MISSOURI SPINE CARE, LLC (NPI# 1568594232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568594232 |
| Entity Type | Organization |
| Organization Name | MISSOURI SPINE CARE, LLC |
| Practice Address |
3555 Sunset Office Dr Suite C110 Saint Louis MO 63127-1015 |
| Practice Telephone | 3149655050 |
| Practice Fax Number | 3149665565 |
| Mailing Telephone | 3149655050 |
| Mailing Fax Number | 3149665565 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MATTHEW DAVID GOODWIN (PRESIDENT) |
| Authorized Official Telephone | 3149655050 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 111N00000X | Chiropractor | Chiropractic Providers | ||
| X | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| X | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3555 SUNSET OFFICE DR SUITE C110 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63127-1015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902867633 | Gary A Vickers | Family Medicine | 3555 Sunset Office Dr, Suite C 100, Saint Louis, MO 63127-1015 | 2006-03-31 |
| 1306358288 | Katie Ledbetter | Nurse Practitioner | 3555 Sunset Office Dr, Saint Louis, MO 63127-1015 | 2017-10-31 |
| 1780121830 | Daniel Jacobsen | Nurse Practitioner | 3555 Sunset Office Dr, Ste. C102, Saint Louis, MO 63127-1015 | 2017-01-27 |
| 1053690404 | Pain Management Partners LLC | Clinic/Center | 3555 Sunset Office Dr, Suite C110, Saint Louis, MO 63127-1015 | 2011-08-16 |
| 1861704108 | Matthew Sean Spinks | General Practice | 3555 Sunset Office Dr, Ste. C-102, Saint Louis, MO 63127-1015 | 2010-07-01 |
| 1588844542 | Alejandra D. Alvarez Wilson | Obstetrics & Gynecology | 3555 Sunset Office Dr, Suite 107, Saint Louis, MO 63127-1015 | 2007-11-07 |
| 1215134465 | Emily Margaret Price Brown | Dentist | 3555 Sunset Office Dr, Suite 210, Saint Louis, MO 63127-1015 | 2007-06-29 |
| 1164623963 | William B Albair | Dentist | 3555 Sunset Office Dr, Suite C-105, Saint Louis, MO 63127-1015 | 2007-05-30 |
| 1255549754 | James Anthony Bruno | Dentist | 3555 Sunset Office Dr, Suite 208, Saint Louis, MO 63127-1015 | 2007-05-18 |
| 1174746564 | George V Duello | Dentist | 3555 Sunset Office Dr, Suite C105, Saint Louis, MO 63127-1015 | 2007-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730698374 | Advanced Surgical Center of Sunset Hills LLC | Clinic/Center | 4594 S Lindbergh Blvd, Saint Louis, MO 63127 | 2017-09-27 |
| 1811382179 | Robert Paul Hintze | Dentist | 3555 Sunset Office Dr Ste 210, Saint Louis, MO 63127 | 2015-04-03 |
| 1639560782 | Bwell Pharmacy LLC | Pharmacy | 12128 Gravois Road, St.louis, MO 63127 | 2015-02-11 |
| 1043612773 | Braham Dev Dewan | Internal Medicine | 9917 Grandview Forest Court, Saint Louis, MO 63127 | 2014-09-25 |
| 1639518673 | Jonathan Yoon | Otolaryngology | 9701 Landmark Parkway Dr Ste 201, Saint Louis, MO 63127 | 2013-06-24 |
| 1639515315 | Kathleen Mary Lowe | Internal Medicine | 3844 S Lindbergh Blvd Ste 120, Saint Louis, MO 63127 | 2013-05-21 |
| 1366782088 | Sunset Hills Family Chiropractic LLC | Clinic/Center | 4600 South Lindbergh Ave, Suite 3, St. Louis, MO 63127 | 2013-02-15 |
| 1063743300 | John Ralph Firth | Dentist | 3890 So. Lindbergh Blvd., Suite 115, Sunset Hills, MO 63127 | 2010-01-27 |
| 1174762850 | Antonio I Longrais | Dentist | 4600 S. Lindbeigh 63127, St. Louis, MO 63127 | 2009-02-19 |
| 1447439716 | George D Bankhead Dds Ms PC | Dentist | 3890 S Lindbergh Blvd, Suite 115, Sunset Hills, MO 63127 | 2007-11-02 |
| Find all providers in zip 63127 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275170433 | Morgan P Morris | Chiropractor | 3611 S Grand Blvd Ste 200, Saint Louis, MO 63118-3403 | 2019-12-06 |
| 1891351193 | Alexander Johannes Olalani Mcguire | Chiropractor | 3247 Suson Ct Apt 1, Saint Louis, MO 63139-1832 | 2019-05-13 |
| 1386104727 | John Carroll Calhoun | Chiropractor | 2951 Dougherty Ferry Rd Ste 104, Saint Louis, MO 63122-3373 | 2019-03-21 |
| 1629548680 | Kathryn Bueltmann | Chiropractor | 4600 S Lindbergh Blvd Ste 2, Saint Louis, MO 63127-1831 | 2018-12-03 |
| 1073089413 | Benjamin Lee Gokenbach | Chiropractor | 4242 Telegraph Rd, Saint Louis, MO 63129-2658 | 2018-10-23 |
| 1376019992 | Young Ho Bok | Chiropractor | 8229 Clayton Rd Ste 204, Saint Louis, MO 63117-1155 | 2018-10-22 |
| 1952876732 | Paige Marie Dines | Chiropractor | 1883 W Monroe Rd Unit B, Saint Louis, MI 48880-8702 | 2018-10-09 |
| 1861975468 | Danielle Elise Pfyl Fishel | Chiropractor | 325 Watson Plz, Saint Louis, MO 63126-1964 | 2018-09-10 |
| 1447756093 | Meaghan Coleman | Chiropractor | 8949 Natural Bridge Rd, Saint Louis, MO 63121-3916 | 2018-04-03 |
| 1457854994 | Hunter Schaff | Chiropractor | 4625 Lindell Blvd Ste 401, Saint Louis, MO 63108-3725 | 2018-03-12 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63127 |
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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.