American Pain Clinic

Primary specialty

SpecialistTaxonomy code 174400000X

License

2013036906 Issued in MO

Legal business name

AMERICAN PAIN CLINIC

Practice address

10007 Kennerly Rd
Suite B
Saint Louis, MO 63128-2179

Phone

(314) 270-9634

Fax

(888) 241-0474

NPI assigned

Apr 10, 2015

Last updated

Nov 18, 2015By 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. Jerry Leech, DC, MD

Title

Owner

Phone

(855) 808-7246

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1427444074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10007 KENNERLY RD",
            "address_2": "SUITE B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282179",
            "telephone_number": "314-270-9634",
            "fax_number": "888-241-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10007 KENNERLY RD",
            "address_2": "SUITE B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282179",
            "telephone_number": "314-270-9634",
            "fax_number": "888-241-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN PAIN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-10",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "LEECH",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "855-808-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "2013036906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• American Healthcare Systems Missouri LLC (South City Hospital)
• American Healthcare Systems Missouri, LLC
• American Homepatient, Inc.
• American Mobility Repair Service
• American Multispecialty Group Inc. (Esse Health)
• American Sleep Medicine
• American Toxicology Institute, LLC
• Americare at South St. Louis, LLC (Mattis Pointe Assisted Living)
• Americare Medical Centers LLC
• Aliyah Reyes Amerin

• 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 Nov 18, 2015; 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.