MERCY CLINIC PAIN MANAGEMENT, LLC (NPI# 1942636980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942636980 |
| Entity Type | Organization |
| Organization Name | MERCY CLINIC PAIN MANAGEMENT, LLC |
| Practice Address |
851 E 5th St Suite 144 Washington MO 63090-3135 |
| Mailing Address |
Po Box 502852 Saint Louis MO 63150-2852 |
| Practice Telephone | 6363908097 |
| Mailing Telephone | 3143644200 |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2013-09-23 |
| Authorized Official Name | JOHN HUBERT (PRESIDENT- MERCY CLINIC EAST COMMUN) |
| Authorized Official Telephone | 3142511560 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | MERCY CLINIC EAST COMMUNITIES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
851 E 5TH ST SUITE 144 |
| City | WASHINGTON |
| State | MO |
| Zip Code | 63090-3135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790781268 | Michelle L Beumer | Pediatrics | 851 E 5th St, Ste 312, Washington, MO 63090-3130 | 2005-06-21 |
| 1669018602 | Sheila Ann Buesking | Nurse Practitioner | 851 E 5th St, Washington, MO 63090-3135 | 2019-11-25 |
| 1437794898 | Amanda Leanna Martin | Dietitian, Registered | 851 E 5th St, Washington, MO 63090-3135 | 2019-11-08 |
| 1609303460 | Minami Ohta | Counselor | 851 E 5th St, Suite 200, Washington, MO 63090-3135 | 2017-05-11 |
| 1427413467 | Alison Hoglan | Social Worker | 851 E 5th St, Suite 200, Washington, MO 63090-3135 | 2015-12-17 |
| 1760857833 | Jillian Poretti | Dietitian, Registered | 851 E 5th St, Suite 226, Washington, MO 63090-3135 | 2015-12-01 |
| 1467792523 | Marie Bernice Sander | Nurse Practitioner | 851 E 5th St, Suite 208, Washington, MO 63090-3135 | 2013-02-26 |
| 1215299482 | Deborah Bernice Beste | Nurse Practitioner | 851 E 5th St, Suite 200, Washington, MO 63090-3135 | 2012-06-13 |
| 1801154489 | Feet for Life Centers Inc PC | Podiatrist | 851 E 5th St, #228, Washington, MO 63090-3135 | 2012-05-02 |
| 1346512100 | Patricia Marie Gant | Registered Nurse | 851 E 5th St, Suite 154 Mercy Medical Building, Washington, MO 63090-3135 | 2012-02-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798792 | Alicia Caroline Baker | Nurse Practitioner | 1070 W 7th St, Washington, MO 63090 | 2020-10-21 |
| 1962975839 | Jennifer Biermann | Pharmacist | 801 E 5th Street, Washington, MO 63090 | 2019-01-03 |
| 1487199733 | Kristen Elaine Cleavelin | Registered Nurse | Mercy Convenient Care, 901 Patients First Drive, Washington, MO 63090 | 2016-12-22 |
| 1699146712 | Washington Community Counseling Center | Community/Behavioral Health | 421 W. 5th Street, Suite 110, Washington, MO 63090 | 2015-10-15 |
| 1598002024 | Americare At Vicotrian Manor of Washington, LLC | Assisted Living Facility | 2701 Rabbit Trail Dr, Washington, MO 63090 | 2013-01-03 |
| 1578824116 | Rhonda Ann Pepmiller | Nurse Practitioner | 851 E 5th St Ste 309, Washington, MO 63090 | 2012-05-30 |
| 1932486032 | Julie Joanne Lynch | Pharmacist | 890 Country Corners, Washington, MO 63090 | 2011-11-03 |
| 1043590839 | Laurie Elizabeth Bryson | Counselor | 102 Elm Street, Suite 204, Washington, MO 63090 | 2011-08-24 |
| 1164737490 | Mohan Mallikarjuna Edupuganti | Internal Medicine | 901 Patients First Dr Ste 2500, Washington, MO 63090 | 2010-08-11 |
| 1154640225 | Nicholas W Frederickson | Internal Medicine | 901 Patients First Drive Suite 3300, Washington, MO 63090 | 2010-05-27 |
| Find all providers in zip 63090 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073001012 | Anesthesia Dynamics LLC | Anesthesiology | 3220 N St Nw Ste 152, Washington, DC 20007-2000 | 2018-04-25 |
| 1295916104 | Anthony Plunkett | Anesthesiology | 6800 Georgia Avenue Nw, Washington, DC 20307-0001 | 2007-11-19 |
| 1831543073 | Radha Delvadia | Anesthesiology | 2150 Pennsylvania Ave Nw, Washington, DC 20037-3201 | 2016-04-13 |
| 1467864082 | Redstart Medical Practices LLC | Anesthesiology | 1310 Southern Ave Se, Washington, DC 20032-4623 | 2014-06-02 |
| 1316380421 | Moshe Chinn | Anesthesiology | 2150 Pennsylvania Avenue Nw, The Gw Medical Faculty Associates, Washington, DC 20037 | 2013-04-09 |
| 1821323254 | Advanced Anesthesiology Services, LLC | Anesthesiology | 100 Trich Drive, Ste 3, Washington, PA 15301-5892 | 2009-10-02 |
| 1063647998 | Danielle R Doyle | Anesthesiology | 900 23rd St Nw, Washington, DC 20037-2342 | 2009-05-21 |
| 1952473092 | Patrick O Fasusi | Anesthesiology | 6323 Georgia Ave Nw, Suite 200, Washington, DC 20011-1101 | 2006-11-14 |
| 1447340914 | Suresh Thomas | Anesthesiology | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2006-10-13 |
| 1316035850 | Patrick M Riley | Anesthesiology | 628 E 12th St, Washington, NC 27889-3409 | 2006-10-10 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 63090 |
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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.