The Orthopedic Center of St. Louis

Primary specialty

SpecialistTaxonomy code 174400000X

License

36909 Issued in MO

Legal business name

THE ORTHOPEDIC CENTER OF ST. LOUIS

Doing business as

MFG Spine

Practice address

14825 N Outer 40
Suite 200
Chesterfield, MO 63017-2152

Phone

(314) 336-2555

Fax

(314) 336-2557

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Tammy Mattingly

Title

Financials

Phone

(314) 336-2620

Specialties & licenses 1

Addresses

Other names 1

• MFG Spine Doing business as

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750461067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14825 N OUTER 40",
            "address_2": "SUITE 200",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172152",
            "telephone_number": "314-336-2555",
            "fax_number": "314-336-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14825 N OUTER 40",
            "address_2": "SUITE 200",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172152",
            "telephone_number": "314-336-2555",
            "fax_number": "314-336-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ORTHOPEDIC CENTER OF ST. LOUIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATTINGLY",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "FINANCIALS",
        "authorized_official_telephone_number": "314-336-2620"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MO",
            "license": "36909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MFG Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Cedars of Town and Country, LLC
• The Missing L Inc (The Crossroads Program)
• The Ms Center of Saint Louis
• The Orthopedic Center of St Louis LLC
• The Orthopedic Center of St. Louis
• The Osteoporosis Center at St. Luke's Hospital, LLC
• Theodore F. Valley II DC PC (Beyond The Body Wellness Through Chiropractic)
• Steven Walter Thiel, MD
• Thomas J. Lantsberger, PH.D. LLC
• Ashley Thomas, MOTR/L

• Specialist in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Specialist 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.