NORTHLAND MIDAMERICA ORTHOPEDICS
NPI 1891717351
Specialist in Florissant, MO

Q: What is Northland Orthopedic Group's NPI number?

The NPI number for Northland Orthopedic Group is 1891717351. It was assigned to this organization in the NPPES registry on July 24, 2006. The provider is doing business as Northland Midamerica Orthopedics.

Q: What is Northland Orthopedic Group's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since July 24, 2006

1150 GRAHAM RD, STE 102, FLORISSANT, MO 63031(314) 837-5555(314) 837-6175 Get Directions Write a Review

NPPES record last updated: December 7, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Northland Midamerica Orthopedics NPPES

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

NORTHLAND MIDAMERICA ORTHOPEDICS (NPI 1891717351) is a healthcare organization registered as a specialist in Florissant, Missouri and active in the NPI registry since July 2006. The organization lists Randall D Roush, President, as its authorized official.

NPPES Registry Identity

NPI1891717351

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameNORTHLAND ORTHOPEDIC GROUP

Location Address1150 GRAHAM RD, STE 102Florissant, MO 63031-8077

Mailing Address1150 Graham Rd Ste 102Florissant, MO 63031-8077 · (314) 837-5555 · Fax (314) 837-6175

Phone(314) 837-5555

Fax(314) 837-6175

Organization SubpartNo

Authorized OfficialRandall D RoushPresident · (314) 837-5555

Enumeration DateJuly 24, 2006

Last NPPES UpdateDecember 7, 2009

✔ NPI 1891717351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in MO · 12261963

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1150 GRAHAM RD, Florissant, MO 63031

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Other Names 1

Doing Business AsNorthland Midamerica Orthopedics

Other Identifiers 2

Medicare PIN000010855MO

Medicare NSC0193570001MO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

MARTHA TOLBERT

Social Worker