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REGENERATION ORTHOPEDICS, LLC
NPI 1649524711
Anesthesiology - Pain Medicine in Granite City, IL

Active since October 29, 2012
3986 MARYVILLE RD, GRANITE CITY, IL 62040(636) 536-7000(636) 898-5709 Get Directions Write a Review

NPPES record last updated: October 29, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Regeneration Orthopedics, Llc NPPES

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

REGENERATION ORTHOPEDICS, LLC (NPI 1649524711) is a healthcare organization registered as a pain medicine in Granite City, Illinois and active in the NPI registry since October 2012. The organization lists Karen Wilson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1649524711
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameREGENERATION ORTHOPEDICS, LLC
Location Address3986 MARYVILLE RDGranite City, IL 62040-4191
Mailing Address6 Mcbride And Son Center Dr, Ste 204Chesterfield, MO 63005-1418 · (636) 536-7000 · Fax (636) 898-5709
Phone(636) 536-7000
Fax(636) 898-5709
Organization SubpartNo
Authorized OfficialKaren WilsonOffice Manager · (636) 536-7000
Enumeration DateOctober 29, 2012
✔ NPI 1649524711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X
3986 MARYVILLE RD, Granite City, IL 62040
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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

Other Providers at the Same Location NPPES 8

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

ROSS TYLER DC
Chiropractor
3986 MARYVILLE RD
GRANITE CITY, IL 62040
Madison County (618) 797-0618
DR. DAVID L PRIEBE M.D.
Family Medicine (Sports Medicine)
3986 MARYVILLE RD
GRANITE CITY, IL 62040
Madison County (618) 797-0618
JONATHON D BROOKS D.C.
Chiropractor
3986 MARYVILLE RD
GRANITE CITY, IL 62040
Madison County (618) 797-0618
DR. JOSHUA DANIEL WIDEMAN DC
Chiropractor
3986 MARYVILLE RD
GRANITE CITY, IL 62040
Madison County (618) 797-0618
DR. MARK EAVENSON DC
Chiropractor
3986 MARYVILLE RD
GRANITE CITY, IL 62040
Madison County (618) 797-0618
COREY VOSS PT
Physical Therapist
3986 MARYVILLE RD
GRANITE CITY, IL 62040
Madison County (618) 797-0618
AMANDA JUNE BASHAM FNP -BC
Nurse Practitioner
3986 MARYVILLE RD
GRANITE CITY, IL 62040
Madison County (618) 797-0618
MULTI-CARE SPECIALISTS SC
Family Medicine
3986 MARYVILLE RD
GRANITE CITY, IL 62040
Madison County (618) 797-0618

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 Regeneration Orthopedics, LLC's NPI number?

The NPI number for Regeneration Orthopedics, LLC is 1649524711. It was assigned to this organization in the NPPES registry on October 29, 2012.

Where is Regeneration Orthopedics, LLC located?

Regeneration Orthopedics, LLC is located at 3986 Maryville Rd, Granite City, IL 62040. The listed phone number is (636) 536-7000.

What is Regeneration Orthopedics, LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

When was this NPI record last updated?

The NPPES record for Regeneration Orthopedics, LLC was last updated on October 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.