Organization Active NPI

Onyx Spine Institute, LLC

  • Orthopaedic Surgery of the Spine Physician
  • Saint Louis, MO
National Provider Identifier
1295329928
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
ONYX SPINE INSTITUTE, LLC
Practice address
425 N New Ballas Rd Ste 230
Saint Louis, MO 63141-6848
Phone
(314) 266-2066
NPI assigned
Feb 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Authorized official

Name
Sara Forchee
Title
Practice Manager
Phone
(314) 266-2066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0117X Primary

Addresses

Primary practice location

425 N New Ballas Rd Ste 230
Saint Louis, MO 63141-6848

Mailing address

425 N New Ballas Rd Ste 230
Saint Louis, MO 63141-6848
Phone (314) 266-2066

Other practice location 1

1705 Christy Dr Ste 201
Jefferson City, MO 65101-5195
Phone (314) 266-2066

Other practice location 2

304 S Mount Auburn Rd
Cape Girardeau, MO 63703-4920
Phone (314) 266-2066

Other names 1

  • St Louis Spine Institute LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220912001066 MO Part B Supplier - Clinic/Group Practice 7113302191 Receives reassigned benefits from 6 practitioners
Practice locations: Saint Louis, MO

National Provider Directory

National Provider Directory

Locations

6 Cityplace Dr
Ste 900
Saint Louis, MO 63141

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1295329928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 N NEW BALLAS RD STE 230",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416848",
            "telephone_number": "314-266-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 N NEW BALLAS RD STE 230",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416848",
            "telephone_number": "314-266-2066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1705 Christy Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Jefferson City",
            "state": "MO",
            "postal_code": "651015195",
            "country_code": "US",
            "telephone_number": "314-266-2066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "304 S Mount Auburn Rd",
            "address_purpose": "LOCATION",
            "city": "Cape Girardeau",
            "state": "MO",
            "postal_code": "637034920",
            "country_code": "US",
            "telephone_number": "314-266-2066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ONYX SPINE INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-23",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "FORCHEE",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "314-266-2066"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Louis Spine Institute LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "St Louis Spine Institute LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Aug 16, 2024; 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.