DR. JOSHUA SHANE CARMON (NPI# 1619273257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619273257 |
| Entity Type | Individual |
| Full Name | DR. JOSHUA SHANE CARMON |
| Credential | D.C. |
| Practice Address |
5809 S Lindbergh Blvd Suite B Saint Louis MO 63123-6948 |
| Practice Telephone | 3144168334 |
| Practice Fax Number | 3144161199 |
| Mailing Telephone | 3144168334 |
| Mailing Fax Number | 3144161199 |
| Enumeration Date | 2011-01-30 |
| Last Update Date | 2012-01-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2010040776 | MO | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | STATE CHIROPRACTIC LICENSE | 2010040776 | 01 |
| MO | CAQH | 12192202 | 01 |
| MO | TAX ID | 38-3832125 | 01 |
| MO | NPI | 1619273257 | 01 |
| Street Address |
5809 S LINDBERGH BLVD SUITE B |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63123-6948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770002610 | Peter Brown | Home Health Aide | 9530 Antigo Dr, St Louis, MO 63123 | 2017-09-12 |
| 1346629748 | Emily Murray | Community/Behavioral Health | 7556 Genesta Street, Saint Louis, MO 63123 | 2015-05-19 |
| 1730566183 | Family Home & Health Care Services | Home Health | 9124 Lemona Drive, Saint Louis, MO 63123 | 2015-05-05 |
| 1114319092 | Kathi Wallace | Counselor | 11166 Tesson Ferry Rd., Suite #203 Alpha Omega Christian Counseling, St. Louis, MO 63123 | 2015-03-02 |
| 1982981098 | Robert Arthur Bilzing | Pharmacist | 9949 Tesson Ferry Rd, St. Louis, MO 63123 | 2011-11-03 |
| 1760767198 | Valentina Jovic | Pharmacist | 5764 South Lindbergh Blvd, St. Louis, MO 63123 | 2011-10-17 |
| 1033423504 | Margaret L Shields Inc | Podiatrist | 11132 South Towne Square, Ste 105, St Louis, MO 63123 | 2010-07-27 |
| 1083858336 | John David Bouhasin | Pediatrics | 7629 Bracken Circle, St. Louis, MO 63123 | 2009-04-29 |
| 1326288929 | Erica J Fahrner | Occupational Therapist | 6022 S. Lindbergh, Suite 100, Saint Louis, MO 63123 | 2009-02-23 |
| 1629248158 | Maria Ramona Eppler | Nurse Practitioner | 4217 Bayless Ave., St. Louis, MO 63123 | 2008-03-12 |
| Find all providers in zip 63123 | ||||
| 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 | 63123 |
Please comment or provide details below to improve the information on DR. JOSHUA SHANE CARMON.
| 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.