BALLWIN ORTHOPEDIC GROUP, LLC
NPI 1558772053
Orthopaedic Surgery in Ballwin, MO

Active since May 19, 2014
884 WOODS MILL RD, STE 202, BALLWIN, MO 63011(314) 322-9254 Get Directions Write a Review

NPPES record last updated: May 19, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Orthopaedic Surgery

About BALLWIN ORTHOPEDIC GROUP, LLC

This page provides the complete NPI Profile along with additional information for Ballwin Orthopedic Group, Llc, a provider established in Ballwin, Missouri operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1558772053 assigned on May 2014. The practitioner's primary taxonomy code is 207X00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Ms. Alyssa Visconti (Practice Manager)

NPI
1558772053 Verify this NPI
Provider Name
BALLWIN ORTHOPEDIC GROUP, LLC
Entity Type
Organization
Location Address
884 WOODS MILL RD STE 202 BALLWIN, MO 63011
Location Phone
(314) 322-9254
Mailing Address
884 WOODS MILL RD STE 202 BALLWIN, MO 63011
Mailing Phone
(314) 322-9254
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-19-2014
Last Update Date
05-19-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. ALYSSA VISCONTI

Authorized Official Title
PRACTICE MANAGER
Authorized Official Phone
(314) 322-9254

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Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Clinic/Center (Radiology, Mammography)
884 WOODS MILL RD, SUITE 203
BALLWIN, MO 63011
Orthopaedic Surgery
884 WOODS MILL RD, STE 202
BALLWIN, MO 63011
Orthopaedic Surgery
884 WOODS MILL RD, STE 201
BALLWIN, MO 63011
Physical Therapist
884 WOODS MILL RD, STE. 200
BALLWIN, MO 63011
Orthopaedic Surgery
884 WOODS MILL RD, SUITE 201
BALLWIN, MO 63011
Clinic/Center (Ambulatory Surgical)
884 WOODS MILL RD, SUITE 100
BALLWIN, MO 63011

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558772053, enumerated as an "organization" on May 19, 2014.

The provider is located at 884 WOODS MILL RD STE 202 BALLWIN, MO 63011 and the phone number is (314) 322-9254.

Orthopaedic Surgery with taxonomy code 207X00000X.