Ballwin Orthopedic Group, LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

BALLWIN ORTHOPEDIC GROUP, LLC

Practice address

884 Woods Mill Rd
Ste 202
Ballwin, MO 63011-3657

Phone

(314) 322-9254

NPI assigned

May 19, 2014

Last updated

May 19, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Alyssa Visconti

Title

Practice Manager

Phone

(314) 322-9254

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400457600000",
    "number": "1558772053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "884 WOODS MILL RD",
            "address_2": "STE 202",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630113657",
            "telephone_number": "314-322-9254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "884 WOODS MILL RD",
            "address_2": "STE 202",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630113657",
            "telephone_number": "314-322-9254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALLWIN ORTHOPEDIC GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-19",
        "last_updated": "2014-05-19",
        "status": "A",
        "authorized_official_last_name": "VISCONTI",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "314-322-9254",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca J Baker
• Cynthia Renee Ballentine, OTR
• Ballwin Chiropractic Center, PC
• Ballwin Family Smiles, PLLC
• Ballwin Health Care LLC (Ballwin Ridge Health & Rehabilitation)
• Alan James Banaszynski, DC
• Marissa Paulette Barbeau, PLPC
• Derrick Bark, DC, ATC
• Elaine Barnes, BCBA
• Sharron Jean Bartle, LCSW

• Orthopaedic Surgery Physician in Ballwin, MO
• Providers in Ballwin, MO by specialty
• Orthopaedic Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; 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.