Larissa Layne Jones (NPI# 1730508433, PAC ID# 7416171319) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1730508433 |
PAC ID by PECOS | 7416171319 |
Professional Enrollment ID | I20170828004096 |
Full Name | Larissa Layne Jones |
Organization Legal Name | INTERVENTIONAL CENTER FOR PAIN |
Address |
5203 Chippewa St Suite 301 Saint Louis MO 63109-2356 |
Phone Number | 3144815000 |
Gender | F |
Graduation Year | 2013 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 8921904129 |
Number of Group Practice Members | 12 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
260105 | ST LOUIS UNIVERSITY HOSPITAL |
Address | Phone | Organization |
---|---|---|
5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 | 3144815000 | INTERVENTIONAL CENTER FOR PAIN |
Organization Legal Name | INTERVENTIONAL CENTER FOR PAIN |
Physicians | 10 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lauren M Howdeshell | Nurse Practitioner | Interventional Center for Pain | 5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 |
Sheri R Williams | Chiropractic | Interventional Center for Pain | 5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 |
Ronald E Freilich | Podiatry | Interventional Center for Pain | 5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 |
Paul S Catanzaro | Internal Medicine | Interventional Center for Pain | 5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 |
Gurpreet S Padda | Pain Management | Interventional Center for Pain | 5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 |
Jessica M Liverar | Nurse Practitioner | Interventional Center for Pain | 5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 |
Matthew S Miller | Pain Management | Interventional Center for Pain | 5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 |
Jeanetta M Wilkerson | Chiropractic | Interventional Center for Pain | 5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 |
Joanna R Thomas | Chiropractic | Interventional Center for Pain | 5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 |
Street Address |
5203 CHIPPEWA ST SUITE 301 |
City | SAINT LOUIS |
State | MO |
Zip | 63109-2356 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lauren M Howdeshell | Nurse Practitioner | Interventional Center for Pain | 5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 |
Sheri R Williams | Chiropractic | Interventional Center for Pain | 5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 |
Ronald E Freilich | Podiatry | Interventional Center for Pain | 5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 |
Paul S Catanzaro | Internal Medicine | Interventional Center for Pain | 5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 |
Gurpreet S Padda | Pain Management | Interventional Center for Pain | 5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 |
Michael H Ralph | Orthopedic Surgery | 5203 Chippewa St, Suite 200, Saint Louis, MO 63109-2356 | |
Jessica M Liverar | Nurse Practitioner | Interventional Center for Pain | 5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 |
Matthew S Miller | Pain Management | Interventional Center for Pain | 5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 |
Jeanetta M Wilkerson | Chiropractic | Interventional Center for Pain | 5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 |
Joanna R Thomas | Chiropractic | Interventional Center for Pain | 5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Tom M Hawk | Orthopedic Surgery | 3824 Watson Rd, St Louis, MO 63109-1237 | |
Rebecca Jean Smith | Physician Assistant | Forefront Dermatology Sc | 3915 Watson Rd, Suite 201, Saint Louis, MO 63109-1251 |
Tammam Al Joundi | Cardiovascular Disease (cardiology) | Gateway Cardiology PC | 3915 Watson Rd, Suite 103, St Louis, MO 63109-1251 |
Amee M Rozanc | Physician Assistant | Forefront Dermatology Sc | 3915 Watson Rd, Suite 201, Saint Louis, MO 63109-1251 |
Liwa T Younis | Cardiovascular Disease (cardiology) | Gateway Cardiology PC | 3915 Watson Rd, Suite 103, St Louis, MO 63109-1251 |
Elizabeth R Galler | Physician Assistant | Forefront Dermatology Sc | 3915 Watson Rd, Suite 201, Saint Louis, MO 63109-1251 |
Joseph M Seria | Internal Medicine | 3915 Watson Rd, Suite 204, St Louis, MO 63109-1251 | |
Vincent Sollecito Iii | Podiatry | 3915 Watson Rd, Suite 200, Saint Louis, MO 63109-1251 | |
Otha Myles | Internal Medicine | 3915 Watson Rd, Suite 101, Saint Louis, MO 63109-1251 | |
Edina Karahodzic | Family Medicine | 3915 Watson Rd, Suite 203, Saint Louis, MO 63109-1251 | |
Find all physicians in zip 63109 |
City | SAINT LOUIS |
Zip Code | 63109 |
Specialty | NURSE PRACTITIONER |
City + Specialty | SAINT LOUIS + NURSE PRACTITIONER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.