Osage Bone and Joint Clinic, Inc

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

OSAGE BONE AND JOINT CLINIC, INC

Practice address

1000 W 10TH St
Ste a
Rolla, MO 65401-2905

Phone

(573) 364-5633

Fax

(573) 426-5314

NPI assigned

Aug 30, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Keith J. Frederick, DO

Title

Physician

Phone

(573) 364-5633

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043320435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 LACKLAND HILL PKWY",
            "address_2": "ATTNT: CREDENTIALING DEPARTMENT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463572",
            "telephone_number": "314-989-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W 10TH ST",
            "address_2": "STE A",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654012905",
            "telephone_number": "573-364-5633",
            "fax_number": "573-426-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSAGE BONE AND JOINT CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "573-364-5633",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaundelle Ann Olusanya, DNP
• Melissa Selene Olvera, DDS
• Brittany Nicole Opsomer, RN
• Ifeanyi Samuel Orizu Sr., MD
• Jennie Lyn Orlando, MSN, APRN, FNP
• Christina Osborne
• Jessica Ann Ott, PHARMD
• Abdalla Oun, M D
• Ourrecovery2
• Oxygen Therapy LLC

• Orthopaedic Surgery Physician in Rolla, MO
• Providers in Rolla, MO by specialty
• Orthopaedic Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.