NPI 1558772053 · live from the CMS NPI Registry
Ballwin Orthopedic Group, LLC
Orthopaedic Surgery in Ballwin, MO. National Provider Identifier 1558772053, active.
NPI record
| NPI | 1558772053 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 884 Woods Mill Rd, Ste 202, Ballwin, MO 63011 |
| Practice phone | 314-322-9254 |
| Enumerated | May 19, 2014 |
| Last updated | May 19, 2014 |
| Authorized official | Alyssa Visconti, Practice Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery primary | 207X00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.