DR. PATRICK BOYLAN (NPI# 1740774314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740774314 |
| Entity Type | Individual |
| Full Name | DR. PATRICK BOYLAN |
| Credential | DC |
| Practice Address |
7110 Oakland Ave Ste 102 Richmond Heights MO 63117-1870 |
| Practice Telephone | 3143250425 |
| Practice Fax Number | 3145527294 |
| Mailing Telephone | 3143250425 |
| Mailing Fax Number | 3145527294 |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2020-06-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2018001728 | MO | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386669810 | Patrick T Boylan | Physical Medicine & Rehabilitation | 9485 Mentor Ave, Suite 214, Mentor, OH 44060-4597 | 2006-07-13 |
| Street Address |
7110 OAKLAND AVE STE 102 |
| City | RICHMOND HEIGHTS |
| State | MO |
| Zip Code | 63117-1870 |
| 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 | 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 |
|---|---|---|---|---|
| 1760028054 | Pamela Jean Waske | Chiropractor | 2175 S Big Bend Blvd, Richmond Heights, MO 63117-2405 | 2019-11-21 |
| 1437633559 | Ronald Theodore Kuester | Chiropractor | 32 The Boulevard Saint Louis, Richmond Heights, MO 63117-1122 | 2018-09-25 |
| 1992227797 | Leonard Conrad Wolf | Chiropractor | 1034 Brentwood Blvd., Suite 415, Richmond Heights, MO 63117 | 2017-07-13 |
| 1083163372 | Groerich Chiropractic and Wellness LLC | Chiropractor | 1034 S Brentwood Blvd Ste 300b, Richmond Heights, MO 63117-1203 | 2016-09-27 |
| 1538296470 | Gregory C Neff | Chiropractor | 7800 Clayton Rd, Richmond Heights, MO 63117-1325 | 2007-02-27 |
| 1003434994 | Chiro One Wellness Center of Richmond Heights LLC | Chiropractor | 32 The Boulevard Saint Louis, Richmond Heights, MO 63117-1122 | 2020-07-08 |
| 1497103204 | Furman Institute of Health | Chiropractor | 6744 Clayton Rd, Suite 306, Richmond Heights, MO 63117-1637 | 2016-06-02 |
| 1194115998 | John Groerich | Chiropractor | 1034 S Brentwood Blvd, Ste 300b, Richmond Heights, MO 63117-1203 | 2015-01-31 |
| 1972814457 | Lucas Brent Cosens | Chiropractor | 27100 Chardon Rd, Richmond Heights, OH 44143-1116 | 2010-06-29 |
| 1134312788 | Terry L Williams Jr. | Chiropractor | 7700 Clayton Rd, Suite 305, Richmond Heights, MO 63117-1328 | 2007-08-27 |
| Find all providers in RICHMOND HEIGHTS | ||||
| City | RICHMOND HEIGHTS |
| Zip Code | 63117 |
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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.