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THOMAS OTTO MD
NPI 1417979113
Orthopaedic Surgery in Saint Louis, MO

Active since July 24, 2006
1201 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 977-5350(314) 977-1629 Get Directions Write a Review

NPPES record last updated: February 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 24, 2021, Feb 17, 2021 (2 updates tracked since 2021).

About Thomas Otto Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS OTTO MD (NPI 1417979113) is an individual orthopaedic surgery provider in Saint Louis, Missouri, licensed in Missouri (R9866) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1417979113
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameTHOMAS OTTOCredential: MD
Location Address1201 S GRAND BLVDSaint Louis, MO 63104-1016
Mailing Address3691 Rutger Ave, Provider EnrollmentSt Louis, MO 63110 · (314) 977-4440
Phone(314) 977-5350
Fax(314) 977-1629
Sole ProprietorNo
Enumeration DateJuly 24, 2006
Last NPPES UpdateFebruary 24, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2021
✔ NPI 1417979113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in MO · R9866
Definition
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.
1201 S GRAND BLVD, Saint Louis, MO 63104
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DOUG LONGO APRN
Nurse Practitioner (Acute Care)
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 257-8000
JOHN JOSEPH HOUSER
Student in an Organized Health Care Education/Training Program
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 257-8000
NABIHA NOOR SHAMSHUDDIN MD
Hospitalist
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 257-8000
AMAN PATEL
Student in an Organized Health Care Education/Training Program
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 257-8000
MS. KEELEY FERRELL RYAN PA-C
Physician Assistant
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 257-1320
PATRICK SWEENEY
Student in an Organized Health Care Education/Training Program
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 257-8000
DR. SHAMEELA NASRULLAH KHIMANI MD
Pediatrics
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 617-3239
IBRAHIM SHAMASNEH M.D.
Hospitalist
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 617-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Otto's NPI number?

The NPI number for Thomas Otto is 1417979113. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Thomas Otto located?

Thomas Otto practices at 1201 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 977-5350.

What is Thomas Otto's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

When was this NPI record last updated?

The NPPES record for Thomas Otto was last updated on February 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.