| Premise Health Of Ohio Medical, P.a | |
| 
					1000 Technology Dr O Fallon MO 63368-2239  | |
| (636) 261-1600 | |
| (636) 261-1601 | 
| Full Name | Premise Health Of Ohio Medical, P.a | 
|---|---|
| Speciality | Clinic/center - Multi-specialty | 
| Location | 1000 Technology Dr, O Fallon, Missouri | 
| Authorized Official Name and Position | Jon Leizmman (PRESIDENT) | 
| Authorized Official Contact | 2164799063 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Premise Health Of Ohio Medical, P.a 5500 Maryland Way Brentwood TN 37027-4948 Ph: (636) 261-1600  | Premise Health Of Ohio Medical, P.a 1000 Technology Dr O Fallon MO 63368-2239 Ph: (636) 261-1600  | 
| NPI Number | 1558767244 | 
|---|---|
| Provider Enumeration Date | 11/07/2014 | 
| Last Update Date | 08/16/2022 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1558767244 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary | 
Kevin L. Threlkeld, M.d., Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 N Main St, O Fallon, MO 63366 Phone: 636-240-3420  | |
Internal Medicine At Winghaven Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5551 Winghaven Blvd Ste 290, O Fallon, MO 63368 Phone: 636-695-2575 Fax: 314-590-5938  | |
O'fallon Pain Relief Associates Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2682 Babble Creek Ln, O Fallon, MO 63368 Phone: 636-978-3000 Fax: 636-978-1821  | |
Surgical Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Church St, O Fallon, MO 63366 Phone: 636-240-1100 Fax: 636-240-1104  | |
Chiro Co Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2917 Highway K Ste F, O Fallon, MO 63368 Phone: 314-239-2427  | |
Frontier Integrated Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 199 Frontier Park Dr, O Fallon, MO 63366 Phone: 636-379-5934 Fax: 636-410-3323  | |
Progress West Healthcare Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Two Progress Point Parkway, O Fallon, MO 63368 Phone: 314-996-3628 Fax: 314-996-3610  |