ADVANTAGE PAIN MANAGEMENT INC


Address: 11903 Saint Charles Rock Rd, Bridgeton, MO 63044-2623
Phone: 3147700900

ADVANTAGE PAIN MANAGEMENT INC (NPI# 1770715906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770715906
Entity Type Organization
Organization Name ADVANTAGE PAIN MANAGEMENT INC
Practice Address 11903 Saint Charles Rock Rd
Bridgeton
MO 63044-2623
Practice Telephone 3147700900
Practice Fax Number 3147701623
Mailing Telephone 3147392900
Mailing Fax Number 3147701623
Enumeration Date 2009-08-21
Last Update Date 2013-02-25
Authorized Official Name DR. H. KENNETH GILBERTSON (OWNER)
Authorized Official Telephone 3147392900
Authorized Official Credential D.C.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 111N00000X Chiropractor 003647 MO Chiropractic Providers
N 247200000X Technician, Other Technologists, Technicians & Other Technical Service Providers
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
N 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers
Y 208D00000X General Practice Allopathic & Osteopathic Physicians

Office Location

Street Address 11903 SAINT CHARLES ROCK RD
City BRIDGETON
State MO
Zip Code 63044-2623

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295735926 Kevin Matthew Wagner Physical Therapist 11903 Saint Charles Rock Rd, Bridgeton, MO 63044-2623 2005-07-22
1114301678 Md Health and Wellness LLC Chiropractor 11903 Saint Charles Rock Rd, Bridgeton, MO 63044-2623 2015-07-15
1497090567 Tiffany Mitchell Technician, Other 11903 Saint Charles Rock Rd, Bridgeton, MO 63044-2623 2012-11-30
1548514797 Tyronda Thomas Technician, Other 11903 Saint Charles Rock Rd, Bridgeton, MO 63044-2623 2012-11-08
1831443084 Angela Perry Technician, Other 11903 Saint Charles Rock Rd, Bridgeton, MO 63044-2623 2012-11-08
1184772816 George V Andreoff Internal Medicine 11903 Saint Charles Rock Rd, Bridgeton, MO 63044-2623 2007-01-08
1477659217 Back Pain Institute of St. Louis, LLC Chiropractor 11903 Saint Charles Rock Rd, Bridgeton, MO 63044-2623 2006-09-16
1902840218 Flordeliz R Ross Specialist 11903 Saint Charles Rock Rd, Bridgeton, MO 63044-2623 2006-06-16
1871594564 Arturo J Pamaong Registered Nurse 11903 Saint Charles Rock Rd, Back Pain Institute of St. Louis LLC, Bridgeton, MO 63044-2623 2005-08-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073150017 Zoe Marie Wadsworth Nurse Practitioner 12255 Depaul Dr Suite 300, Bridgeton, MO 63044 2019-12-10
1609412451 Beyond Better, Best Home Health Care Services, Limited Liability Corpo In Home Supportive Care 3430 Mckelvey Road Ste B, Bridgeton, MO 63044 2019-11-26
1275189078 Delicate Angels Home Health LLC Home Health 11726 St. Charles Rock Road Suite G, Bridgeton, MO 63044 2019-08-16
1588210082 Nicholas Huber Physical Therapist 12349 Depaul Dr., Ste. 110, Bridgeton, MO 63044 2019-08-12
1124688858 Michelle Bassett Registered Nurse 11520 St. Charles Rock Rd., Suite 106, Bridgeton, MO 63044 2019-06-14
1336703883 Elena A Barrow Nurse Practitioner 12255 Depaul Dr, Suite 260, Bridgeton, MO 63044 2019-04-30
1487123105 Laura N Steiner Registered Nurse Gateway Pediatrics, Ltd, 12255 Depaul Drive, Suite 460 North Medical Building, Bridgeton, MO 63044 2018-11-26
1205310950 Danielle Mathis Nurse Practitioner 3440 Depaul Lane Suite 201, Bridgeton, MO 63044 2018-09-19
1588163570 Thoughts Out Loud Counseling, LLC Social Worker 11520 St. Charles Rock Road Suite 101, Bridgeton, MO 63044 2018-02-06
1912411430 Breanna Victoria Hayes Counselor 3165 Mckevley Road, Suite 200, Bridgeton, MO 63044 2017-11-20
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629077110 Glenna Carolyn Franke General Practice 3394 Mckelvey Rd, Ste 113, Bridgeton, MO 63044-2531 2005-07-18
1558876912 George Omondi General Practice 11520 Saint Charles Rock Rd, Bridgeton, MO 63044-2704 2017-12-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790305654 Remedy Health LLC General Practice 37 Doctors Park Ste 3, Cape Girardeau, MO 63703-4903 2020-04-21
1760001598 Md Sarefin Zaman General Practice 2715 W 76 Country Blvd Ste 103, Branson, MO 65616-2344 2020-04-12
1437707551 Home Docs Medical Associates, LLC General Practice 7584 Olive Blvd Ste 204, University City, MO 63130-1600 2019-09-02
1912462912 Thomas George Brett General Practice 800 Missouri 248, Building 3 Suite A, Branson, MO 65616 2019-02-04
1295208403 Sme Kentucky Psc General Practice 5728 Pergola Dr Apt 207, Columbia, MO 65201-2897 2019-01-10
1821579798 Healthy Schools Missouri LLC General Practice 3675 S Noland Rd Ste 200, Independence, MO 64055-3369 2018-08-28
1902300825 Landmark Medical of Missouri PC General Practice 312 Sw Greenwich Dr # 315, Lees Summit, MO 64082-4408 2018-03-23
1740784214 Bridge Integrative Medicine LLC General Practice 305 Nw Englewood Ct Ste 200, Kansas City, MO 64118 2018-03-20
1093218224 Andrew Jason Doppelt General Practice 200 E Southampton Dr Ste 104, Columbia, MO 65203-3032 2018-03-14
1114427606 Khrystal Robinson General Practice 902 E Reed St, Hayti, MO 63851-1243 2018-02-20
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Competitor

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City BRIDGETON
Zip Code 63044

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Dataset Information

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.

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