Regeneration Orthopedics, LLC

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

Legal business name

REGENERATION ORTHOPEDICS, LLC

Practice address

12348 Old Tesson Rd
Ste120
Saint Louis, MO 63128-2251

Phone

(636) 536-7000

Fax

(636) 898-5709

NPI assigned

Oct 29, 2012

Organization subpart

No

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

Authorized official

Name

Karen Wilson

Title

Office Manager

Phone

(636) 536-7000

Specialties & licenses 2

Addresses

Tax ID family

Regeneration Orthopedics LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Regeneration Orthopedics, LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Ballwin, MO
  • NPI 1720332893
  NPD tax ID
• Regeneration Orthopedics, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Granite City, IL
  • NPI 1649524711
  NPD tax ID

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351468800000",
    "number": "1891049979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MCBRIDE AND SON CENTER DR",
            "address_2": "STE 204",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051418",
            "telephone_number": "636-536-7000",
            "fax_number": "636-898-5709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12348 OLD TESSON RD",
            "address_2": "STE120",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282251",
            "telephone_number": "636-536-7000",
            "fax_number": "636-898-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENERATION ORTHOPEDICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-29",
        "last_updated": "2012-10-29",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "636-536-7000"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Stuckel Regan, ACNP
• Sarah Regan, AGNP
• Amanda L. Regen, M.D.
• Regencie LLC
• Regency Adult Care, LLC
• Elena Alison Regitz, P.T.
• Patricia Reh
• Thomas Edward Reh, M.D.
• Rehab Care
• Rehab Care

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; 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.