St Louis Joint and Back Pain Specialists LLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

ST LOUIS JOINT AND BACK PAIN SPECIALISTS LLC

Practice address

10420 Old Olive Street Rd Ste 205
Creve Coeur, MO 63141-5937

Phone

(314) 516-3289

NPI assigned

Jun 4, 2017

Last updated

Jun 4, 2017By 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. Adam Shomstein, DONPI 1962793760

Title

Owner

Phone

(314) 516-3289

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Adam Shomstein, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Fenton, MO
  • NPI 1962793760
  NPD Authorized official
• Diana Mekler, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Ballwin, MO
  • NPI 1477843985
  NPD (past)

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

{
    "created_epoch": "1496534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496534400000",
    "number": "1710416755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 NYKIEL CT",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630114246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10420 OLD OLIVE STREET RD STE 205",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631415937",
            "telephone_number": "314-516-3289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LOUIS JOINT AND BACK PAIN SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-04",
        "last_updated": "2017-06-04",
        "status": "A",
        "authorized_official_last_name": "SHOMSTEIN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-516-3289",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2017; 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.