DR. BRIAN L. MAHAFFEY (NPI# 1306984505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306984505 |
| Entity Type | Individual |
| Full Name | DR. BRIAN L. MAHAFFEY |
| Credential | MD |
| Practice Address |
15945 Clayton Rd Suite 210 Ballwin MO 63011-2490 |
| Practice Telephone | 3142511556 |
| Practice Fax Number | 6368931362 |
| Mailing Telephone | 3142511556 |
| Mailing Fax Number | 6368931362 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2015-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
103424 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 208254235 | 05 | |
| MO | RAILROAD MEDICARE | P01317472 | 01 |
| AR | 154946001 | 05 | |
| MO | AR BLUE SHIELD | 98585 | 01 |
| Street Address |
15945 CLAYTON RD SUITE 210 |
| City | BALLWIN |
| State | MO |
| Zip Code | 63011-2490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427031129 | Cara Hahs | Surgery | 15945 Clayton Rd, Suite 120, Ballwin, MO 63011-2490 | 2005-11-28 |
| 1598156820 | Laura Hooper | Nurse Practitioner | 15945 Clayton Rd, Suite 120, Ballwin, MO 63011-2490 | 2015-02-09 |
| 1215352117 | Erica Amelia Lammert | Registered Nurse | 15945 Clayton Rd, Suite 305, Ballwin, MO 63011-2490 | 2014-02-28 |
| 1720332893 | Regeneration Orthopedics, LLC | Anesthesiology | 15945 Clayton Rd, Ste 220, Ballwin, MO 63011-2490 | 2012-10-29 |
| 1518261585 | Foot & Ankle Center, LLC | Podiatrist | 15945 Clayton Rd, Suite 220, Ballwin, MO 63011-2490 | 2011-01-05 |
| 1447568043 | Center for Advanced Foot & Ankle Surgery Inc | Durable Medical Equipment & Medical Supplies | 15945 Clayton Rd, Ballwin, MO 63011-2146 | 2010-09-16 |
| 1790096683 | Mercy Health Services, LLC | Pharmacy | 15945 Clayton Rd, Suite 140, Ballwin, MO 63011-2146 | 2010-06-25 |
| 1942479894 | Mojdeh Zahedi | Family Medicine | 15945 Clayton Rd, Suite 310, Ballwin, MO 63011-2490 | 2008-02-25 |
| 1285831164 | Lauren Bush King | Internal Medicine | 15945 Clayton Rd, Suite 340, Ballwin, MO 63011-2490 | 2007-07-02 |
| 1679779219 | Syed Zia Ul Huq | Internal Medicine | 15945 Clayton Rd, Suite 120, Ballwin, MO 63011-2490 | 2007-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205309234 | Heather Renee Leone | Nurse Practitioner | 452 Sovereign Court Suite A, Ballwin, MO 63011 | 2019-01-02 |
| 1538635297 | Jennifer Lea Nicole O'donnell | Registered Nurse | 13861 Manchester Road, Town and Country, MO 63011 | 2018-10-22 |
| 1285127712 | Genevieve Friedmann | Social Worker | 301 Sovereign Ct Ste 103, Ballwin, MO 63011 | 2018-06-09 |
| 1881187391 | Andrew Cittadino Link | Dentist | 14335 Manchester Road, Ballwin, MO 63011 | 2018-06-08 |
| 1972041283 | Anavan LLC | Durable Medical Equipment & Medical Supplies | 14390 Manchester Rd, Saint Louis, MO 63011 | 2017-02-07 |
| 1780131300 | Autism and Behavioral Spectrum LLC | Day Training, Developmentally Disabled Services | 14733 Clayton Road, Chesterfield, MO 63011 | 2016-09-01 |
| 1265872964 | Eryn Nichole Miner | Behavioral Analyst | 15834 Clayton Road, Ellisville, MO 63011 | 2013-06-27 |
| 1194168765 | Donna Margaret Carrillo | Developmental Therapist | 15834 Clayton Rd., Ellisville, MO 63011 | 2013-04-12 |
| 1891047486 | Ashley Amanda Battaglia | Chiropractor | 15945 Clayton Rd Ste 230c, Ballwin, MO 63011 | 2012-10-08 |
| 1750658480 | Gary Frank Sobocinski | Pharmacist | 4033 Sovereign Court, Ballwin, MO 63011 | 2011-11-23 |
| Find all providers in zip 63011 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184018632 | Christopher Amundsen | Orthopaedic Surgery | 448 State Highway 248, Branson, MO 65616 | 2015-03-23 |
| 1033326137 | Luke S Choi | Orthopaedic Surgery | 14285 N. Outer Forty Rd, Suite 200, Chesterfield, MO 63195-0000 | 2007-05-17 |
| 1134344922 | Scott Geoffrey Kaar | Orthopaedic Surgery | U21 S. New Ballas Rd, Ste 3005 B, St Louis, MO 63141 | 2007-04-16 |
| 1467533372 | Gpaletta Orthopedic Consulting, LLC | Orthopaedic Surgery | 14825 S. Outer Forty Rd, Suite 200, Chesterfield, MO 63017 | 2006-10-18 |
| 1013015106 | Allen G Adams | Orthopaedic Surgery | 904 Edmond St, Saint Joseph, MO 64501-2702 | 2006-09-20 |
| 1891728051 | Jody T Jachna | Orthopaedic Surgery | 400 1st Capitol Dr Ste 100, Saint Charles, MO 63301-2881 | 2006-07-09 |
| 1487623260 | Douglas W Kiburz | Orthopaedic Surgery | 2301 S Ingram Ave, Sedalia, MO 65301-8121 | 2006-03-15 |
| 1497726566 | Crane Clinic for Sports Performance | Orthopaedic Surgery | 219 Chesterfield Towne Ctr, Chesterfield, MO 63005-1257 | 2006-01-27 |
| 1124009212 | Christopher M Miller | Orthopaedic Surgery | 3555 S National Ave, Springfield, MO 65807-7310 | 2005-11-07 |
| 1255958138 | Gina Marie Fasano | Orthopaedic Surgery | 54 Hospital Dr, Osage Beach, MO 65065-3050 | 2020-06-26 |
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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.