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ORTHOPEDIC CARE OF ST. LOUIS PC NPI 1386778660


NPI Information

NPI: 1386778660
Provider Name: ORTHOPEDIC CARE OF ST. LOUIS, PC
Classification: Orthopaedic Surgery - 207XS0114X
Entity Type: Organization

Specialization: Adult Reconstructive Orthopaedic Surgery

CLIA Number: 26D2271755

Address:
1040 N MASON RD
SUITE G03
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 434-0030
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ORTHOPEDIC CARE OF ST. LOUIS, PC is an adult reconstructive orthopaedic surgery orthopaedic surgery in Saint Louis, MO. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. ORTHOPEDIC CARE OF ST. LOUIS, PC NPI is 1386778660. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1040 N MASON RD
SUITE G03
SAINT LOUIS, MO
ZIP 63141-399
Phone: (314) 434-0030
Fax: (314) 434-0009

The provider's authorized official is Jeffrey W Martin .
The authorized official title is Physician, Owner and has the following contact phone number (314) 434-0030.

The CLIA number assigned to this NPI record is 26D2271755 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/16/2007 and was last updated on 10/14/2014.


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
1207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DD5877OTHERMISSOURIRR MEDICARE
2000013842MEDICARE PINMISSOURI
34882960001MEDICARE NSCMISSOURI

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

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