Chesterfield, MO 63017 | 2020-05-12 |
| 1700415171 | Charles H. Edwards | Physical Therapist | 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 | 2020-04-07 |
| 1003454562 | Stephanie Henningsen | Physical Therapy Assistant | 307 S Woods Rd, Chesterfield, MO 63017 | 2019-12-16 |
| 1831746296 | Star Lynn Sutton | Occupational Therapy Assistant | 15207 Olive Boulevard, Chesterfield, MO 63017 | 2019-08-21 |
| 1639738438 | Van Amburg & Busiek Md's, LLC | Pharmacy | 232 S Woodsmill Road, Suite 330 East, Chesterfield, MO 63017 | 2019-06-06 |
| 1306306865 | Margaret Mary Wynn | Nurse Practitioner | 15740 South Outer Road, Chesterfield, MO 63017 | 2019-03-21 |
| 1205393089 | Kimberly Danielle | Nurse Practitioner | 744 Forest Trace Dr, Chesterfield, MO 63017 | 2019-02-27 |
| 1457823965 | Allison Joy Mcgrail | Dietitian, Registered | 45740 S Outer Forty Rd, Chesterfield, MO 63017 | 2018-12-21 |
| 1316418080 | Julie Lefere | Social Worker | Mercy Virtual Care Center, 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2018-12-06 |
| 1336629641 | Catherine Dolphin Smith | Nurse Practitioner | 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 | 2018-08-16 |
| Find all providers in zip 63017 | ||||
| Taxonomy Code | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497720825 | George Arthur Paletta Jr. | Neuromusculoskeletal Medicine, Sports Medicine | 14825 N Outer 40, Suite 200, Chesterfield, MO 63017-2026 | 2006-02-20 |
| 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 |
| 1144339334 | Athletics Sports Medicine | Neuromusculoskeletal Medicine, Sports Medicine | 7508 Big Bend Blvd, Saint Louis, MO 63119-2104 | 2006-08-30 |
| 1033130588 | Jay Noffsinger | Neuromusculoskeletal Medicine, Sports Medicine | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2006-07-21 |
| City | CHESTERFIELD |
| Zip Code | 63017 |
Please comment or provide details below to improve the information on LYNDON BERNARD GROSS.
| 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.