| Restore Health Llp | |
|
12101 Woodcrest Executive Dr Ste 103 Creve Coeur MO 63141-5047 | |
| (314) 983-9355 | |
| Not Available |
| Full Name | Restore Health Llp |
|---|---|
| Speciality | Internal Medicine |
| Location | 12101 Woodcrest Executive Dr Ste 103, Creve Coeur, Missouri |
| Authorized Official Name and Position | Jason Rhodes (OWNER) |
| Authorized Official Contact | 3144897157 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Restore Health Llp 12101 Woodcrest Executive Dr Ste 103 Creve Coeur MO 63141-5047 Ph: (314) 983-9355 | Restore Health Llp 12101 Woodcrest Executive Dr Ste 103 Creve Coeur MO 63141-5047 Ph: (314) 983-9355 |
| NPI Number | 1659093318 |
|---|---|
| Provider Enumeration Date | 09/19/2022 |
| Last Update Date | 02/19/2024 |
| Medicare PECOS PAC ID | 7810373313 |
|---|---|
| Medicare Enrollment ID | O20221006003219 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659093318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Lisa M Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144559246 PECOS PAC ID: 5294972493 Enrollment ID: I20130507000493 |
| Provider Name | Marissa A Lewis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164874822 PECOS PAC ID: 5496086746 Enrollment ID: I20200529001912 |
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