DR. KELLY A MCCOY GROSS (NPI# 1972526663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972526663 |
| Entity Type | Individual |
| Full Name | DR. KELLY A MCCOY GROSS |
| Credential | DC |
| Practice Address |
8999 Saint Charles Rock Rd Saint Louis MO 63114-4260 |
| Practice Telephone | 3144282225 |
| Practice Fax Number | 3144283338 |
| Mailing Telephone | 3144282225 |
| Mailing Fax Number | 3144283338 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2009-08-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2005013008 | MO | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BLUE CROSS BLUE SHIELD | 199416 | 01 |
| MO | ACN GROUP | 672752 | 01 |
| MO | UNITEDHEALTHCARE | 02-53978 | 01 |
| MO | CIGNA | 1060746 | 01 |
| Street Address |
8999 SAINT CHARLES ROCK RD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63114-4260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409982 | Johannah Kohler | Chiropractor | 8999 Saint Charles Rock Rd, Saint Louis, MO 63114-4260 | 2020-08-28 |
| 1558900829 | Jordan Michael Reed | Chiropractor | 8999 Saint Charles Rock Rd, Saint Louis, MO 63114-4260 | 2020-01-03 |
| 1770849895 | Steen Chiropractic Clinic, Inc | Chiropractor | 8999 Saint Charles Rock Rd, Saint Louis, MO 63114-4260 | 2012-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053926964 | Deann Porter | Prosthetist | 8743 Mavis Place, St Louis, MO 63114 | 2020-09-09 |
| 1255971438 | Hughes In Home Services | Home Health | 9319 Midland Ste B, St Louis, MO 63114 | 2020-01-15 |
| 1740714724 | Catherine Kagotho | Nurse Practitioner | 9915 Broadmoor Dr, Apt 4, Overland, MO 63114 | 2017-04-17 |
| 1073051371 | Ruth & Naomi Adult Day Services, Inc | Clinic/Center | 9443-9445 Lackland Road, St. Louis, MO 63114 | 2017-02-07 |
| 1992103691 | Lisa Abernathy | Social Worker | 9705 Tennyson Court, Saint Louis, MO 63114 | 2014-12-11 |
| 1356626808 | William J Norbury | Pharmacist | 8000 St. Charles Rock Road, Walgreens Pharmacy 4825, St.louis, MO 63114 | 2011-10-17 |
| 1770719700 | Total Renal Care Inc | Clinic/Center | 9030 Saint Charles Rock Rd, Saint Louis, MO 63114 | 2009-06-04 |
| 1710126792 | Risingabove Independent Supported Living | Assisted Living Facility | 2330 # 2 Woodson Road, Overland, MO 63114 | 2009-02-13 |
| 1427215789 | Wnf Medical, LLC | Durable Medical Equipment & Medical Supplies | 1908-2000 Innerhelt Business Center Dr., Suite 1968, Overland, MO 63114 | 2008-05-22 |
| 1891838744 | Easter Seals Midwest | Day Training, Developmentally Disabled Services | 2215 Lackland Road, Overland, MO 63114 | 2007-02-14 |
| Find all providers in zip 63114 | ||||
| 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 |
|---|---|---|---|---|
| 1275170433 | Morgan P Morris | Chiropractor | 3611 S Grand Blvd Ste 200, Saint Louis, MO 63118-3403 | 2019-12-06 |
| 1891351193 | Alexander Johannes Olalani Mcguire | Chiropractor | 3247 Suson Ct Apt 1, Saint Louis, MO 63139-1832 | 2019-05-13 |
| 1386104727 | John Carroll Calhoun | Chiropractor | 2951 Dougherty Ferry Rd Ste 104, Saint Louis, MO 63122-3373 | 2019-03-21 |
| 1629548680 | Kathryn Bueltmann | Chiropractor | 4600 S Lindbergh Blvd Ste 2, Saint Louis, MO 63127-1831 | 2018-12-03 |
| 1073089413 | Benjamin Lee Gokenbach | Chiropractor | 4242 Telegraph Rd, Saint Louis, MO 63129-2658 | 2018-10-23 |
| 1376019992 | Young Ho Bok | Chiropractor | 8229 Clayton Rd Ste 204, Saint Louis, MO 63117-1155 | 2018-10-22 |
| 1952876732 | Paige Marie Dines | Chiropractor | 1883 W Monroe Rd Unit B, Saint Louis, MI 48880-8702 | 2018-10-09 |
| 1861975468 | Danielle Elise Pfyl Fishel | Chiropractor | 325 Watson Plz, Saint Louis, MO 63126-1964 | 2018-09-10 |
| 1447756093 | Meaghan Coleman | Chiropractor | 8949 Natural Bridge Rd, Saint Louis, MO 63121-3916 | 2018-04-03 |
| 1457854994 | Hunter Schaff | Chiropractor | 4625 Lindell Blvd Ste 401, Saint Louis, MO 63108-3725 | 2018-03-12 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63114 |
Please comment or provide details below to improve the information on DR. KELLY A MCCOY GROSS.
| 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.