| Cardinal Physical Medicine | |
|
1404 Triad Center Dr Saint Peters MO 63376-7351 | |
| (636) 352-0380 | |
| (636) 352-2343 |
| Full Name | Cardinal Physical Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 1404 Triad Center Dr, Saint Peters, Missouri |
| Authorized Official Name and Position | Richard Wayne Blalock (MEMBER/MANAGER) |
| Authorized Official Contact | 6363520380 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cardinal Physical Medicine 1404 Triad Center Dr Saint Peters MO 63376-7351 Ph: (636) 352-0380 | Cardinal Physical Medicine 1404 Triad Center Dr Saint Peters MO 63376-7351 Ph: (636) 352-0380 |
| NPI Number | 1891090395 |
|---|---|
| Provider Enumeration Date | 01/14/2011 |
| Last Update Date | 03/01/2017 |
| Medicare PECOS PAC ID | 2163604661 |
|---|---|
| Medicare Enrollment ID | O20110304000113 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891090395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2011000744 (Missouri) | Primary |
| Provider Name | Edwin D Dunteman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427030956 PECOS PAC ID: 6507931540 Enrollment ID: I20100709000479 |
| Provider Name | Richard W Blalock |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1639474133 PECOS PAC ID: 5799967295 Enrollment ID: I20110304000141 |
| Provider Name | Jenna Oshea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922454719 PECOS PAC ID: 8820388838 Enrollment ID: I20160603000758 |
Medical Essentials Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2730 S Saint Peters Pkwy, Suite 203, Saint Peters, MO 63303 Phone: 314-414-0700 | |
Family Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 514 Jungermann Rd, Saint Peters, MO 63376 Phone: 636-441-3322 Fax: 636-441-4302 | |
Lawrence S Tierney Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Jungermann Circle, Suite 103, Saint Peters, MO 63376 Phone: 636-928-0022 Fax: 636-928-0023 | |
Practice Management Affiliates Consulting Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 Heritage Lndg, Suite 215, Saint Peters, MO 63303 Phone: 636-939-4200 Fax: 636-939-4204 | |
Compass Health, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8075 Mexico Rd, Saint Peters, MO 63376 Phone: 573-234-5258 | |
Morningstar Neuropathy & Pain Treatment Center Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4710 Mexico Rd, Saint Peters, MO 63376 Phone: 636-244-0124 Fax: 618-876-7850 | |
Careatc-saint Peter Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4601 Executive Centre Pkwy, Saint Peters, MO 63376 Phone: 918-779-7416 |