Orthopedic Specialists, PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

105231 Issued in MO

Legal business name

ORTHOPEDIC SPECIALISTS, PC

Practice address

2325 Dougherty Ferry Rd
Suite 200
Saint Louis, MO 63122-3356

Phone

(314) 909-1359

Fax

(314) 909-1370

NPI assigned

Jan 30, 2006

Last updated

Oct 17, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Chabot, DONPI 1588635353

Title

Delegated Official

Phone

(314) 909-1359

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in MO2 enrollments

Enrollment records 2

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Chabot, DO

  • Orthopaedic Surgery Physician
  • Saint Louis, MO
  • NPI 1588635353
  Medicare reassignment Care Compare group Authorized official
• Sherri Lee McGauley, ANP-C

  • Adult Health Clinical Nurse Specialist
  • Saint Louis, MO
  • NPI 1770757957
  Medicare reassignment Care Compare group
• Kevin Douglas Rutz, MD

  • Orthopaedic Surgery Physician
  • Saint Louis, MO
  • NPI 1548231210
  Medicare reassignment Care Compare group
• Loren Suzanne Vandergriff, ANP

  • Medical-Surgical Clinical Nurse Specialist
  • Saint Louis, MO
  • NPI 1588088009
  Medicare reassignment Care Compare group
• Kathryn Rebecca Bachman, PA-C

  • Surgical Physician Assistant
  • Chesterfield, MO
  • NPI 1407214364
  Medicare reassignment
• Matthew David Collard, D.O.

  • Orthopaedic Surgery Physician
  • Saint Louis, MO
  • NPI 1346276383
  Medicare reassignment
• Richard Howard, DO

  • Orthopaedic Surgery Physician
  • Saint Louis, MO
  • NPI 1558332106
  Medicare reassignment
• Holly M Strassner, R.N.P

  • Nurse Practitioner
  • O'Fallon, MO
  • NPI 1528209319
  Medicare reassignment
• Stephanie Diane Bauerle, D.O.

  • Internal Medicine Physician
  • Union, MO
  • NPI 1699834739
  NPD (past)
• John Marcus Heim, D.O.

  • Orthopaedic Surgery Physician
  • Springdale, AR
  • NPI 1063483824
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1063483816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 790051",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631790051",
            "telephone_number": "314-989-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 DOUGHERTY FERRY RD",
            "address_2": "SUITE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631223356",
            "telephone_number": "314-909-1359",
            "fax_number": "314-909-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "CHABOT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "314-909-1359",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "2005025486",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "105231",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "R8G14",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "R1F60",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "112753",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "2003002791",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthopedic and Spine Institute of St. Louis, LLC
• Orthopedic Associates (James S Burke Jr MD)
• Orthopedic Associates, LLC
• Orthopedic Associates, LLC
• Orthopedic Care of St. Louis, PC
• Orthopedic Spine Center LLC
• Orthopedic Urgent Care of America LLC
• Orthotic and Prosthetic Lab, Inc
• Orthotic and Prosthetic Lab, Inc.
• Amadu Padama Ortillo, MD

• Orthopaedic Surgery Physician in Saint Louis, MO
• Providers in Saint Louis, 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 Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.