Active NPI
Restore Health LLP
- Internal Medicine Physician
- Creve Coeur, MO
National Provider Identifier
1659093318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- RESTORE HEALTH LLP
- Practice address
- 12101 Woodcrest Executive Dr Ste 103
Creve Coeur, MO 63141-5047 - Phone
- (314) 983-9355
- NPI assigned
- Sep 19, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jason Rhodes, DC
- Title
- Owner
- Phone
- (314) 489-7157
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
12101 Woodcrest Executive Dr Ste 103
Creve Coeur, MO 63141-5047
Mailing address
12101 Woodcrest Executive Dr Ste 103
Creve Coeur, MO 63141-5047
Phone (314) 983-9355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
12101 Woodcrest Executive Dr
Ste 103
Saint Louis, MO 63141
Phone (314) 983-9355
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Primary Care Nurse Practitioner
- Jackson, MO
- NPI 1881571727
-
- Family Nurse Practitioner
- Cape Girardeau, MO
- NPI 1144559246
-
- Emergency Medicine Physician
- Saint Louis, MO
- NPI 1164874822
-
- Adult Health Nurse Practitioner
- Cape Girardeau, MO
- NPI 1760872469
-
- Chiropractor
- Saint Louis, MO
- NPI 1891120341
-
- Clinical Social Worker
- Creve Coeur, MO
- NPI 1265246839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708300800000",
"number": "1659093318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12101 WOODCREST EXECUTIVE DR STE 103",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631415047",
"telephone_number": "314-983-9355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12101 WOODCREST EXECUTIVE DR STE 103",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631415047",
"telephone_number": "314-983-9355"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESTORE HEALTH LLP",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-19",
"last_updated": "2024-02-19",
"certification_date": "2024-02-19",
"status": "A",
"authorized_official_last_name": "RHODES",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "314-489-7157",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Creve Coeur, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.