Active NPI
Donald Wade Hammond II, MD
- Orthopaedic Surgery Physician
- St Louis, MO
National Provider Identifier
1285620260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 30243
- Practice address
- 12855 North Forty Drive
Suite 125
St Louis, MO 63141 - Phone
- (314) 966-0111
- Fax
- (314) 966-1023
- NPI assigned
- Sep 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 30243 | MO | Primary |
Addresses
Primary practice location
12855 North Forty Drive
Suite 125
St Louis, MO 63141
Mailing address
12813 Flushing Meadows Drive
Suite 210
St. Louis, MO 63131
Phone (314) 966-0111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30243 | MO | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Louis Orthopedic Institute Inc | Orthopaedic Surgery | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- St Louis, MO
- NPI 1881707644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235952000000",
"number": "1285620260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12813 FLUSHING MEADOWS DRIVE",
"address_2": "SUITE 210",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "63131",
"telephone_number": "314-966-0111",
"fax_number": "314-966-1023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12855 NORTH FORTY DRIVE",
"address_2": "SUITE 125",
"city": "ST LOUIS",
"state": "MO",
"postal_code": "63141",
"telephone_number": "314-966-0111",
"fax_number": "314-966-1023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMMOND",
"first_name": "DONALD",
"middle_name": "WADE",
"name_suffix": "II",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-23",
"last_updated": "2009-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MO",
"license": "30243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.