ERIC HURTTE D.M.D, P.C. (NPI# 1508416967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508416967 |
| Entity Type | Organization |
| Organization Name | ERIC HURTTE D.M.D, P.C. |
| Other Organization Name | BOARDWALK FAMILY DENTAL |
| Practice Address |
7766 Winghaven Blvd O Fallon MO 63368-3601 |
| Mailing Address |
749 Clark Rd Eolia MO 63344-2321 |
| Practice Telephone | 6365614117 |
| Mailing Telephone | 6367347879 |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2019-09-19 |
| Authorized Official Name | KIRSTEN BURKEMPER (FRONT DESK) |
| Authorized Official Telephone | 6365614117 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| Boardwalk Family Dental | Doing Business As Name - Organization |
| Street Address |
7766 WINGHAVEN BLVD |
| City | O FALLON |
| State | MO |
| Zip Code | 63368-3601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942359229 | Eric J Hurtte | Dentist | 7766 Winghaven Blvd, O Fallon, MO 63368-3601 | 2007-01-09 |
| 1356900872 | Bradley Lance | Dentist | 7766 Winghaven Blvd, O Fallon, MO 63368-3601 | 2019-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720329 | Come As You Are Counseling LLC | Counselor | 1001 Boardwalk Springs Place, Suite 111, O Fallon, MO 63368 | 2020-11-04 |
| 1770124802 | Lisa N. Greer | Technician | 6911 Brassel Dr., Ofallon, MO 63368 | 2019-09-30 |
| 1770145716 | Halie Faye Gulley | Dentist | 3009 Hwy K, O'fallon, MO 63368 | 2019-06-29 |
| 1972079556 | Erin Corsi Fraundorf | Dentist | 3009 State Hwy K, O'fallon, MO 63368 | 2018-10-22 |
| 1427579960 | Air Evac Ems, Inc. | Ambulance | 1001 Boardwalk Springs Pl Ste 250, O Fallon, MO 63368 | 2017-07-06 |
| 1528507472 | Washeck Manual Therapy LLC | Clinic/Center | 3074 Winghaven Blvd, O'fallon, MO 63368 | 2017-02-13 |
| 1639618457 | Brittany Hogan | Physical Therapist | 7412 South Outer 364, Suite B, Dardenne Prairie, MO 63368 | 2017-02-13 |
| 1124561469 | Cardinal Home Care LLC | Home Health | 18 Convent Garden Ct, O'fallon, MO 63368 | 2016-11-18 |
| 1336509272 | Sarah Marie Mudd | Counselor | 1654 Bryan Road, O'fallon, MO 63368 | 2016-03-04 |
| 1588023956 | Price-bourisaw Family Chiropractic | Chiropractor | 2917 State Highway K, O Fallon, MO 63368 | 2016-02-15 |
| Find all providers in zip 63368 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053945105 | Premier Cds Services | Preferred Provider Organization | 4144 Lindell Blvd Ste 218, Saint Louis, MO 63108-2932 | 2020-02-27 |
| 1689216186 | Isaihs Angels In-home Healthcare, LLC | Preferred Provider Organization | 1276 Saint Cyr Rd Ste 123, Saint Louis, MO 63137-1224 | 2019-10-16 |
| 1811409253 | Outreach Home Healthcare Agency LLC | Preferred Provider Organization | 10351 Capitol Dr, Saint Louis, MO 63136-4305 | 2017-10-25 |
| 1497291090 | Anointing Loving Carellc | Preferred Provider Organization | 769 Laredo Ave, Saint Louis, MO 63138-3633 | 2017-01-06 |
| 1700242872 | Our Hands That Care Ihs LLC | Preferred Provider Organization | 4144 Lindell Blvd Ste 312a, Saint Louis, MO 63108-2953 | 2016-01-05 |
| 1558779934 | Trugia Care | Preferred Provider Organization | 617 Seaton Blvd, Raymore, MO 64083-8311 | 2014-07-29 |
| 1154755338 | Angels Within Cds LLC | Preferred Provider Organization | 4108 W Florissant Ave, Saint Louis, MO 63115-3056 | 2013-08-24 |
| 1285939777 | Emily Katherine Handley. | Preferred Provider Organization | 14227 E Highway 40, Kansas City, MO 64136-1187 | 2011-01-14 |
| 1508185687 | Nancy Williger Phd LLC | Preferred Provider Organization | 745 Old Frontenac Sq Ste 201, Saint Louis, MO 63131-2755 | 2010-05-27 |
| 1578893137 | Towne Dental of Oak Grove LLC | Preferred Provider Organization | 1206 S Broadway, Oak Grove, MO 64075-9100 | 2010-01-05 |
| Find all providers with the same taxonomy | ||||
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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.