Orthopedic Spine Center LLC

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

Legal business name

ORTHOPEDIC SPINE CENTER LLC

Practice address

10296 Big Bend Rd Ste 205
Saint Louis, MO 63122-6582

Phone

(314) 788-9907

Fax

(833) 418-1951

NPI assigned

Jan 15, 2024

Last updated

Jul 23, 2024By 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

Catherine Lanham

Title

Billing Manager

Phone

(314) 788-9907

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Benjamin P Crane, M.D.

  • Orthopaedic Surgery Physician
  • Chesterfield, MO
  • NPI 1265566392

  Orthopaedic Surgery of the Spine

  Medicare reassignment NPD
• Robert Feit, MD

  • Urology Physician
  • Kirkwood, MO
  • NPI 1861441982
  NPD
• Michael Marcus, MD

  • Urology Physician
  • Saint Louis, MO
  • NPI 1588622773
  NPD
• Jayprakash V Patel, MD

  • Urology Physician
  • Saint Louis, MO
  • NPI 1124086541
  NPD
• Elaine Z Allgood, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Boulder, CO
  • NPI 1093772147
  NPD
• Thomas B. Charles, M.D.

  • Surgery Physician
  • Bridgeton, MO
  • NPI 1629012042
  NPD (past)
• Michael G De la Paz, MD

  • Urology Physician
  • Saint Louis, MO
  • NPI 1952347312
  NPD (past)
• Laurence D Gelstein, MD

  • Urology Physician
  • Kirkwood, MO
  • NPI 1346208378
  NPD (past)
• Thomas Scully, MD

  • Urology Physician
  • Saint Louis, MO
  • NPI 1285692608
  NPD (past)

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1730950155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10296 BIG BEND RD STE 205",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631226582",
            "telephone_number": "314-788-9907",
            "fax_number": "833-418-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10296 BIG BEND RD STE 205",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631226582",
            "telephone_number": "314-788-9907",
            "fax_number": "833-418-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC SPINE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "LANHAM",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "314-788-9907"
    },
    "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": []
}

• Orthopedic Associates (James S Burke Jr MD)
• Orthopedic Associates, LLC
• Orthopedic Associates, LLC
• Orthopedic Care of St. Louis, PC
• Orthopedic Specialists, PC
• Orthopedic Urgent Care of America LLC
• Orthotic and Prosthetic Lab, Inc
• Orthotic and Prosthetic Lab, Inc.
• Amadu Padama Ortillo, MD
• Irma I Ortiz-Arroyo, MD

• Orthopaedic Surgery of the Spine Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Orthopaedic Surgery of the Spine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.