PHYSICIAN GROUPS LC (NPI# 1508909680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508909680 |
| Entity Type | Organization |
| Organization Name | PHYSICIAN GROUPS LC |
| Other Organization Name | CHRISTIAN HOSPITAL PAIN MANAGEMENT CLINIC |
| Practice Address |
11155 Dunn Rd Suite 109n Saint Louis MO 63136-6150 |
| Mailing Address |
670 Mason Ridge Center Dr Suite 300 Saint Louis MO 63141-8573 |
| Practice Telephone | 3146535450 |
| Mailing Telephone | 3149967644 |
| Mailing Fax Number | 3149967658 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2008-04-02 |
| Authorized Official Name | RAYMOND P DAVIDSON II (PRESIDENT) |
| Authorized Official Telephone | 3142862028 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Christian Hospital Pain Management Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033236948 | Physician Groups Lc | Allergy & Immunology | 301 West Washington Street, Suite 5, Farmington, MO 63640-1921 | 2007-03-23 |
| 1144357278 | Physician Groups Lc | Family Medicine | 1110 Wolfrum Rd, Weldon Spring, MO 63304-7796 | 2007-02-27 |
| 1427114990 | Physician Groups Lc | Clinic/Center | 1103 W Liberty, Farmington, MO 63640-1921 | 2006-12-29 |
| 1770650020 | Physician Groups Lc | Clinic/Center | 6 Jungermann Road, Suite 108, Saint Peters, MO 63376 | 2006-11-30 |
| 1679640007 | Physician Groups Lc | Clinic/Center | 3528 Patterson Rd, Florissant, MO 63031-1311 | 2006-11-29 |
| 1285664268 | Physician Groups Lc | Clinic/Center | 670 Mason Ridge Center Dr, Suite 300, Saint Louis, MO 63141-8573 | 2006-07-04 |
| 1750562542 | Physician Groups Lc | Obstetrics & Gynecology | 1 Barnes Jewish Hospital Plz, Ste. 16312, Saint Louis, MO 63110-1003 | 2007-11-20 |
| 1790978757 | Physician Groups Lc | Internal Medicine | 2 Progress Point Ct, Suite 101c, O Fallon, MO 63368-2208 | 2007-08-23 |
| 1043403009 | Physician Groups Lc | Obstetrics & Gynecology | 70 Jungermann Cir, Suite 101, Saint Peters, MO 63376-1622 | 2007-08-23 |
| 1598958787 | Physician Groups Lc | Colon & Rectal Surgery | 11155 Dunn Rd, Ste. 312e Bldg. 1, Saint Louis, MO 63136-6150 | 2007-08-22 |
| Street Address |
11155 DUNN RD SUITE 109N |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63136-6150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871585356 | Salvador Lobianco | Internal Medicine | 11155 Dunn Rd, Ste: 315e, Saint Louis, MO 63136-6150 | 2005-08-19 |
| 1770047664 | Rachel Marie Biggs | Nurse Practitioner | 11155 Dunn Rd, Ste 209e, Saint Louis, MO 63136-6150 | 2019-01-25 |
| 1245720846 | Kathryn Marie Strope | Nurse Practitioner | 11155 Dunn Rd, Ste 209e, Saint Louis, MO 63136-6150 | 2018-05-18 |
| 1871006957 | Rebecca Diane Poindexter | Counselor | 11155 Dunn Rd, Saint Louis, MO 63136-6150 | 2017-11-10 |
| 1558719617 | Midwest Anesthesia Associates, P.C. | Pain Medicine | 11155 Dunn Rd, Suite 204n, Saint Louis, MO 63136-6150 | 2016-05-31 |
| 1316306194 | Kerri A Smith | Nurse Practitioner | 11155 Dunn Rd, Ste 109n, Saint Louis, MO 63136-6150 | 2016-02-22 |
| 1386064061 | Kathryn Rushing | Registered Nurse | 11155 Dunn Rd, Saint Louis, MO 63136-6150 | 2014-04-22 |
| 1780001446 | Susan Hofmann | Nurse Practitioner | 11155 Dunn Rd, Ste 109n, Saint Louis, MO 63136-6150 | 2014-03-19 |
