| Back Pain Center Llc | |
|
2530 Highway K, O Fallon, MO 63368-6625 | |
| (636) 978-5511 | |
| (888) 351-2941 |
| Full Name | Back Pain Center Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2530 Highway K, O Fallon, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538384763 | NPI | - | NPPES |
| 500088623 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2000146684 (Missouri) | Primary |
| Provider Name | Matthew Nicholson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1720319817 PECOS PAC ID: 5799814406 Enrollment ID: I20100518000635 |
| Provider Name | Scott A Grogan |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1285904631 PECOS PAC ID: 1557518198 Enrollment ID: I20120904000333 |
| Provider Name | Ryan Brinker |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1235536657 PECOS PAC ID: 3870816127 Enrollment ID: I20141218000260 |
| Provider Name | John R Moore |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1114440310 PECOS PAC ID: 1355616970 Enrollment ID: I20171009001037 |
| Provider Name | Joshua David Baird |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1871133306 PECOS PAC ID: 3476982067 Enrollment ID: I20200402001195 |
| Provider Name | Mitchell Sutter |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1871133272 PECOS PAC ID: 7315373784 Enrollment ID: I20200827000769 |
| Provider Name | Jacob A Schmitz |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1164021408 PECOS PAC ID: 2163835281 Enrollment ID: I20210111001933 |
| Provider Name | Nate Edward Kinnison |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1285249581 PECOS PAC ID: 3476957523 Enrollment ID: I20210811001736 |
| Provider Name | Madison Rachel Smith |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1144980384 PECOS PAC ID: 7911399571 Enrollment ID: I20220112000903 |
| Provider Name | Jared D Littlefield |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1992418701 PECOS PAC ID: 0446622013 Enrollment ID: I20230207003218 |
| Provider Name | Cassandra Rose Cantu |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1154182004 PECOS PAC ID: 9234572181 Enrollment ID: I20240207002017 |
| Mailing Address | Practice Location Address |
|---|---|
| Back Pain Center Llc 2530 Highway K, O Fallon, MO 63368-6625 Ph: (636) 978-5511 | Back Pain Center Llc 2530 Highway K, O Fallon, MO 63368-6625 Ph: (636) 978-5511 |
Dr. Daniel Thomas Spitler Ii, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1246 Bryan Rd, O Fallon, MO 63366 Phone: 636-443-8300 Fax: 636-443-8301 | |
Logan Tyler North, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 109 Church St, O Fallon, MO 63366 Phone: 636-240-2225 Fax: 636-281-5377 | |
Dr. Miranda Paton Moore, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 75 Rock Church Dr, O Fallon, MO 63368 Phone: 636-751-9301 | |
Dr. Leslie Scott Butler, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 28 Crossroads Plz, Suite 101, O Fallon, MO 63368 Phone: 636-970-0566 Fax: 636-970-2738 | |
Feldewerth Chiropractic Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 207 S Main St, O Fallon, MO 63366 Phone: 636-978-7700 Fax: 636-978-7700 | |
Dr. Jeffrey Scott Becker, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 204 W Pitman St Ste C, O Fallon, MO 63366 Phone: 636-379-6267 Fax: 636-980-8083 | |
All About Health Chiropractic, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2011 Highway K, O Fallon, MO 63366 Phone: 636-240-4617 |