Spine and Joint Rehab Center

Primary specialty

SpecialistTaxonomy code 174400000X

License

2002001968 Issued in MO

Legal business name

SPINE AND JOINT REHAB CENTER

Practice address

711 Old Ballas Rd
Suite 105
Saint Louis, MO 63141-7051

Phone

(314) 995-3008

NPI assigned

Jun 4, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Khalida A Anwar, M.D.NPI 1952384117

Title

President

Phone

(314) 995-3008

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Khalida A Anwar, MD

  • Physical Medicine & Rehabilitation Physician
  • Glenview, IL
  • NPI 1952384117
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396783700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66541",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631666541",
            "telephone_number": "314-995-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 OLD BALLAS RD",
            "address_2": "SUITE 105",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417051",
            "telephone_number": "314-995-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE AND JOINT REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANWAR",
        "authorized_official_first_name": "KHALIDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-995-3008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "2002001968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jody Ann Spiess, RN, MSN
• Kathryn Spilker
• Demond Lamont Spiller
• Jenna Spindler, RD
• Spine and Joint Care of Fenton, LLC (Spine and Joint Center of Affton)
• Spine Care Inc
• Spine Center
• Philip Charles Spinella, MD
• Spinemore Surgical Associates, P.C.
• Elissa Spinks

• Specialist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.