Kirkwood Diagnostic & Orthopedic Associates, LLC.

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

109216 Issued in MO

Legal business name

KIRKWOOD DIAGNOSTIC & ORTHOPEDIC ASSOCIATES, LLC.

Practice address

333 S Kirkwood Rd
Suite 203
Saint Louis, MO 63122-6161

Phone

(314) 909-1666

Fax

(314) 909-7406

NPI assigned

Sep 13, 2006

Organization subpart

No

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

Authorized official

Name

Dave Horace

Title

Business Manager

Phone

(314) 909-1666

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DGEHCD

Practitioners 8

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

• Steven Stahle, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Saint Louis, MO
  • NPI 1578672341
  Medicare reassignment NPD
• Douglas J Curry, MD

  • Diagnostic Radiology Physician
  • Saint Louis, MO
  • NPI 1508974379
  NPD (past)
• John T Engels, MD

  • Diagnostic Radiology Physician
  • Saint Louis, MO
  • NPI 1750303335
  NPD (past)
• John H Niemeyer, MD

  • Diagnostic Radiology Physician
  • St Louis, MO
  • NPI 1083621155
  NPD (past)
• Linda R Proctor, MD

  • Diagnostic Radiology Physician
  • Saint Louis, MO
  • NPI 1629082284
  NPD (past)
• Steven L Solomon, MD

  • Diagnostic Radiology Physician
  • Saint Louis, MO
  • NPI 1679680821
  NPD (past)
• Christopher O Thornton, MD

  • Diagnostic Radiology Physician
  • Saint Louis, MO
  • NPI 1093829970
  NPD (past)
• Brett Prywitch

  • Diagnostic Radiology Physician
  • Chester, IL
  • NPI 1154387850
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295839702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S KIRKWOOD RD",
            "address_2": "SUITE 203",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631226161",
            "telephone_number": "314-909-1666",
            "fax_number": "314-909-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S KIRKWOOD RD",
            "address_2": "SUITE 203",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631226161",
            "telephone_number": "314-909-1666",
            "fax_number": "314-909-7406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRKWOOD DIAGNOSTIC & ORTHOPEDIC ASSOCIATES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HORACE",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "314-909-1666"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "MO",
            "license": "109216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summer Ann Kirkpatrick, MD
• Deann Marie Kirksey, COTA L
• Kirksville Medical Imaging, Inc.
• Jerome J Kirkton, CRNA
• Kirkwood Ambulatory Surgery Center
• Kirkwood Medical Group LLC
• Kirkwood Pathology Services Inc
• Nigar Kirmani, MD
• Timothy Gerard Kirn Jr., MPT
• Mary E Kirsch, CRNA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.