THE YOUTHFUL BODY, INC. (NPI# 1346576709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346576709 |
| Entity Type | Organization |
| Organization Name | THE YOUTHFUL BODY, INC. |
| Practice Address |
10287 Clayton Rd Suite 200 Saint Louis MO 63124-1172 |
| Mailing Address |
10287 Clayton Road Suite 200 Ladue MO 63124-1172 |
| Practice Telephone | 3146922639 |
| Practice Fax Number | 3146922649 |
| Mailing Telephone | 3146922639 |
| Mailing Fax Number | 3146922649 |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2009-10-20 |
| Authorized Official Name | DR. ERICK FALCONER (PRESIDENT) |
| Authorized Official Telephone | 3146922639 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Street Address |
10287 CLAYTON RD SUITE 200 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63124-1172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235182189 | Erick A Falconer | Emergency Medicine | 10287 Clayton Rd, Suite 200, Saint Louis, MO 63124-1172 | 2006-05-19 |
| 1447494133 | The Youthful Body Medical Spa | Clinic/Center | 10287 Clayton Rd, Suite 200, Saint Louis, MO 63124-1172 | 2009-04-24 |
| 1245363712 | Falconer Enterprises LLC | Durable Medical Equipment & Medical Supplies | 10287 Clayton Rd, Suite 200, Saint Louis, MO 63124-1172 | 2007-03-14 |
| 1275679011 | Marc R Singer | Dentist | 10287 Clayton Rd, Ste 300, Saint Louis, MO 63124-1172 | 2007-01-29 |
| 1902966658 | Lawrence Michael Hoffman | Dentist | 10287 Clayton Rd, Suite 350, Saint Louis, MO 63124-1172 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174174775 | Nicholas Simpson | Nurse Practitioner | 8857 Ladue Road, St. Louis, MO 63124 | 2019-09-25 |
| 1144774647 | Carolyn Ashley Myles Versical | Psychologist | 26 Godwin Ln, Saint Louis, MO 63124 | 2016-08-12 |
| 1740669373 | Victor's Home Care Cds, LLC | Hospice Care, Community Based | 8420 Delmar Blvd, Ste 507, St. Louis, MO 63124 | 2015-05-28 |
| 1851784490 | Bryan Watanabe Dds Ladue Dental Group, PC | Dentist | 8859 Ladue Road, Ladue, MO 63124 | 2015-03-06 |
| 1689072324 | Ladue Internal Medicine, LLC | Internal Medicine | 8857 A Ladue Rd., Ladue, MO 63124 | 2014-12-11 |
| 1043557150 | Ronald Nathan Riner | Internal Medicine | 9847 Waterbury Drive, St. Louis, MO 63124 | 2013-01-09 |
| 1295099638 | David Stuart Sonderman | Pediatrics | 8888 Ladue Road, Ste 100, Saint Louis, MO 63124 | 2012-06-29 |
| 1255637799 | Kyu S Her | Pediatrics | 624 Haverford Road, St. Louis, MO 63124 | 2011-02-01 |
| 1194983833 | Roberte Kuhlman | Orthopaedic Surgery | 12 Upper Barnes, St Louis, MO 63124 | 2008-05-29 |
| 1467507673 | Mark William Aylward | Dentist | 9216 Clayton Road, Suite 118, St Louis, MO 63124 | 2007-01-25 |
| Find all providers in zip 63124 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871044735 | Susan D Purcell Md Dermatology LLC | Clinic/Center | 969 N Mason Rd Ste 170, Saint Louis, MO 63141-6387 | 2016-10-16 |
| 1154730414 | Mohammed Z Siddiqui Medical Consulting LLC | Clinic/Center | 10 Overbrook Dr, Saint Louis, MO 63124-1482 | 2014-08-11 |
| 1376875393 | Ballas Chiropractic Centre Inc | Clinic/Center | 11639 Studt Ave, Saint Louis, MO 63141-7015 | 2010-02-01 |
| 1285664268 | Physician Groups Lc | Clinic/Center | 670 Mason Ridge Center Dr, Suite 300, Saint Louis, MO 63141-8573 | 2006-07-04 |
| 1437185782 | Missouri Cvs Pharmacy, L.L.C. | Clinic/Center | 6600 Clayton Rd, Saint Louis, MO 63117-1602 | 2006-06-25 |
| 1104861129 | Missouri Cvs Pharmacy, L.L.C. | Clinic/Center | 10650 Olive Blvd, Saint Louis, MO 63141-7834 | 2006-06-17 |
| 1730540196 | Vein Specialties and Medi-spa, LLC | Clinic/Center | 1035 Bellevue Ave Ste 212, Saint Louis, MO 63117-1846 | 2016-03-14 |
| 1114344348 | St Louis Kidney, LLC | Clinic/Center | 12855 N 40 Dr, Suite 205, Saint Louis, MO 63141-8657 | 2014-03-26 |
| 1003246026 | True Results Missouri, LLC | Clinic/Center | 12855 N 40 Dr, Suite 275, Saint Louis, MO 63141-8657 | 2013-11-13 |
| 1811268428 | Joseph M Seria Md LLC | Clinic/Center | 3915 Watson Rd, Suite 204, Saint Louis, MO 63109-1251 | 2012-01-13 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63124 |
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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.