ADVANCED SPINE INSTITUTE LLC (NPI# 1396305348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396305348 |
| Entity Type | Organization |
| Organization Name | ADVANCED SPINE INSTITUTE LLC |
| Practice Address |
3009 N Ballas Rd Ste 320a Saint Louis MO 63131-2324 |
| Practice Telephone | 3149917707 |
| Practice Fax Number | 3144322564 |
| Mailing Telephone | 3149917707 |
| Mailing Fax Number | 3144322564 |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2019-06-20 |
| Authorized Official Name | MRS. LYDIA LYNN THOMAS (BILLING DIRECTOR) |
| Authorized Official Telephone | 3149917707 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3009 N Ballas Rd Ste 269c, Saint Louis, MO 631312339 | 3147430330 | 3147430339 |
| Street Address |
3009 N BALLAS RD STE 320A |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63131-2324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568097954 | Avalcare Inc | Pharmacy | 10431 Clayton Rd, Saint Louis, MO 63131 | 2020-03-06 |
| 1891331369 | Life Clinic of Mo Dc PC | Chiropractor | 2051 South Lindbergh Blvd, Frontenac, MO 63131 | 2019-11-20 |
| 1447892542 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 30 S Lindbergh Blvd, Saint Louis, MO 63131 | 2019-10-10 |
| 1336797026 | Justa Davis | Dietitian, Registered | 3015 North Ballas, Saint Louis, MO 63131 | 2019-08-27 |
| 1730695362 | Curators of The University of Missouri | Psychologist | 12837 Flushing Meadows Drive, Sutie 220, Town and Country, MO 63131 | 2017-12-19 |
| 1770012031 | Danielle Marie Hargate | Specialist/Technologist | 732 Timber Trail, Frontenac, MO 63131 | 2017-06-08 |
| 1285087429 | Kathryn Parker | Internal Medicine | 1000 Des Peres Rd Ste 300, Saint Louis, MO 63131 | 2016-07-22 |
| 1437524360 | Julie Ann Godefroid | Nurse Practitioner | 1010 Old Des Peres Road, St. Louis, MO 63131 | 2015-12-03 |
| 1073982435 | Rebecca Baum Rainbolt | Social Worker | 12210 Clayton Rd, Saint Louis, MO 63131 | 2015-09-16 |
| 1518217322 | Advanced Anesthesia and Pain Management, LLC | Anesthesiology | 12805 Topping Woods Estate Drive, St. Louis, MO 63131 | 2012-09-19 |
| Find all providers in zip 63131 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689173692 | Spine Cin of St Louis LLC | Orthopaedic Surgery | 11628 Old Ballas Rd # 344, Saint Louis, MO 63141-7030 | 2018-02-05 |
| 1881193894 | Optimal Health of Mo, LLC | Orthopaedic Surgery | 11628 Old Ballas Rd # 345, Saint Louis, MO 63141-7030 | 2018-02-05 |
| 1952364796 | Donald A Degrange | Orthopaedic Surgery | 621 S New Ballas Rd Ste 142a, Saint Louis, MO 63141-8254 | 2006-04-11 |
| 1356853683 | Orthopedic and Spine Institute of St. Louis, LLC | Orthopaedic Surgery | 10435 Clayton Rd, Ste 120, Saint Louis, MO 63131 | 2017-10-26 |
| 1154708196 | Jeffrey Michael Hills | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2015-04-29 |
| 1962897504 | Brian Dial | Orthopaedic Surgery | 660 S Euclid Ave, Saint Louis, MO 63110-1010 | 2015-03-31 |
| 1972914760 | Floreana Andina Naef Kebaish | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2014-05-14 |
| 1659669075 | Rasheed Abiola | Orthopaedic Surgery | 11125 Dunn Rd Ste 301, Saint Louis, MO 63136-6132 | 2011-07-19 |
| 1932490273 | Pooria Salari | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2011-04-20 |
| 1831408368 | James T Merenda, M.d., L.L.C. | Orthopaedic Surgery | 621 S New Ballas Rd, 298-a, Saint Louis, MO 63141-8232 | 2010-10-01 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63131 |
Please comment or provide details below to improve the information on ADVANCED SPINE INSTITUTE LLC.
| 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.