DR. FRANK O PETKOVICH (NPI# 1609827070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609827070 |
| Entity Type | Individual |
| Full Name | DR. FRANK O PETKOVICH |
| Credential | M.D. |
| Practice Address |
2821 N Ballas Rd Suite C70 Saint Louis MO 63131-2321 |
| Practice Telephone | 3144326500 |
| Practice Fax Number | 3144326502 |
| Mailing Telephone | 3144326500 |
| Mailing Fax Number | 3144326502 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2009-06-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | R5882 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | HEALTHLINK | 101822 | 01 |
| MO | UNITED HEALTHCARE | 0900089 | 01 |
| MO | GROUP HEALTH PLAN | 87732 | 01 |
| MO | BLUE CROSS BLUE SHIELD | 26897 | 01 |
| MO | RAILROAD MEDICARE | P00137920 | 01 |
| MO | CIGNA | 3137743003 | 01 |
| MO | AETNA | 4134958 | 01 |
| Street Address |
2821 N BALLAS RD SUITE C70 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63131-2321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346236395 | United Home Health Services of St. Louis, Inc. | Home Health | 2821 N Ballas Rd, Suite 255, Saint Louis, MO 63131-2321 | 2005-09-26 |
| 1154945160 | Rachel Renee Ragsdale I | Dentist | 2821 N Ballas Rd, Saint Louis, MO 63131-2321 | 2020-06-04 |
| 1770028672 | Bryson Colt Wilbanks | Chiropractor | 2821 N Ballas Rd, Suite 105, Saint Louis, MO 63131-2321 | 2016-12-30 |
| 1528503026 | Stewart E Moreland, Dmd, LLC | Dentist | 2821 N Ballas Rd, Suite 225, Saint Louis, MO 63131-2321 | 2016-12-20 |
| 1487104600 | Bruce Cook Prosthetics | Durable Medical Equipment & Medical Supplies | 2821 N Ballas Rd, Suite 215, Saint Louis, MO 63131-2321 | 2016-10-12 |
| 1396176848 | Hyacinth Mcguire | Chiropractor | 2821 N Ballas Rd, Suite 105, Saint Louis, MO 63131-2321 | 2013-12-10 |
| 1992136907 | St. Louis Family Therapy | Marriage & Family Therapist | 2821 N Ballas Rd, Suite C-35, Saint Louis, MO 63131-2321 | 2013-12-02 |
| 1902156748 | Blake Thomas Eyres | Dentist | 2821 N Ballas Rd, Suite 160, Saint Louis, MO 63131-2321 | 2012-09-19 |
| 1073806568 | Kristina Brazier | Chiropractor | 2821 N Ballas Rd, Suite 105, Saint Louis, MO 63131-2321 | 2011-05-17 |
| 1336447564 | Psych Health LLC | Psychiatry & Neurology | 2821 N Ballas Rd, Suite 265, Saint Louis, MO 63131-2321 | 2011-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568097954 | Avalcare Inc | Pharmacy | 10431 Clayton Rd, Saint Louis, MO 63131 | 2020-03-06 |
| 1891331369 | Life Clinic of Mo Dc PC | Chiropractor | 2051 South Lindbergh Blvd, Frontenac, MO 63131 | 2019-11-20 |
| 1447892542 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 30 S Lindbergh Blvd, Saint Louis, MO 63131 | 2019-10-10 |
| 1336797026 | Justa Davis | Dietitian, Registered | 3015 North Ballas, Saint Louis, MO 63131 | 2019-08-27 |
| 1730695362 | Curators of The University of Missouri | Psychologist | 12837 Flushing Meadows Drive, Sutie 220, Town and Country, MO 63131 | 2017-12-19 |
| 1770012031 | Danielle Marie Hargate | Specialist/Technologist | 732 Timber Trail, Frontenac, MO 63131 | 2017-06-08 |
| 1285087429 | Kathryn Parker | Internal Medicine | 1000 Des Peres Rd Ste 300, Saint Louis, MO 63131 | 2016-07-22 |
| 1437524360 | Julie Ann Godefroid | Nurse Practitioner | 1010 Old Des Peres Road, St. Louis, MO 63131 | 2015-12-03 |
| 1073982435 | Rebecca Baum Rainbolt | Social Worker | 12210 Clayton Rd, Saint Louis, MO 63131 | 2015-09-16 |
| 1518217322 | Advanced Anesthesia and Pain Management, LLC | Anesthesiology | 12805 Topping Woods Estate Drive, St. Louis, MO 63131 | 2012-09-19 |
| Find all providers in zip 63131 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760903850 | Adam J Martin | Orthopaedic Surgery | 621 S New Ballas Rd Ste 3005b, Saint Louis, MO 63141-8266 | 2017-06-29 |
| 1801254164 | St. Anthony's Physician Organization | Orthopaedic Surgery | 12700 Southfork Rd Ste 100, Saint Louis, MO 63128-3201 | 2016-02-02 |
| 1285051482 | Michael Joseph Reiter | Orthopaedic Surgery | 3009 N Ballas Rd Ste 269c, Saint Louis, MO 63131-2339 | 2014-03-25 |
| 1154767507 | Robert M Corey | Orthopaedic Surgery | 3635 Vista Ave, 7th Floor- Desloge Tower, Department of Orthopedics, Saint Louis, MO 63110 | 2013-05-13 |
| 1770855884 | George Owens Sertl | Orthopaedic Surgery | 10757 Forest Path Dr, Saint Louis, MO 63128-2008 | 2012-02-04 |
| 1285881581 | John Powell Arnot | Orthopaedic Surgery | 1145 Lockett Rd, Saint Louis, MO 63131-4234 | 2008-08-19 |
| 1558526327 | Jordan Howard Ginsburg | Orthopaedic Surgery | 231 S Bemiston Ave, Suite 500, Saint Louis, MO 63105-1914 | 2008-07-22 |
| 1659562528 | Kenyatta D Norman | Orthopaedic Surgery | 1209 Washington Ave, Ste 518, Saint Louis, MO 63103-1996 | 2007-08-06 |
| 1134342918 | Matthew Walter Bradley | Orthopaedic Surgery | 1001 S Kirkwood Rd Ste 120, Saint Louis, MO 63122-7250 | 2007-04-10 |
| 1437272663 | St. Louis-clayton Orthopedic Group, Inc. | Orthopaedic Surgery | 1034 S Brentwood Blvd Ste 650, Saint Louis, MO 63117-1267 | 2007-04-10 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63131 |
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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.