SURGERY CNETERS OF MISSOURI (NPI# 1578197927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578197927 |
| Entity Type | Organization |
| Organization Name | SURGERY CNETERS OF MISSOURI |
| Practice Address |
8225 Clayton Rd Clayton MO 63117-1107 |
| Mailing Address |
884 Woods Mill Rd Ste 100 Ballwin MO 63011-3657 |
| Practice Telephone | 3142001288 |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2020-02-25 |
| Authorized Official Name | STEPHANIE H SEIFFERTT (ADMINISTRATOR) |
| Authorized Official Telephone | 3142232162 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | PRIVATE INSURANCE | 3142232162 | 01 |
| Street Address |
8225 CLAYTON RD |
| City | CLAYTON |
| State | MO |
| Zip Code | 63117-1107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956611 | Efehi Kelly Ogbomo | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Suite 2218, St. Louis, MO 63117 | 2020-06-11 |
| 1619533890 | Abdul Rauf | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road. Ssm Health St. Mary's Hospital, St. Louis, MO 63117 | 2019-05-14 |
| 1083278477 | Mohamed Maali Gumaa Mohamed | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road Ssm St. Mary's Hospital, Department of Internal Medicine, St. Louis, MO 63117 | 2019-05-01 |
| 1750945556 | Samrat Jun Jayanth | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm Health St Mary's Hospital, St. Louis, MO 63117 | 2019-04-26 |
| 1215491329 | Latonya Allen | Counselor | 1612 S. Big Bend Blvd, St. Louis, MO 63117 | 2019-01-23 |
| 1265917025 | Blue Stars Therapy, LLC | Occupational Therapist | 1101 Edward Terrace, Apt A, St. Louis, MO 63117 | 2018-09-27 |
| 1770060014 | Ultra Care Home Services LLC | Home Health | 7353 Dale Ave, Saint Louis, MO 63117 | 2018-07-19 |
| 1235623562 | Melissa Valerie Taylor | Counselor | Psychological Services of St Louis, LLC, 7110 Oakland Ave, St Louis, MO 63117 | 2018-06-20 |
| 1124517289 | Jideofor Ebony Obodozie | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm St. Mary's Hospital, St. Louis, MO 63117 | 2018-05-04 |
| 1770071706 | Sivaram Prabhuji Muppaneni | Student in an Organized Health Care Education/Training Program | Ssm St Mary's Hospital, 6420 Clayton Road, St. Louis, MO 63117 | 2018-04-25 |
| Find all providers in zip 63117 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750896635 | Stl Surgical LLC | Pain Medicine | 12184 Natural Bridge Rd, Bridgeton, MO 63044-2017 | 2017-12-13 |
| 1861832503 | St Louis Neuropathy and Pain Relief Center LLC | Pain Medicine | 10777 Sunset Office Dr Ste 40, Saint Louis, MO 63127-1019 | 2013-06-26 |
| 1326311747 | Greater St. Louis Pain Management, Corp. | Pain Medicine | 11716 Studt Avenue, St. Louis, MO 63141-7018 | 2012-02-15 |
| 1174626840 | Phung T Dang | Pain Medicine | 12414 Stratford Ridge Ct, Saint Louis, MO 63141-6383 | 2006-09-07 |
| 1114034931 | Mahendra Gunapooti | Pain Medicine | 261 Dunn Rd, Florissant, MO 63031-7928 | 2006-08-25 |
| 1154376788 | Sam Martin | Pain Medicine | 2025 S Brentwood Blvd, Suite 200, Brentwood, MO 63144-1833 | 2006-05-23 |
| 1669422978 | The Brooks Clinic for Pain Management, Inc. | Pain Medicine | 1730 E Republic Rd, Suite Sa, Springfield, MO 65804-6549 | 2006-05-10 |
| 1730710369 | Regen Ortho Spine & Pain LLC | Pain Medicine | 60 Business Park Dr Ste A, Troy, MO 63379-2828 | 2020-02-02 |
| 1508363946 | A & N Health Solutions LLC | Pain Medicine | 12607 Olive Blvd, Creve Coeur, MO 63141-6313 | 2018-04-11 |
| 1407384944 | Iprri LLC | Pain Medicine | 10435 Clayton Rd Ste 120, Saint Louis, MO 63131-2930 | 2017-05-29 |
| 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.