REGENERATION ORTHOPEDICS, LLC (NPI# 1891049979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891049979 |
| Entity Type | Organization |
| Organization Name | REGENERATION ORTHOPEDICS, LLC |
| Practice Address |
12348 Old Tesson Rd Ste120 Saint Louis MO 63128-2251 |
| Mailing Address |
6 Mcbride and Son Center Dr Ste 204 Chesterfield MO 63005-1418 |
| Practice Telephone | 6365367000 |
| Practice Fax Number | 6368985709 |
| Mailing Telephone | 6365367000 |
| Mailing Fax Number | 6368985709 |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2012-10-29 |
| Authorized Official Name | KAREN WILSON (OFFICE MANAGER) |
| Authorized Official Telephone | 6365367000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265794911 | Regeneration Orthopedics, LLC | Anesthesiology | 6 Mcbride & Son Center Dr., Ste 204, Chesterfield, MO 63005 | 2012-06-08 |
| 1720332893 | Regeneration Orthopedics, LLC | Anesthesiology | 15945 Clayton Rd, Ste 220, Ballwin, MO 63011-2490 | 2012-10-29 |
| 1649524711 | Regeneration Orthopedics, LLC | Orthopaedic Surgery | 3986 Maryville Rd, Granite City, IL 62040-4191 | 2012-10-29 |
| Street Address |
12348 OLD TESSON RD STE120 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63128-2251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548251929 | Mercy Health Services, LLC | Pharmacy | 12348 Old Tesson Rd, Suite 100, Saint Louis, MO 63128-2215 | 2005-11-03 |
| 1447629464 | Irene Rathjen | Nurse Practitioner | 12348 Old Tesson Rd, Ste 160, Saint Louis, MO 63128-2251 | 2015-09-21 |
| 1831432814 | Jennifer Lynn Tietjen | Nurse Practitioner | 12348 Old Tesson Rd, St 160, Saint Louis, MO 63128-2251 | 2013-03-28 |
| 1831489566 | Jennifer Marshall Chung | Internal Medicine | 12348 Old Tesson Rd, Suite 250, Saint Louis, MO 63128-2251 | 2011-04-14 |
| 1578867164 | Emily Joy Riley | Nurse Practitioner | 12348 Old Tesson Rd, Suite 160, Saint Louis, MO 63128-2251 | 2010-12-22 |
| 1700067352 | Ann M Schulte | Nurse Practitioner | 12348 Old Tesson Rd, Suite 160, Saint Louis, MO 63128-2251 | 2007-11-23 |
| 1851588800 | Michael Pineda Gerardo | Internal Medicine | 12348 Old Tesson Rd, Suite 250, Saint Louis, MO 63128-2251 | 2007-10-03 |
| 1699898312 | Amy Susan Beck | Internal Medicine | 12348 Old Tesson Rd, Suite 240, Saint Louis, MO 63128-2251 | 2007-04-09 |
| 1053403915 | Carl Peters | Family Medicine | 12348 Old Tesson Rd, Suite 180, Saint Louis, MO 63128-2251 | 2006-09-29 |
| 1497854533 | Smith Surgical Services, LLC | Surgery | 12348 Old Tesson Rd, Suite 180, Saint Louis, MO 63128-2215 | 2006-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
| 1326504655 | Nikodem Dental Holdings | Dentist | 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 | 2019-02-12 |
| 1932678505 | Michelle Anne Arvidson | Physical Therapy Assistant | Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2018-11-13 |
| 1245726710 | Kristen Rider | Nurse Practitioner | 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 | 2018-07-07 |
| 1306217427 | Sophia Bednarski | Dentist | 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2015-10-15 |
| 1427434224 | Darcie Burrus | Counselor | 12523 Old Tesson Rd G, St Louis, MO 63128 | 2015-08-04 |
| 1710368584 | Sara Hawatmeh | Internal Medicine | 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 | 2015-06-17 |
| 1871989590 | Celia Grace Montes-kolence | Speech-Language Pathologist | 12335 W Bend Drive, Saint Louis, MO 63128 | 2015-04-09 |
| 1245629302 | Marius Antonio Evans | Dentist | 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 | 2015-01-13 |
| 1801230313 | Sarah Elizabeth Walsh | Emergency Medicine | 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 | 2013-04-26 |
| Find all providers in zip 63128 | ||||
| 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 |
|---|---|---|---|---|
| 1912394958 | Joseph Jared Guth | Orthopaedic Surgery | 660 S Euclid Ave, Saint Louis, MO 63110-1010 | 2015-04-16 |
| 1710244512 | Diana Choate Patterson | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2012-04-18 |
| 1043535438 | Scott Albert Simpson | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2010-03-29 |
| 1821227406 | Ljiljana Bogunovic | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2009-07-05 |
| 1194950451 | St. Louis Sports Health, LLC | Orthopaedic Surgery | 1000 Des Peres Rd, Suite 325, Saint Louis, MO 63131-2050 | 2009-05-15 |
| 1710129630 | Laura Christine Depalma | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2009-03-25 |
| 1588821334 | Vaibhav V Ardhan Maheshwari | Orthopaedic Surgery | 4921 Parkview Pl, Ste A and B 6th Floor, Saint Louis, MO 63110-1032 | 2008-05-20 |
| 1740470434 | Joy Lynn English | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2007-07-28 |
| 1508066317 | Terra Rupert Blatnik | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2007-07-19 |
| 1457567430 | Matthew Vernon Smith | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2007-05-15 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63128 |
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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.