ORTHOPEDIC CARE OF ST. LOUIS, PC (NPI# 1386778660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386778660 |
| Entity Type | Organization |
| Organization Name | ORTHOPEDIC CARE OF ST. LOUIS, PC |
| Practice Address |
1040 N Mason Rd Suite G03 Saint Louis MO 63141-6399 |
| Practice Telephone | 3144340030 |
| Practice Fax Number | 3144340009 |
| Mailing Telephone | 3144340030 |
| Mailing Fax Number | 3144340009 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2014-10-14 |
| Authorized Official Name | DR. JEFFREY W MARTIN (PHYSICIAN, OWNER) |
| Authorized Official Telephone | 3144340030 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | RR MEDICARE | DD5877 | 01 |
| Street Address |
1040 N MASON RD SUITE G03 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63141-6399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326020041 | Michele M. Thomas | Emergency Medicine | 1040 N Mason Rd, Ste 102, Saint Louis, MO 63141-6399 | 2005-11-17 |
| 1598238917 | Katharine Louise Cella | Nurse Practitioner | 1040 N Mason Rd, Ste 103, Saint Louis, MO 63141-6399 | 2019-01-08 |
| 1629552138 | Viktoria Meier | Nurse Practitioner | 1040 N Mason Rd, Ste 206, Saint Louis, MO 63141-6399 | 2018-09-20 |
| 1881108413 | Sarah Rebecca Hartmann | Nurse Practitioner | 1040 N Mason Rd, Ste 103, Saint Louis, MO 63141-6399 | 2017-11-17 |
| 1396186573 | Rachael Jeanette Mangiore | Audiologist | 1040 N Mason Rd, Ste 123, Saint Louis, MO 63141-6399 | 2013-07-16 |
| 1497019897 | Maureen Danielle Lyons | Internal Medicine | 1040 N Mason Rd, Ste 103, Saint Louis, MO 63141-6399 | 2012-06-29 |
| 1790050268 | Amy Lynn Lee | Nurse Practitioner | 1040 N Mason Rd, Saint Louis, MO 63141-6399 | 2012-03-17 |
| 1053690537 | Heidi Hope Tastet | Family Medicine | 1040 N Mason Rd, Ste 103, Saint Louis, MO 63141-6399 | 2011-08-15 |
| 1831498997 | Karry Louise Brim | Physician Assistant | 1040 N Mason Rd, Saint Louis, MO 63141-6399 | 2011-03-15 |
| 1568792539 | Melissa Korenblat-hanin | Social Worker | 1040 N Mason Rd, Suite 115, Saint Louis, MO 63141-6399 | 2010-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043622566 | R&r 1 LLC | Orthopaedic Surgery | 9272 Caddyshack Cir, Saint Louis, MO 63127-1932 | 2014-06-02 |
| 1720354806 | Charles Murray Lawrie | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2012-03-22 |
| 1396908042 | Muyibat A Adelani | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2008-07-02 |
| 1164568887 | Ryan Michael Nunley | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2007-01-29 |
| 1871511501 | Robert L Barrack | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063701647 | John Paul Eggers | Orthopaedic Surgery | 2790 Clay Edwards Dr # Dr600, Kansas City, MO 64116-3276 | 2011-04-04 |
| 1194983833 | Roberte Kuhlman | Orthopaedic Surgery | 12 Upper Barnes, St Louis, MO 63124 | 2008-05-29 |
| 1043340854 | Jeffrey Aaron Krempec | Orthopaedic Surgery | 2790 Clay Edwards Dr Ste 600, Kansas City, MO 64116-3274 | 2007-03-07 |
| 1104833540 | James A Keeney | Orthopaedic Surgery | 1100 Virginia Avenue, Columbia, MO 65212-0001 | 2006-08-01 |
| 1487097044 | Rajesh Rangarajan | Orthopaedic Surgery | 2301 Holmes St, Kansas City, MO 64108 | 2013-04-14 |
| 1962764183 | Charity Ann Jacobs | Orthopaedic Surgery | 1723 Broadway St Ste 315, Cape Girardeau, MO 63701-4556 | 2012-06-13 |
| 1275677023 | Putnam Orthopaedic Center, LLC | Orthopaedic Surgery | 4350 S National Ave, Suite C200, Springfield, MO 65810-2607 | 2007-02-16 |
| 1366553323 | Alan Garvin Anz | Orthopaedic Surgery | 1 S Keene St, Columbia, MO 65201-7199 | 2006-08-31 |
| 1861409625 | Donet Christopher Main | Orthopaedic Surgery | 1706 Prospect Dr, Macon, MO 63552-2615 | 2006-08-02 |
| 1932167574 | Robert C Gardiner | Orthopaedic Surgery | 4320 Wornall Rd, Suite 610, Kansas City, MO 64111-5941 | 2006-05-03 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS |
| Zip Code | 63141 |
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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.