| Sureguard LLC | |
|
10007 Kennerly Rd Ste B Saint Louis MO 63128-2179 | |
| (866) 280-1543 | |
| Not Available |
| Full Name | Sureguard LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 10007 Kennerly Rd Ste B, Saint Louis, Missouri |
| Authorized Official Name and Position | Lee Brochstein (EXECUTIVE DIRECTOR OF CORPORATE OPS) |
| Authorized Official Contact | 7137038642 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sureguard LLC 5307 Jason St Houston TX 77096-1232 | Sureguard LLC 10007 Kennerly Rd Ste B Saint Louis MO 63128-2179 Ph: (866) 280-1543 |
| NPI Number | 1538917026 |
|---|---|
| Provider Enumeration Date | 05/09/2024 |
| Last Update Date | 12/23/2024 |
| Certification Date | 12/23/2024 |
| Medicare PECOS PAC ID | 6709241763 |
|---|---|
| Medicare Enrollment ID | O20240607000942 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538917026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 261QA1903X | Clinic/center - Ambulatory Surgical | () | Secondary |
| Provider Name | Paul S Catanzaro |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1386653731 PECOS PAC ID: 6800858770 Enrollment ID: I20041102000992 |
| Provider Name | Abid Nisar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245375567 PECOS PAC ID: 5496713133 Enrollment ID: I20050119000001 |
St. Louis Center for Preventive and Longevity Medicine, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 777 S New Ballas Rd, Suite 200 E, Saint Louis, MO 63141 Phone: 314-994-1536 Fax: 314-692-0241 |
Town and Country Primary Care LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3009 N Ballas Rd, Suite 300a, Saint Louis, MO 63131 Phone: 314-872-8999 |
Family Care Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Lynch St, Saint Louis, MO 63118 Phone: 314-531-5444 Fax: 314-531-0063 |
Wusm Bjc Aco Providers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 S Euclid Ave, Campus Box 8081, Saint Louis, MO 63110 Phone: 314-273-0770 |
Victus Physician Services, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12607 Olive Blvd, Saint Louis, MO 63141 Phone: 314-327-8070 |
Salvation Army Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2900 Washington Ave, Saint Louis, MO 63103 Phone: 314-898-1700 Fax: 314-814-8542 |