ST LOUIS UNIVERSITY (NPI# 1114139003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114139003 |
| Entity Type | Organization |
| Organization Name | ST LOUIS UNIVERSITY |
| Other Organization Name | SLUCARE DEPT OF ORTHOPAEDIC-ORTHOPAEDIC TRAUMA |
| Practice Address |
1755 S Grand Blvd Saint Louis MO 63104-1540 |
| Mailing Address |
1831 Chestnut St Ste 650 Saint Louis MO 63103-2236 |
| Practice Telephone | 3142563850 |
| Mailing Telephone | 3149776828 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2019-06-21 |
| Authorized Official Name | ALYCE LANXON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3149776828 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SLUCARE DEPT OF ORTHOPAEDIC-ORTHOPAEDIC TRAUMA | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487869863 | St Louis University | Eyewear Supplier (Equipment, not the service) | 1755 South Grand, St Louis, MO 63104 | 2007-05-11 |
| 1194892463 | St Louis University | Orthopaedic Surgery | 1831 Chestnut St Ste 650, Saint Louis, MO 63103 | 2006-11-29 |
| 1093894842 | St Louis University | Internal Medicine | 10 Franklin, Washington, MO 63090 | 2006-11-03 |
| 1417035759 | St Louis University | Audiologist | 3750 Lindell, St Louis, MO 63108 | 2006-11-02 |
| 1992778237 | St Louis University | Urology | 3655 Vista Ave, Saint Louis, MO 63110-2539 | 2006-02-08 |
| 1164495412 | St Louis University | Pathology | 1402 South Grand, St Louis, MO 63104 | 2006-02-08 |
| 1801869136 | St Louis University | Psychiatry & Neurology | 1438 S Grand Blvd, Saint Louis, MO 63104-1027 | 2006-02-08 |
| 1740253095 | St Louis University | Dermatology | 1755 S Grand Blvd, Saint Louis, MO 63104-1540 | 2006-02-08 |
| 1184266413 | St Louis University | Pediatrics | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2019-10-08 |
| 1184908865 | St Louis University | Urology | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2011-09-29 |
| Street Address |
1755 S GRAND BLVD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63104-1540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740253095 | St Louis University | Dermatology | 1755 S Grand Blvd, Saint Louis, MO 63104-1540 | 2006-02-08 |
| 1295363372 | Jordan Benjamin Leynes | Physician Assistant | 1755 S Grand Blvd, Saint Louis, MO 63104-1540 | 2020-04-01 |
| 1366936411 | Gabriela Madeleine Morris | Internal Medicine | 1755 S Grand Blvd, Saint Louis, MO 63104 | 2018-06-20 |
| 1891228425 | Madelyn Farrell Oliver Jeter | Student in an Organized Health Care Education/Training Program | 1755 S Grand Blvd, Saint Louis, MO 63104-1540 | 2017-04-10 |
| 1982079810 | Claudia Sophia Morr Verenzuela | Dermatology | 1755 S Grand Blvd, Saint Louis, MO 63104-1540 | 2015-12-03 |
| 1528447125 | Kristin Colleen Smith | Dermatology | 1755 S Grand Blvd, Saint Louis, MO 63104-1540 | 2015-05-28 |
| 1205213253 | Ashley Mcwilliams | Student in an Organized Health Care Education/Training Program | 1755 S Grand Blvd, Saint Louis, MO 63104-1540 | 2015-04-29 |
| 1154714202 | Heidi Elaine Roeder | Physician Assistant | 1755 S Grand Blvd, Saint Louis, MO 63104-1540 | 2015-03-13 |
| 1134534811 | Jennifer Albus Fehlman | Dermatology | 1755 S Grand Blvd, Saint Louis, MO 63104-1540 | 2014-06-21 |
