DR. JACQUES S VAN RYN (NPI# 1124091541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124091541 |
| Entity Type | Individual |
| Full Name | DR. JACQUES S VAN RYN |
| Credential | MD |
| Practice Address |
11125 Dunn Rd Ste 301 Saint Louis MO 63136-6132 |
| Practice Telephone | 3149538250 |
| Practice Fax Number | 3149538255 |
| Mailing Telephone | 3149538250 |
| Mailing Fax Number | 3149538255 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2020-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | R4G45 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BLUE CROSS BLUE SHIELD | 000000603706 | 01 |
| MO | MEDICARE RAILROAD | P00727699 | 01 |
| MO | MEDICARE | 116020001 | 01 |
| MO | HEALTHLINK | 101252 | 01 |
| MO | AETNA | 4048872 | 01 |
| MO | GROUP HEALTH PLAN | 475415 | 01 |
| Street Address |
11125 DUNN RD STE 301 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63136-6132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922585488 | Jessica M Halloran | Physician Assistant | 11125 Dunn Rd Ste 301, Saint Louis, MO 63136-6132 | 2018-07-26 |
| 1659669075 | Rasheed Abiola | Orthopaedic Surgery | 11125 Dunn Rd Ste 301, Saint Louis, MO 63136-6132 | 2011-07-19 |
| 1952633976 | Tara Kathleen Aronberg | Physician Assistant | 11125 Dunn Rd Ste 301, Saint Louis, MO 63136-6132 | 2010-02-01 |
| 1952599631 | Jill R Speca | Physician Assistant | 11125 Dunn Rd Ste 301, Saint Louis, MO 63136-6132 | 2007-10-09 |
| 1730112996 | Mark E Belew | Orthopaedic Surgery | 11125 Dunn Rd Ste 301, Saint Louis, MO 63136-6132 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565993 | Dorothy Smith | Home Health | 2531 Nathan Drive, St Louis, MO 63136 | 2020-10-16 |
| 1538784459 | Rita D Wilson | Technician | 9597 Jacobi Ave Bldg 33 Apt 7, Saint Louis, MO 63136 | 2020-06-16 |
| 1922646728 | Eduhealth Personal Care Services | Technician | 5843 Eagle Valley Dr Saint Louis Mo 63136, Saint Louis, MO 63136 | 2019-12-12 |
| 1558912964 | Homers Haven Home Care LLC | Home Health | 5636 Pamplin Pl, St Louis, MO 63136 | 2019-09-26 |
| 1366096703 | Chloe Suzanne Datillo | Nurse Practitioner | 2865 Netherton Dr., St Louis, MO 63136 | 2019-07-24 |
| 1053976431 | U Auto Be Quik LLC | Non-emergency Medical Transport (VAN) | 10352 Castle Drive, St. Louis, MO 63136 | 2019-05-01 |
| 1164945895 | A Plus Home Health Services LLC | Home Health | 9517 Wilson Bridge Drive, Saint Louis, MO 63136 | 2017-07-25 |
| 1184150302 | Fairview Village Adult Day Care LLC | Clinic/Center | 8449 Jennings Station Rd, Fairview Village Adult Day Care, Saint Louis, MO 63136 | 2017-05-08 |
| 1023541182 | Lots of Love Home Health Services | In Home Supportive Care | 4144 Lindell Blvd. Suite 218, Saint Louis, MO 63136 | 2017-04-06 |
| 1912440876 | Carestl Health | Clinic/Center | 7047 Emma Ave, Jennings, MO 63136 | 2016-11-28 |
| Find all providers in zip 63136 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760903850 | Adam J Martin | Orthopaedic Surgery | 621 S New Ballas Rd Ste 3005b, Saint Louis, MO 63141-8266 | 2017-06-29 |
| 1801254164 | St. Anthony's Physician Organization | Orthopaedic Surgery | 12700 Southfork Rd Ste 100, Saint Louis, MO 63128-3201 | 2016-02-02 |
| 1285051482 | Michael Joseph Reiter | Orthopaedic Surgery | 3009 N Ballas Rd Ste 269c, Saint Louis, MO 63131-2339 | 2014-03-25 |
| 1154767507 | Robert M Corey | Orthopaedic Surgery | 3635 Vista Ave, 7th Floor- Desloge Tower, Department of Orthopedics, Saint Louis, MO 63110 | 2013-05-13 |
| 1770855884 | George Owens Sertl | Orthopaedic Surgery | 10757 Forest Path Dr, Saint Louis, MO 63128-2008 | 2012-02-04 |
| 1285881581 | John Powell Arnot | Orthopaedic Surgery | 1145 Lockett Rd, Saint Louis, MO 63131-4234 | 2008-08-19 |
| 1558526327 | Jordan Howard Ginsburg | Orthopaedic Surgery | 231 S Bemiston Ave, Suite 500, Saint Louis, MO 63105-1914 | 2008-07-22 |
| 1659562528 | Kenyatta D Norman | Orthopaedic Surgery | 1209 Washington Ave, Ste 518, Saint Louis, MO 63103-1996 | 2007-08-06 |
| 1134342918 | Matthew Walter Bradley | Orthopaedic Surgery | 1001 S Kirkwood Rd Ste 120, Saint Louis, MO 63122-7250 | 2007-04-10 |
| 1437272663 | St. Louis-clayton Orthopedic Group, Inc. | Orthopaedic Surgery | 1034 S Brentwood Blvd Ste 650, Saint Louis, MO 63117-1267 | 2007-04-10 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63136 |
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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.