REGEN ORTHO SPINE & PAIN LLC (NPI# 1730710369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730710369 |
| Entity Type | Organization |
| Organization Name | REGEN ORTHO SPINE & PAIN LLC |
| Practice Address |
60 Business Park Dr Ste A Troy MO 63379-2828 |
| Practice Telephone | 3633339723 |
| Practice Fax Number | 6367751544 |
| Mailing Telephone | 6363339723 |
| Mailing Fax Number | 6367751544 |
| Enumeration Date | 2020-02-02 |
| Last Update Date | 2020-11-05 |
| Authorized Official Name | SAVITHA KUNHIRAMAN (OFFICE MNAGER) |
| Authorized Official Telephone | 6363339723 |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 407 Meramec Blvd, Eureka, MO 630253906 | 6363333700 | 6363333701 |
| 54 The Legends Pkwy Ste 153, Eureka, MO 630253803 | 6363333700 | 6363333701 |
| Street Address |
60 BUSINESS PARK DR STE A |
| City | TROY |
| State | MO |
| Zip Code | 63379-2828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447503909 | Kelly C Eftink | Nurse Practitioner | 60 Business Park Dr Ste A, Troy, MO 63379-2828 | 2012-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746601 | Cathleen Burks | Counselor | 384 Rockport Dr, Troy, MO 63379 | 2020-10-08 |
| 1851818058 | Sarah Tippit | Occupational Therapist | 39 Cattail Pl, Troy, MO 63379 | 2017-08-28 |
| 1104360239 | Lori Seulean LLC | Counselor | 410 Sydna Ct, Troy, MO 63379 | 2016-12-08 |
| 1659827210 | Elisabeth Marie Nation | Physical Therapist | 722 N Hwy 47 Suite A, Warrenton, MO 63379 | 2016-09-01 |
| 1598054587 | Janice Ann Mills | Counselor | 1385 Creech School Road, Troy, MO 63379 | 2011-03-31 |
| 1437450871 | All Family Chiropractic LLC | Chiropractor | 9 Plaza, Troy, MO 63379 | 2010-11-16 |
| 1063713246 | Troy Family Dentistry, LLC | Dentist | 128 Professional Parkway, Troy, MO 63379 | 2010-11-04 |
| 1437478476 | Jennifer G Ray | Pediatrics | 164 Professional Pkwy, Troy, MO 63379 | 2010-05-28 |
| 1184868523 | Troy Residential, LLC | Assisted Living Facility | 159 Professional Parkway, Troy, MO 63379 | 2009-04-29 |
| 1639356793 | Susan Kaye Galloway | Counselor | 104 Mound, Troy, MO 63379 | 2008-01-30 |
| Find all providers in zip 63379 | ||||
| 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 |
|---|---|---|---|---|
| 1154582112 | Miss Wednesday Hall | Pain Medicine | 1819 E Big Beaver Rd, Suite 210, Troy, MI 48083-2015 | 2008-06-23 |
| 1942496443 | Sunrise Institute for Pain Management P.C. | Pain Medicine | 6535 Rochester Rd, Suite 102, Troy, MI 48085-1362 | 2007-09-18 |
| 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 |
| 1578197927 | Surgery Cneters of Missouri | Pain Medicine | 8225 Clayton Rd, Clayton, MO 63117-1107 | 2020-02-25 |
| 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.