| 1124446588 | Saniya Shaikh | Student in an Organized Health Care Education/Training Program | 1755 S Grand Blvd, Saint Louis, MO 63104-1540 | 2014-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407469570 | Family Care Health Centers | Clinic/Center | 2717 Sidney Street, St. Louis, MO 63104 | 2020-08-28 |
| 1023638038 | Laura Ann Humphrey | Physician Assistant | Allied Health Building 3437 Caroline Street, Room 3015, Saint Louis, MO 63104 | 2020-04-20 |
| 1174187264 | Ahsan Ali | Student in an Organized Health Care Education/Training Program | 1438 South Grand Blvd, Monteleone Hall, St. Louis, MO 63104 | 2019-04-24 |
| 1205359916 | Brenda Eve Ladin | Behavior Technician | 1221 Allen Market Lane Rear, St. Louis, MO 63104 | 2017-07-25 |
| 1841722063 | Gustavo G Mendez | Student in an Organized Health Care Education/Training Program | 1465 South Grand Bulevard Rm 2717, Ssm Health Cardinal Glennon Children's Hospital, Saint Louis, MO 63104 | 2017-03-28 |
| 1053776716 | Carmella Harper | Respiratory Therapist, Certified | 2678 Park Ave, St Louis, MO 63104 | 2015-12-23 |
| 1922485986 | Alexander Tremont | Internal Medicine | 1402 S Grand Blvd Rm M260, Saint Louis, MO 63104 | 2015-04-29 |
| 1306233341 | Healthcare R Us | Home Health | 2859 Sidney St, St Louis, MO 63104 | 2015-04-16 |
| 1396159091 | Daniela Hermelin | Pathology | 1402 South Grane, St. Louis, MO 63104 | 2014-06-20 |
| 1992117881 | Kelly Denise Durbin | Social Worker | 1920 S 7th St, Saint Louis, MO 63104 | 2014-05-27 |
| Find all providers in zip 63104 | ||||
| Taxonomy Code | 207XX0801X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Trauma |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033762570 | Mandip Singh | Orthopaedic Surgery | 3635 Vista Ave Fl 7, Saint Louis, MO 63110-2539 | 2019-07-23 |
| 1932581683 | Erin Lyn Hofer | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2015-06-18 |
| 1790195824 | Justin Ulip Tilan | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2014-04-29 |
| 1982014130 | Lauren Maccormick Tatman | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2014-04-28 |
| 1396067328 | Seth Gengler | Orthopaedic Surgery | 621 S New Ballas Rd Ste 5015b, Saint Louis, MO 63141-8270 | 2010-02-17 |
| 1477764504 | Anna Noel Miller | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2007-05-24 |
| 1336354760 | Christopher M Mcandrew | Orthopaedic Surgery | 4921 Parkview Pl Ste 6a6b, Ste 6a/6b, Saint Louis, MO 63110-1032 | 2007-05-11 |
| 1700996022 | Mercy Orthopaedic Trauma Services, LLC | Orthopaedic Surgery | 621 S New Ballas Rd, Suite 3005-b, Saint Louis, MO 63141-8232 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700396298 | Lana Kay Foust | Orthopaedic Surgery | 3429 Harrison St # 1n, Kansas City, MO 64109-2912 | 2017-10-10 |
| 1891139572 | Brett Justin Pettett | Orthopaedic Surgery | 3045 S National Ave Ste 110, Springfield, MO 65804-4268 | 2013-04-24 |
| 1245434828 | David Joshua Merriman | Orthopaedic Surgery | 1229 E Seminole St, Ste 230, Springfield, MO 65804-2227 | 2007-06-14 |
| 1073737144 | Zachary V Roberts | Orthopaedic Surgery | 19550 E 39th St S Ste 410, Independence, MO 64057-2307 | 2007-04-12 |
| 1114967627 | Joshua Joe Niemann | Orthopaedic Surgery | 2521 Glenn Hendren Dr, Suite 204, Liberty, MO 64068-3388 | 2006-06-07 |
| City | SAINT LOUIS |
| Zip Code | 63104 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.