Provider Type Icon

SHALEN KOUK MD NPI 1558748871


NPI Information

NPI: 1558748871
Provider Name: SHALEN KOUK, MD
Classification: Orthopaedic Surgery - 207XX0005X
Entity Type: Individual

Specialization: Sports Medicine

PECOS Registration: Yes

Address:
12700 SOUTHFORK RD STE 100
SAINT LOUIS, MO
ZIP 63128
Phone: (314) 543-5284
Get Directions

Shalen Kouk, MD is a sports medicine orthopaedic surgery in Saint Louis, MO with 9 years of experience. The provider is an orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. Shalen Kouk, MD NPI is 1558748871. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12700 SOUTHFORK RD STE 100
SAINT LOUIS, MO
ZIP 63128-201
Phone: (314) 543-5284
Fax: (314) 543-5276

The NPI 1558748871 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/6/2015 and was last updated on 3/21/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic SurgeryMD.40953ALABAMANo
2207XX0005XOrthopaedic SurgerySports Medicine2022039230MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.