SENIORWELL POD OF MISSOURI LLC (NPI# 1831689843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831689843 |
| Entity Type | Organization |
| Organization Name | SENIORWELL POD OF MISSOURI LLC |
| Practice Address |
4625 Lindell Blvd Fl 2 Saint Louis MO 63108-3725 |
| Mailing Address |
2100 E Lake Cook Rd Ste 1000 Buffalo Grove IL 60089-1999 |
| Practice Telephone | 8448823127 |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2018-11-28 |
| Authorized Official Name | JOHN MORONEY (AUTHORIZED OFFICIAL/CEO) |
| Authorized Official Telephone | 8448823127 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| Street Address |
4625 LINDELL BLVD FL 2 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63108-3725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124328604 | Deborah L Tannenbaum | Social Worker | 4625 Lindell Blvd Fl 2, Saint Louis, MO 63108-3739 | 2010-10-29 |
| 1790276277 | Seniorwell of Missouri LLC | Optometrist | 4625 Lindell Blvd Fl 2, Saint Louis, MO 63108-3725 | 2018-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851474 | Nigel Austen Thomas Cook | Social Worker | 4050 West Pine Blvd. Apt. 4118, St. Louis, MO 63108 | 2020-08-12 |
| 1467070011 | C2n Diagnostics, LLC | Clinical Medical Laboratory | 20 South Sarah Street, Saint Louis, MO 63108 | 2020-07-10 |
| 1609414358 | Kaylee Breitenbucher | Occupational Therapist | 4444 Forest Park Avenue, Msc 8505-94-01, St. Louis, MO 63108 | 2019-12-12 |
| 1114419546 | Activangels Home Health | Home Health | 4625 Lindell Blvd Ste 304, Saint Louis, MO 63108 | 2018-06-01 |
| 1215427349 | Heart To Heart Consolidated Home Care Service LLC | Home Health | 4625 Lindell Blvd Ste 200, Saint Louis, MO 63108 | 2018-05-15 |
| 1447755905 | Erin Virginia Adams | Student in an Organized Health Care Education/Training Program | 4355 Maryland Ave Apt 116, Saint Louis, MO 63108 | 2018-03-27 |
| 1033621172 | Roots Healthcare and Homes | In Home Supportive Care | 4300 Enright Ave, St. Louis, MO 63108 | 2017-10-30 |
| 1336661719 | House of Destiny Adult Day Care LLC | Clinic/Center | 4507 Olive Street, St Louis, MO 63108 | 2017-07-07 |
| 1003338492 | Khin Min Thu | Social Worker | 4236 Lindell Blvd., Suite 200, St Louis, MO 63108 | 2017-07-07 |
| 1679093967 | Together We Can Home Healthcare Services LLC | Home Health | 4144 Lindell Blvd Suite 221, Saint Louis, MO 63108 | 2017-06-27 |
| Find all providers in zip 63108 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972069359 | Dr Jeffrey Brooks PC | Podiatrist | 618 N New Ballas Rd Apt 409, Saint Louis, MO 63141-6767 | 2019-02-11 |
| 1619448453 | S Thomas Sehy D P M L L C | Podiatrist | 6651 Chippewa St Ste 316, Saint Louis, MO 63109-2532 | 2018-12-05 |
| 1902339104 | Jay J Moradia | Podiatrist | 621 S New Ballas Rd Ste 7005b, Saint Louis, MO 63141-8275 | 2017-04-05 |
| 1003152273 | Foot Healers Holdings - St. Louis, LLC | Podiatrist | 8534 Eager Rd, Saint Louis, MO 63144-1435 | 2012-12-17 |
| 1760748420 | Robert Lee Bushman | Podiatrist | 10016 Office Center Ave, Suite 100, Saint Louis, MO 63128-1468 | 2012-04-07 |
| 1831481910 | Arch Podiatry LLC | Podiatrist | 2228 Hickory St, Saint Louis, MO 63104-2417 | 2011-05-09 |
| 1679887855 | Meghan Marie Arnold | Podiatrist | 621 S New Ballas Rd Ste 6011b, Saint Louis, MO 63141-8274 | 2010-07-30 |
| 1194961953 | North Side Foot Clinic P.C. | Podiatrist | 4451 Natural Bridge Ave, Suite 104, Saint Louis, MO 63115-2628 | 2008-12-29 |
| 1164573812 | Dave Quang Pham | Podiatrist | 2506 Pocahontas Pl, Saint Louis, MO 63144-2108 | 2007-01-16 |
| 1154426195 | Michael D Weiss Dpm and Associates, LLC | Podiatrist | 969 N Mason Rd Ste 180, Saint Louis, MO 63141-6338 | 2006-09-14 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63108 |
Please comment or provide details below to improve the information on SENIORWELL POD OF MISSOURI LLC.
| 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.