MR. JERRY HUBER (NPI# 1619157799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619157799 |
Entity Type | Individual |
Full Name | MR. JERRY HUBER |
Practice Address |
743 Spirit 40 Park Dr Ste 121 Chesterfield MO 63005-1129 |
Mailing Address |
604 Spring Meadow Dr Wentzville MO 63385-3447 |
Practice Telephone | 3142204000 |
Mailing Telephone | 3142204044 |
Enumeration Date | 2007-11-06 |
Last Update Date | 2007-11-06 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171W00000X | Contractor | NA | MO | Other Service Providers |
Street Address |
743 SPIRIT 40 PARK DR STE 121 |
City | CHESTERFIELD |
State | MO |
Zip Code | 63005-1129 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831376649 | Gotchurback LLC | Prosthetic/Orthotic Supplier | 743 Spirit 40 Park Dr, Ste 121, Chesterfield, MO 63005-1121 | 2008-01-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063901254 | Ryan Hewkin | Chiropractor | 17684 Chesterfield Airport Road, Chesterfield, MO 63005 | 2018-05-03 |
1093224487 | All Family Matters, LLC | In Home Supportive Care | 100 Chesterfield Business Pkwy Ste 200, Chesterfield, MO 63005 | 2017-09-28 |
1437681293 | Emily Therese Harpel | Pharmacist | 691 Trade Center Blvd, Chesterfield, MO 63005 | 2017-03-31 |
1831543826 | Leslie Noel Chanasue | Family Medicine | 17701 Edison Ave Ste 101, Chesterfield, MO 63005 | 2016-04-16 |
1497112874 | Jordan Kimler | Nurse Practitioner | 124 Chesterfield Towne Ctr, Chesterfield, MO 63005 | 2016-01-15 |
1265850556 | Richard George Rougeau | General Practice | 17679 Wildridge Drive, Wildwood, MO 63005 | 2014-04-03 |
1679912554 | Ceara M Barmeier | Physician Assistant | 17300 N Outer 40 Rd #101, Chesterfield, MO 63005 | 2013-06-24 |
1265794911 | Regeneration Orthopedics, LLC | Anesthesiology | 6 Mcbride & Son Center Dr., Ste 204, Chesterfield, MO 63005 | 2012-06-08 |
1528334984 | Syed Tanveer Haider | Radiologic Technologist | 16502 Barrister Lane, Chesterfield, MO 63005 | 2012-03-29 |
1144591041 | Sensible Dental - Chesterfield | Dentist | 100 Thf Blvd., Chesterfield, MO 63005 | 2012-01-24 |
Find all providers in zip 63005 |
Taxonomy Code | 171W00000X |
Grouping | Other Service Providers |
Classification | Contractor |
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366082331 | Aric Anquain Mayo | Contractor | 8137 Seaview Dr, Chesterfield, VA 23838-5109 | 2020-01-08 |
1013484401 | Carla Smith | Contractor | 8413 Boones Trail Rd, Chesterfield, VA 23832-7684 | 2018-10-24 |
1790251338 | Michael Anthony Wilkins | Contractor | 7563 Sambar Rd, Chesterfield, VA 23832-6628 | 2018-10-22 |
1639653645 | Jazmin Leonna Budd | Contractor | 7230 Drexelbrook Rd, Chesterfield, VA 23832-8235 | 2018-09-17 |
1568623544 | Martin Light | Contractor | 330 Branchport Dr, Chesterfield, MO 63017-2902 | 2008-06-22 |
1750988192 | Shannon Renee Blankenship | Contractor | 14341 Generation Ln, Chesterfield, VA 23838-4200 | 2020-10-08 |
1033418645 | Mary Domhan | Contractor | 6800 Lucy Corr Blvd, Chesterfield, VA 23832 | 2011-03-22 |
1467773440 | Mikaela Herschelman | Contractor | 16216 Baxter Rd Ste 330, Chesterfield, MO 63017-4778 | 2010-06-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215534805 | Limitless Evolution LLC | Contractor | 3524 Osage Beach Pkwy, Osage Beach, MO 65065-5622 | 2020-10-06 |
1275142630 | Jennifer Dawn Feltner | Contractor | 303 N Stadium Blvd Ste 227, Columbia, MO 65203-1493 | 2020-07-30 |
1609490341 | Kimberly Kaye Stevenson | Contractor | 518 Ne Malibu Dr, Lees Summit, MO 64064-2001 | 2020-05-28 |
1154969426 | Midwest Health Care Inc. | Contractor | 326 S Mount Auburn Rd Ste 201, Cape Girardeau, MO 63703-4907 | 2019-12-17 |
1154983518 | Eric Williams | Contractor | 11515 Gamel Cemetery Rd, Festus, MO 63028-2310 | 2019-07-05 |
1770053449 | Shaunda L Hamilton | Contractor | 3109 Jenne Hill Dr, Columbia, MO 65202-4060 | 2018-11-26 |
1558843623 | Teddy Santiago | Contractor | 101b South Wasington, Sedalia, MO 65301 | 2018-09-05 |
1205354834 | Loice Kiante Jones | Contractor | 1315 E 83rd Terrace, Kansas City, MO 64131 | 2017-09-04 |
1568906162 | Daniel Draper | Contractor | 515 Andrews Ave, Dixon, MO 65459-6010 | 2016-12-15 |
1033651138 | Aaron Barnes | Contractor | 17508 Plattsburg Rd, Holt, MO 64048-8965 | 2016-11-07 |
Find all providers with the same taxonomy |
City | CHESTERFIELD |
Zip Code | 63005 |
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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.