Organization Active NPI

St Louis Orthopedic Surgery, Inc

  • Orthopaedic Surgery Physician
  • Saint Louis, MO
National Provider Identifier
1063484400
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
R9G33 Issued in MO
Legal business name
ST LOUIS ORTHOPEDIC SURGERY, INC
Practice address
2821 N Ballas Rd
Suite C-15
Saint Louis, MO 63131-2321
Phone
(314) 983-0088
Fax
(314) 983-9650
NPI assigned
Feb 1, 2006
Last updated
Jul 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

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

Authorized official

Name
Daniel SchwarzeNPI 1740262625
Title
Physician
Phone
(314) 983-0088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X R7J25 MO
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X R9G33 MO Primary

Addresses

Primary practice location

2821 N Ballas Rd
Suite C-15
Saint Louis, MO 63131-2321

Mailing address

2821 N Ballas Rd Ste C15
Saint Louis, MO 63131-2300
Phone (314) 983-0088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050413000082 MO Part B Supplier - Clinic/Group Practice 1557308491 Receives reassigned benefits from 1 practitioner
Practice locations: St Louis, MO; Saint Louis, MO; Bridgeton, MO; Chesterfield, MO; Creve Coeur, MO; Fenton, MO; Frontenac, MO; Richmond Heights, MO
O20100930091478 MO DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1557308491 Practice locations: Saint Louis, MO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783036800000",
    "number": "1063484400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 N BALLAS RD STE C15",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312300",
            "telephone_number": "314-983-0088",
            "fax_number": "314-983-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 N BALLAS RD",
            "address_2": "SUITE C-15",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312321",
            "telephone_number": "314-983-0088",
            "fax_number": "314-983-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LOUIS ORTHOPEDIC SURGERY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A",
        "authorized_official_last_name": "SCHWARZE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "314-983-0088"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "R7J25",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "R9G33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2026; 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.