| 1114348380 | St Louis Heart and Vascular P.C. | Clinic/Center | 11155 Dunn Rd, Suite 304e, Saint Louis, MO 63136-6150 | 2013-12-13 |
| 1972845998 | Amanda N Ventimiglia | Nurse Practitioner | 11155 Dunn Rd, Suite 304e, Saint Louis, MO 63136-6150 | 2013-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565993 | Dorothy Smith | Home Health | 2531 Nathan Drive, St Louis, MO 63136 | 2020-10-16 |
| 1538784459 | Rita D Wilson | Technician | 9597 Jacobi Ave Bldg 33 Apt 7, Saint Louis, MO 63136 | 2020-06-16 |
| 1922646728 | Eduhealth Personal Care Services | Technician | 5843 Eagle Valley Dr Saint Louis Mo 63136, Saint Louis, MO 63136 | 2019-12-12 |
| 1558912964 | Homers Haven Home Care LLC | Home Health | 5636 Pamplin Pl, St Louis, MO 63136 | 2019-09-26 |
| 1366096703 | Chloe Suzanne Datillo | Nurse Practitioner | 2865 Netherton Dr., St Louis, MO 63136 | 2019-07-24 |
| 1053976431 | U Auto Be Quik LLC | Non-emergency Medical Transport (VAN) | 10352 Castle Drive, St. Louis, MO 63136 | 2019-05-01 |
| 1164945895 | A Plus Home Health Services LLC | Home Health | 9517 Wilson Bridge Drive, Saint Louis, MO 63136 | 2017-07-25 |
| 1184150302 | Fairview Village Adult Day Care LLC | Clinic/Center | 8449 Jennings Station Rd, Fairview Village Adult Day Care, Saint Louis, MO 63136 | 2017-05-08 |
| 1023541182 | Lots of Love Home Health Services | In Home Supportive Care | 4144 Lindell Blvd. Suite 218, Saint Louis, MO 63136 | 2017-04-06 |
| 1912440876 | Carestl Health | Clinic/Center | 7047 Emma Ave, Jennings, MO 63136 | 2016-11-28 |
| Find all providers in zip 63136 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841540382 | Elpis Healthcare Inc | Clinic/Center | 9918 Grandview Forest Ct, Saint Louis, MO 63127-0046 | 2012-09-12 |
| 1558301036 | Washington University Pain Control LLC | Clinic/Center | 660 S Euclid Ave, Saint Louis, MO 63110-1010 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730605312 | Lake of The Ozarks Laser Pain Center LLC | Clinic/Center | 1039 E Us Highway 54 Ste 100, Camdenton, MO 65020-6852 | 2017-08-16 |
| 1952799264 | James R. Cook, Md | Clinic/Center | 2333 E Glenwood St, Springfield, MO 65804-3320 | 2015-01-08 |
| 1114944196 | Twin City Healt Services | Clinic/Center | 2310 N Truman Blvd, Crystal City, MO 63019-1037 | 2006-07-16 |
| 1649623240 | Integrative Spine Care LLC | Clinic/Center | 13710 Olive Blvd, Chesterfield, MO 63017-2602 | 2016-07-19 |
| 1730588674 | Midwest Health Solutions LLC | Clinic/Center | 24 Southtowne Dr, Potosi, MO 63664-5729 | 2014-08-16 |
| 1114290749 | South County Anesthesia Associates, Ltd | Clinic/Center | 1601 Wentzville Pkwy, Suite 109, Wentzville, MO 63385-3814 | 2012-02-13 |
| 1265705883 | South County Anesthesia Associates, Ltd | Clinic/Center | 4800 Mexico Rd, Suite 101, Saint Peters, MO 63376-1666 | 2012-02-13 |
| 1689947202 | South County Anesthesia Associates, Ltd | Clinic/Center | 1055 Bowles Ave, Suite 200, Fenton, MO 63026-2308 | 2012-02-13 |
| 1265545495 | Ch Allied Services, Inc. | Clinic/Center | 1600 E Broadway, Columbia, MO 65201-5844 | 2006-08-15 |
| City | SAINT LOUIS |
| Zip Code | 63136 |
Please comment or provide details below to improve the information on PHYSICIAN GROUPS LC.
| 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.