St. Louis Sports Health, LLC

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

2003010405 Issued in MO

Legal business name

ST. LOUIS SPORTS HEALTH, LLC

Practice address

1000 Des Peres Rd
Suite 325
Saint Louis, MO 63131-2050

Phone

(314) 821-4423

Fax

(314) 821-7706

NPI assigned

May 15, 2009

Organization subpart

No

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

Authorized official

Name

Christopher R Rothrock, M.D.

Title

President

Phone

(314) 821-4423

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura A Schwab, RN

  • Medical-Surgical Registered Nurse
  • Saint Louis, MO
  • NPI 1053921635
  NPD (past)

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

{
    "created_epoch": "1242345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1194950451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 DES PERES RD",
            "address_2": "SUITE 325",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312050",
            "telephone_number": "314-821-4423",
            "fax_number": "314-821-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 DES PERES RD",
            "address_2": "SUITE 325",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312050",
            "telephone_number": "314-821-4423",
            "fax_number": "314-821-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LOUIS SPORTS HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-15",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "ROTHROCK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-821-4423",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MO",
            "license": "2003010405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DR3292",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St. Louis Public Schools
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• St. Louis Surgical Doctors Group, LLC
• St. Louis Therapeutic Alliance LLC
• St. Louis Thoracic and Vascular Inc
• St. Louis University
• St. Louis University

• Sports Medicine (Orthopaedic Surgery) Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; 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.