WEST COUNTY SPINE & SPORTS MEDICINE (NPI# 1851541106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851541106 |
| Entity Type | Organization |
| Organization Name | WEST COUNTY SPINE & SPORTS MEDICINE |
| Practice Address |
555 North New Ballas Rd Suite 210 St. Louis MO 63141 |
| Mailing Address |
Po Box 66936 Saint Louis MO 63166-6936 |
| Practice Telephone | 3144324999 |
| Practice Fax Number | 3144325088 |
| Mailing Telephone | 3144322580 |
| Mailing Fax Number | 3144320223 |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2019-05-17 |
| Authorized Official Name | ANTHONY J MARGHERITA (MD) |
| Authorized Official Telephone | 3144324999 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
113120 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
555 NORTH NEW BALLAS RD SUITE 210 |
| City | ST. LOUIS |
| State | MO |
| Zip Code | 63141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073166864 | Bryan Bengston | Physical Medicine & Rehabilitation | 624 Sessions Ave, Saint Louis, MO 63126-1030 | 2019-07-20 |
| 1871003301 | Southeast Missouri State University | Physical Medicine & Rehabilitation | 1 University Plz # Ms 0200, Cape Girardeau, MO 63701-4710 | 2017-10-11 |
| 1760627327 | Zachary C Roberts | Physical Medicine & Rehabilitation | Msu Athletic Training Services, 901 S. National Ave., Springfield, MO 65897-0001 | 2008-12-11 |
| 1144214065 | Ravi Yadava | Physical Medicine & Rehabilitation | 675 Old Ballas Rd, Suite 210, Saint Louis, MO 63141-7083 | 2005-09-07 |
| 1154939346 | Tara Grace Porter | Physical Medicine & Rehabilitation | 1480 8th St, West Plains, MO 65775-2010 | 2020-07-14 |
| 1184258188 | Jessica Nicole Bledsoe | Physical Medicine & Rehabilitation | 3302 N Woodbine Rd, Saint Joseph, MO 64505-9323 | 2020-02-27 |
| 1073168399 | Logan Prescott | Physical Medicine & Rehabilitation | 3545 S National Ave, Springfield, MO 65807-7310 | 2019-08-04 |
| 1487134722 | Connor Parrish | Physical Medicine & Rehabilitation | 4331 S Fremont Ave, Springfield, MO 65804-7328 | 2018-08-16 |
| 1235649211 | Sydni Marie Kaden | Physical Medicine & Rehabilitation | 802 N Riverside Rd Ste 130, Saint Joseph, MO 64507-2508 | 2017-10-04 |
| 1184162414 | Kirstin Arnold | Physical Medicine & Rehabilitation | 3222 W 16th St, Sedalia, MO 65301-2105 | 2017-02-07 |
| 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.