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ORTHO MISSOURI, LLC
NPI 1447941067
Orthopaedic Surgery in Creve Coeur, MO

Active since May 16, 2023CLIA 26D2296612 · Waiver
11330 OLIVE BLVD STE 150, CREVE COEUR, MO 63141(314) 288-9826 Get Directions Write a Review

NPPES record last updated: May 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ortho Missouri, Llc NPPES

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

ORTHO MISSOURI, LLC (NPI 1447941067), doing business as Orthomo, Llc, is a healthcare organization registered as an orthopaedic surgery in Creve Coeur, Missouri and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through January 2, 2028 and lists Beverly Baker, Market President, as its authorized official.

NPPES Registry Identity

NPI1447941067
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameORTHO MISSOURI, LLC
Location Address11330 OLIVE BLVD STE 150Creve Coeur, MO 63141-7149
Mailing Address11330 Olive Blvd Ste 150Creve Coeur, MO 63141-7149 · (314) 288-9826
Phone(314) 288-9826
Organization SubpartNo
Authorized OfficialBeverly BakerMarket President · (314) 288-9826
Enumeration DateMay 16, 2023
NPPES CertifiedMay 16, 2023
✔ NPI 1447941067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
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.
11330 OLIVE BLVD STE 150, Creve Coeur, MO 63141
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Other Names 1

Doing Business AsOrthomo, Llc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2296612

Ortho Missouri, LLC · Creve Coeur, MO
Active · expires Jan 2, 2028
CLIA Number26D2296612
Laboratory TypePhysician Office
Certificate Effective DateJanuary 3, 2026
Certificate Expiration DateJanuary 2, 2028
Laboratory DirectorPaul Malak
Laboratory Phone(314) 782-1994
Laboratory LocationOrtho Missouri, LLC11330 Olive Blvd Suite 150, Creve Coeur, MO 63141
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

COREY MARTIN
Physician Assistant
11330 OLIVE BLVD STE 150
CREVE COEUR, MO 63141
St. Louis County (314) 336-2566
DR. VAN SCHAUMBURG KRUEGER MD, MBA
Orthopaedic Surgery
11330 OLIVE BLVD STE 150
CREVE COEUR, MO 63141
St. Louis County (314) 782-1994

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 Ortho Missouri, LLC's NPI number?

The NPI number for Ortho Missouri, LLC is 1447941067. It was assigned to this organization in the NPPES registry on May 16, 2023. The provider is doing business as OrthoMO, LLC.

Where is Ortho Missouri, LLC located?

Ortho Missouri, LLC is located at 11330 Olive Blvd Ste 150, Creve Coeur, MO 63141. The listed phone number is (314) 288-9826.

What is Ortho Missouri, LLC's specialty?

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

Does Ortho Missouri, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2296612) is associated with this NPI, valid through January 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ortho Missouri, LLC was last updated on May 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.