DR. MATTHEW PAUL MELANDER (NPI# 1174561211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174561211 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW PAUL MELANDER |
| Credential | DO |
| Practice Address |
9323 Phoenix Village Pkwy O Fallon MO 63368-4281 |
| Mailing Address |
12639 Old Tesson Rd Saint Louis MO 63128-2786 |
| Practice Telephone | 6365615030 |
| Practice Fax Number | 6365615033 |
| Mailing Telephone | 3148490311 |
| Mailing Fax Number | 3148494423 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2019-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
02003069A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
9323 PHOENIX VILLAGE PKWY |
| City | O FALLON |
| State | MO |
| Zip Code | 63368-4281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205839354 | Emil A Difilippo | Orthopaedic Surgery | 9323 Phoenix Village Pkwy, O Fallon, MO 63366-4281 | 2005-05-23 |
| 1073904769 | Signature Medical Group, Inc | Durable Medical Equipment & Medical Supplies | 9323 Phoenix Village Pkwy, O Fallon, MO 63368-4281 | 2015-02-17 |
| 1447454103 | Kevin James Quigley | Orthopaedic Surgery | 9323 Phoenix Village Pkwy, O Fallon, MO 63368-4281 | 2007-06-14 |
| 1437264595 | Jeffrey Steven Boberg | Podiatrist | 9323 Phoenix Village Pkwy, O Fallon, MO 63368-4281 | 2006-08-20 |
| 1275536120 | James E Schaberg | Orthopaedic Surgery | 9323 Phoenix Village Pkwy, O Fallon, MO 63366-4281 | 2005-05-24 |
| 1710980750 | Mark K Keohane | Orthopaedic Surgery | 9323 Phoenix Village Pkwy, O Fallon, MO 63366-4281 | 2005-05-23 |
| 1710980875 | Anthony J Berni | Orthopaedic Surgery | 9323 Phoenix Village Pkwy, O Fallon, MO 63366-4281 | 2005-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720329 | Come As You Are Counseling LLC | Counselor | 1001 Boardwalk Springs Place, Suite 111, O Fallon, MO 63368 | 2020-11-04 |
| 1770124802 | Lisa N. Greer | Technician | 6911 Brassel Dr., Ofallon, MO 63368 | 2019-09-30 |
| 1770145716 | Halie Faye Gulley | Dentist | 3009 Hwy K, O'fallon, MO 63368 | 2019-06-29 |
| 1972079556 | Erin Corsi Fraundorf | Dentist | 3009 State Hwy K, O'fallon, MO 63368 | 2018-10-22 |
| 1427579960 | Air Evac Ems, Inc. | Ambulance | 1001 Boardwalk Springs Pl Ste 250, O Fallon, MO 63368 | 2017-07-06 |
| 1528507472 | Washeck Manual Therapy LLC | Clinic/Center | 3074 Winghaven Blvd, O'fallon, MO 63368 | 2017-02-13 |
| 1639618457 | Brittany Hogan | Physical Therapist | 7412 South Outer 364, Suite B, Dardenne Prairie, MO 63368 | 2017-02-13 |
| 1124561469 | Cardinal Home Care LLC | Home Health | 18 Convent Garden Ct, O'fallon, MO 63368 | 2016-11-18 |
| 1336509272 | Sarah Marie Mudd | Counselor | 1654 Bryan Road, O'fallon, MO 63368 | 2016-03-04 |
| 1588023956 | Price-bourisaw Family Chiropractic | Chiropractor | 2917 State Highway K, O Fallon, MO 63368 | 2016-02-15 |
| Find all providers in zip 63368 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184018632 | Christopher Amundsen | Orthopaedic Surgery | 448 State Highway 248, Branson, MO 65616 | 2015-03-23 |
| 1033326137 | Luke S Choi | Orthopaedic Surgery | 14285 N. Outer Forty Rd, Suite 200, Chesterfield, MO 63195-0000 | 2007-05-17 |
| 1134344922 | Scott Geoffrey Kaar | Orthopaedic Surgery | U21 S. New Ballas Rd, Ste 3005 B, St Louis, MO 63141 | 2007-04-16 |
| 1467533372 | Gpaletta Orthopedic Consulting, LLC | Orthopaedic Surgery | 14825 S. Outer Forty Rd, Suite 200, Chesterfield, MO 63017 | 2006-10-18 |
| 1013015106 | Allen G Adams | Orthopaedic Surgery | 904 Edmond St, Saint Joseph, MO 64501-2702 | 2006-09-20 |
| 1891728051 | Jody T Jachna | Orthopaedic Surgery | 400 1st Capitol Dr Ste 100, Saint Charles, MO 63301-2881 | 2006-07-09 |
| 1487623260 | Douglas W Kiburz | Orthopaedic Surgery | 2301 S Ingram Ave, Sedalia, MO 65301-8121 | 2006-03-15 |
| 1497726566 | Crane Clinic for Sports Performance | Orthopaedic Surgery | 219 Chesterfield Towne Ctr, Chesterfield, MO 63005-1257 | 2006-01-27 |
| 1124009212 | Christopher M Miller | Orthopaedic Surgery | 3555 S National Ave, Springfield, MO 65807-7310 | 2005-11-07 |
| 1255958138 | Gina Marie Fasano | Orthopaedic Surgery | 54 Hospital Dr, Osage Beach, MO 65065-3050 | 2020-06-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.