BLUETAIL MEDICAL GROUP LLC. NPI 1285986398

NPI Details

BLUETAIL MEDICAL GROUP, LLC. is a sports medicine orthopaedic surgery in Chesterfield, MO. 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. BLUETAIL MEDICAL GROUP, LLC. NPI is 1285986398. The provider is registered as an organization entity type.

The provider's business location address is:

13353 OLIVE BLVD
CHESTERFIELD, MO
ZIP 63017-108
Phone: (636) 778-2900
Fax: (636) 778-2828

The provider's authorized official is Joe O'neil .
The authorized official title is Practice Administrator and has the following contact phone number (636) 778-2900.

The CLIA number assigned to this NPI record is 10D2202148 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/12/2012 and was last updated on 11/17/2025.

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: